Top 48 Utilization review Jobs in Tucson Az

Utilization Review Specialist
El Dorado Springs —Tucson, AZ
- Overtime
- CPR Certification
- Psychiatry
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
CSP Utilization Review Specialist/Quality Manager
Pascua Yaqui Tribe —Tucson, AZ
- $71,956.82 a year
- Weekends as needed
- Spanish
- Psychiatry
- English
- Profit sharing
- Paid holidays
Case Manager Care Coordination
Banner Health —Tucson, AZ
- 8 hour shift
- Master of Social Work
- Nursing
- RN License
7d
Yoeme Managed Care Utilization Manager
Pascua Yaqui Tribe —Tucson, AZ
- Weekends as needed
- Customer service
- Urgent Care
- Research
- Profit sharing
- Paid holidays
RN, Case Manager
Banner Health —Tucson, AZ
- $35.43 - $59.05 an hour
- Full-time
- Remote
- Nursing
- RN License
- BLS Certification
- Health insurance
- Flexible schedule
5d
Care Manager RN FT
Northwest Medical Center Tucson —Tucson, AZ
- Full-time
- Nursing
- RN License
- BLS Certification
- Health insurance
- Tuition reimbursement
Quick Apply
14d
Physical Therapist- Part time in-patient and outpatient.
Pueblo Springs Rehabilitation Center —Tucson, AZ
- $35 - $50 an hour
- Part-time
- CPR Certification
- Management
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Director of Care Management (RN)
Oro Valley Hospital —Oro Valley, AZ
- Full-time
- Google Workspace
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
14d
Assistant Clinical Director- $7500 SIGN ON
Sierra Tucson —Tucson, AZ
- Full-time
- LMFT
- CPR Certification
- Nursing
- Health savings account
- AD&D insurance
5d
MDS Coordinator & RN Manager
LeaderStat —Tucson, AZ
- $90,000 - $105,000 a year
- On call
- Nursing
- Skilled nursing facility
- RN License
- AD&D insurance
- Health insurance
Quick Apply
1d
RN Director of Care Management - Sign-on Bonus Eligible
Oro Valley Hospital —Oro Valley, AZ
- Full-time
- Nursing
- RN License
- Hospital
- Health insurance
- Dental insurance
Quick Apply
Registered Nurse Case Manager (RN)
Carondelet St. Marys Hospital —Tucson, AZ
- Full-time
- Nursing
- Surgery
- RN License
- Health savings account
- Health insurance
Public Health Registered Nurse - Family Planning
Pima County —Tucson, AZ
- $34.62 - $48.47 an hour
- Full-time
- Background check
- Nursing
- Current TB test
Home Health Clinical Manager
Centerwell —Tucson, AZ
- $77,200 - $106,200 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Paid parental leave
- Paid holidays
Medical Biller
Tohono O'odham Nation —Tucson, AZ
- From $18.75 an hour
- Full-time
- Clean driving record
- Anatomy knowledge
- Surgery
- Paid holidays
- Disability insurance
Quick Apply
Registered Nurse RN Patient Navigator NE Per Diem
Banner Health —Tucson, AZ
- Part-time
- Background check
- Nursing
- RN License
- Wellness program
- Employee assistance program
Registered Nurse Case Manager I (RN)
Carondelet St. Josephs Hospital —Tucson, AZ
- Full-time
- Nursing
- RN License
- PALS Certification
- Health savings account
- Health insurance
7d
Nurse Care Manager
Suvida Healthcare —Tucson, AZ
- Full-time
- Spanish
- Nursing
- RN License
- Paid parental leave
- Paid holidays
Quick Apply
7d
RN Supervisor, Care Management
Northwest Medical Center Tucson —Tucson, AZ
- Full-time
- Nursing
- RN License
- Computer skills
- Health insurance
- Tuition reimbursement
Quick Apply
Pharmacist Clinical Coordinator
Tucson Medical Center —Tucson, AZ
- Full-time
- Hospital
- BLS Certification
- ACLS Certification
12d

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utilization review jobs near tucson az

Utilization Review Specialist

El Dorado Springs -
Tucson, AZ

Quick Apply

Job Details

Part-time

Benefits

Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Family leave
Vision insurance
401(k) matching
Employee discount
Gym membership
Opportunities for advancement
Loan assistance

