Top 23 Utilization review nurse Jobs in Tucson Az

Utilization Review Specialist
El Dorado Springs —Tucson, AZ
- Overtime
- CPR Certification
- Psychiatry
- Mid-level
- Disability insurance
- Health 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 (RN)
Carondelet St. Marys Hospital —Tucson, AZ
- Full-time
- Nursing
- Surgery
- RN License
- Health savings account
- Health insurance
11d
RN Care Manager - Tucson, AZ and Las Vegas, NV
ArchWell Health —Tucson, AZ
- Full-time
- Nursing
- RN License
- Mid-level
Public Health Registered Nurse - Family Planning
Pima County —Tucson, AZ
- $34.62 - $48.47 an hour
- Full-time
- Background check
- Nursing
- Current TB test
Care Manager RN FT
Northwest Medical Center Tucson —Tucson, AZ
- Full-time
- Nursing
- RN License
- BLS Certification
- Health insurance
- Tuition reimbursement
Quick Apply
5d
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
Nurse Practitioner- Cardiology
Tucson Physician Group Holdings —Tucson, AZ
- Full-time
- Nursing
- RN License
- Hospital
- Dental insurance
- 401(k)
Nurse Practitioner- Primary Care- Tucson, AZ Foothills
Tucson Physician Group Holdings —Tucson, AZ
- Full-time
- Nursing
- RN License
- Primary Care
Nurse Practitioner- Vascular
Tucson Physician Group Holdings —Tucson, AZ
- Full-time
- Nursing
- RN License
- Hospital
- Dental insurance
- 401(k)
Physician Assistant/Nurse Practitioner- Neurosurgery
Tucson Physician Group Holdings —Tucson, AZ
- Full-time
- Nursing
- RN License
- Hospital
- Dental insurance
- 401(k)
Nurse Practitioner/Physician Assistant- Neurosurgery
Tucson Physician Group Holdings —Tucson, AZ
- Full-time
- Nursing
- RN License
- HIPAA
- Dental insurance
- 401(k)
Travel Nurse Practitioner
FATTY LIVER CLINIC PLLC —Tucson, AZ
- $110,000 - $140,000 a year
- Full-time
- Hybrid work
- BLS Certification
- HIPAA
- Mid-level
- Health insurance
- 401(k)
Quick Apply
Travel Nurse Practitioner
Fatty Liver Clinic —Tucson, AZ
- $120,000 - $150,000 a year
- Travel nursing
- HIPAA
- Mid-level
- Clinic
- Health insurance
- 401(k)
Quick Apply
12d
Psychiatric Mental Health Nurse Practitioner
Leading MD's —Tucson, AZ
- $1,099 a month
- Contract
- CPR Certification
- Nursing
- Skilled nursing facility
Quick Apply
Nurse Practitioner- Primary Care- Tucson, AZ - Irvington
Tucson Physician Group Holdings —Sahuarita, AZ
- Full-time
- CPR Certification
- Nursing
- RN License
Complex Case Manager Care Coordination
Banner Health —Tucson, AZ
- 8 hour shift
- Acute care
- Master of Social Work
- Nursing
3d
Medicaid Medical Review RN (Medical Reviewer III)
CoventBridge Group —United States
- $65,000 - $70,000 a year
- Full-time
- Remote
- Nursing
- Microsoft Excel
- RN License
- Paid holidays
- Disability insurance
10d

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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 nurse jobs in tucson az

Utilization Review Specialist

Registered Nurse RN Patient Navigator NE Per Diem

Registered Nurse Case Manager (RN)

RN Care Manager - Tucson, AZ and Las Vegas, NV

Public Health Registered Nurse - Family Planning

Care Manager RN FT

Home Health Clinical Manager

Nurse Practitioner- Cardiology

Nurse Practitioner- Primary Care- Tucson, AZ Foothills

Nurse Practitioner- Vascular

Physician Assistant/Nurse Practitioner- Neurosurgery

Nurse Practitioner/Physician Assistant- Neurosurgery

Travel Nurse Practitioner

Travel Nurse Practitioner

Psychiatric Mental Health Nurse Practitioner

Nurse Practitioner- Primary Care- Tucson, AZ - Irvington

Complex Case Manager Care Coordination

Medicaid Medical Review RN (Medical Reviewer III)

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