Qualifications

Bachelor's degree

Full Job Description

Your experience matters

El Dorado Springs Behavioral Health is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Utilization Review Specialistjoining our team, you’re embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

How you’ll contribute

A Utilization Review Specialist who excels in this role:

Facilitates clinical reviews for all patient admissions and continued stays.
Analyzes patient records to determine the appropriateness of admission, treatment, and length of stay, and interfaces with managed care organizations, external reviewers, and other payers.
Advocates on behalf of patients with substance abuse, dual diagnosis, psychiatric, or emotional disorders to managed care providers to ensure access to necessary treatment.
Contacts external case managers and managed care organizations to obtain certification of insurance benefits throughout the patient’s stay and assists the treatment team in understanding requirements for continued stay and discharge planning.
Demonstrates knowledge of clinical criteria and managed care requirements for inpatient and outpatient authorization, and advocates for coverage of necessary services.
Completes pre-certifications and re-certifications for inpatient and outpatient services; reports denials and authorization information to the appropriate resource.
Actively communicates with the interdisciplinary team to obtain pertinent information and provide updates on authorizations.
Participates in treatment team meetings to ensure staff understand coverage and to gather information for communication with external agencies.
Collaborates with the Director of Nursing (DON) to ensure documentation requirements are met.
Ensures appeals are completed thoroughly and in a timely manner.
Interfaces with managed care organizations, external reviewers, and other payers.
Communicates with physicians to schedule peer-to-peer reviews.
Accurately reports denials.

About our Team

Driven by a mission to help individuals regain stability and wellness, our multidisciplinary team works collaboratively to provide compassionate care while fostering a supportive, safety‑focused workplace culture for our staff and patients alike.

What we’re looking for

Applicants must have a Bachelor’s degree (required). Master’s degree is preferred. Additional requirements include:

Previous utilization review experience in a psychiatric healthcare facility preferred.
Current unencumbered clinical license is strongly preferred.
CPR certification and Crisis Prevention Training (CPI) preferred. May be required to work flexible hours and overtime

Schedule: PRN (as needed)

This position does not have a set weekly schedule. You’ll be called in to work when extra help is needed—such as covering for someone, handling busy periods, or filling gaps in the schedule. Hours can vary from week to week, and there’s no guaranteed hours.

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
Professional Development: Ongoing learning and career advancement opportunities.

More about El Dorado Springs

El Dorado Springs features a state‑of‑the‑art facility with over 100 private and semi‑private rooms, providing a secure and therapeutic setting focused on comfort, dignity, and healing. Patients receive 24/7 medically supervised care, evidence‑based therapy, medication management, and comprehensive discharge and aftercare planning.

Accredited by The Joint Commission and certified by CMS, El Dorado Springs Behavioral Health is committed to delivering relationship‑centered, evidence‑based care that improves outcomes and supports long‑term recovery.

The hospital offers a full continuum of care, including inpatient psychiatric stabilization, medically assisted detox (MAT), Partial Hospitalization Program (PHP), and Intensive Outpatient Program (IOP). These programs are designed to support individuals experiencing acute mental health symptoms, substance use disorders, or co‑occurring conditions in a safe, structured environment.

EEOC Statement

El Dorado Springs Behavioral Health is an Equal Opportunity Employer. El Dorado Springs Behavioral Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.”

We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

Quick Apply

Refine Your Search

utilization review jobs in tucson az

Utilization Review Specialist

CSP Utilization Review Specialist/Quality Manager

Case Manager Care Coordination

Yoeme Managed Care Utilization Manager

RN, Case Manager

Care Manager RN FT

Physical Therapist- Part time in-patient and outpatient.

Director of Care Management (RN)

Assistant Clinical Director- $7500 SIGN ON

MDS Coordinator & RN Manager

RN Director of Care Management - Sign-on Bonus Eligible

Registered Nurse Case Manager (RN)

Public Health Registered Nurse - Family Planning

Home Health Clinical Manager

Medical Biller

Registered Nurse RN Patient Navigator NE Per Diem

Registered Nurse Case Manager I (RN)

Nurse Care Manager

RN Supervisor, Care Management

Pharmacist Clinical Coordinator

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