Utilization review nurse serp_jobs.h1.location_city
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Utilization review nurse • tempe az
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Come join our team as a Utilization Specialist at Agave Ridge Behavioral Hospital, the newest in the Acadia family! As part of our team, you will benefit from detailed training, ongoing support, an...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Phoenix, Arizona.
Job Description & Requirements.We’re seeking talented healthcare profess...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
NEED LOCAL ARIZONA RESIDENTS ONLY.Candidate will go onsite for training 1-2 times for training once starting position.Active RN License in state of Arizona.
Fingerprint Clearance Card - Needed befor...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Utilization Management Coordinator : Full-Time / In-Person.Scottsdale and the greater Phoenix region.We opened in February 2022 and now offer a full continuum of inpatient and outpatient services.Our ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Valley Behavioral Health Hospital is seeking a dynamic and talented !.Utilization Review Coordinator.East Pinchot Avenue, Phoenix, AZ .
Challenging and rewarding work environment .Competitive Compen...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, inc...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The Optum family of businesses, is seeking a.As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone.At OptumHealth, you will ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The Optum family of businesses is seeking a Behavioral Care Advocate to join our team.As a member of the Optum Behavioral Care team, youll be an integral part of our vision to make healthcare bette...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Utilization Management Representative I.Utilization Management Representative I.Virtual : This role enables associates to work virtually full-time with the exception of required in-person training s...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Molina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan, and coordinate an integrated delivery of care across the continuum, i...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Utilization Management Coordinator : Full-Time / In-Person.Scottsdale and the greater Phoenix region.We opened in February 2022 and now offer a full continuum of inpatient and outpatient services.Our ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Director of Utilization Management.Via Linda Behavioral Hospital is a behavioral health provider serving Scottsdale and the greater Phoenix area.
We opened in February 2022 and now offer a full cont...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
A company is looking for a Utilization Review Nurse.Key Responsibilities Performs medical record reviews for severity of illness and intensity of service Monitors care levels for appropriateness...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
At Relativity we make software to help users organize data, discover the truth, and act on it.Our e-discovery platform is used by more than 13,000 organizations around the world to manage large vol...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Epiq’s Cyber Incident Response group is responsible for managing and overseeing review of data exfiltrated in cyber incidents to identify, extract, and report on the individuals whose personal iden...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The Utilization Management Clinical Review nurse reviews and makes decisions about the appropriateness and level of beneficiary care being provided in an effort to provide cost effective care and e...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
IF YOU PREVIOUSLY APPLIED FOR THIS POSITION, YOU DO NOT NEED TO RE-SUBMIT YOUR APPLICATION • •.Under general supervision of the Senior Nurse Manager, Case Management (SNMCM).The Utilization Review Re...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Utilization Review Coordinator.NeuroPsychiatric Hospital is looking for a Utilization Review Coordinator to coordinate patients' services across the continuum of care by promoting effective utiliza...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their families.
The Utilization Review department plays an essential role in helping ful...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
DriveTime Family of Brands includes in-house financing and servicing through Bridgecrest, which is one of the country’s leading financial servicing providers.
Bridgecrest services roughly $17 billio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Utilization Review Specialist
Acadia HealthcareMesa, AZ, USAserp_jobs.job_card.full_time
Travel Nurse RN - Case Manager, Utilization Review - $2,337 per week
Medical SolutionsPhoenix, AZ, USAserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Medical Review Nurse
S R INTERNATIONAL INCPhoenix, AZ, USserp_jobs.job_card.full_time
Utilization Management Coordinator
Southwest Healthcare SystemSCOTTSDALE, Arizona, United Statesserp_jobs.job_card.full_time
Utilization Review Coordinator
Valley HospitalPHOENIX, Arizonaserp_jobs.job_card.full_time
Supervisor, Care Review (RN) Utilization Management
Molina HealthcarePhoenix, AZ, USserp_jobs.job_card.full_time
Behavioral Care Advocate - Outpatient Utilization Review (AZ license preferred)
UnitedHealth GroupPhoenix, AZ, United Statesserp_jobs.job_card.full_time
Behavioral Care Advocate - Outpatient Utilization Review (AZ license preferred) - 2287817
OptumPhoenix, AZ, USserp_jobs.job_card.full_time
Utilization Management Representative I
The Elevance Health CompaniesMesa, Arizona, USAserp_jobs.job_card.full_time
Care Review Clinician, Inpatient Review (RN)
Veterans StaffingMesa, AZ, USserp_jobs.job_card.full_time
Utilization Management Coordinator
Foundations for LivingSCOTTSDALE, Arizona, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.new
Director, Utilization Management
Universal Health ServicesScottsdale, AZ, USserp_jobs.job_card.full_time
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Illinois Licensed Utilization Review Nurse
VirtualVocationsTempe, Arizona, United Statesserp_jobs.job_card.full_time
Product Manager - Review
RelativityPhoenix, AZ, United Statesserp_jobs.job_card.full_time
Senior Review Manager
EpiqPhoenix, AZserp_jobs.filters.remote
serp_jobs.job_card.full_time
Utilization Clinical Reviewer
TriWest Healthcare AlliancePhoenix, AZserp_jobs.job_card.temporary
Registered Nurse (Utilization Review)
Salt River Pima-Maricopa Indian CommunityScottsdale, AZ, United Statesserp_jobs.job_card.full_time
Utilization Review Coordinator
NeuroPsychiatric HospitalsPhoenix, AZ, USserp_jobs.job_card.full_time
Utilization Review Specialist - PRN
Springstone, Inc.Gilbert, Arizona, USserp_jobs.job_card.full_time
Fraud Review Agent
DriveTimeMesa, AZserp_jobs.job_card.full_time
Utilization Review Specialist
Acadia HealthcareMesa, AZ, USAjob_description.job_card.variable_days_ago
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- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionAct as liaison between managed care organizations and the facility professional clinical staff. Conduct reviews, in accordance with certification requirements, of insurance plans or other managed care organizations (MCOs) and coordinate the flow of communication concerning reimbursement requirements. Monitor patient length of stay and extensions and inform clinical and medical staff on issues that may impact length of stay. Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office. Conduct quality reviews for medical necessity and services provided. Facilitate peer review calls between facility and external organizations. Initiate and complete the formal appeal process for denied admissions or continued stay. Assist the admissions department with pre-certifications of care. Provide ongoing support and training for staff on documentation or charting requirements, continued stay criteria and medical necessity updates.
Come join our team as a Utilization Specialist at Agave Ridge Behavioral Hospital, the newest in the Acadia family! As part of our team, you will benefit from detailed training, ongoing support, and continued opportunities to develop new skills and move forward in your chosen profession. You'll also know that you are playing a vital role in an organization that is providing an essential service to those in our community.
We offer a full suite of benefits ranging from :
- Growth Opportunities second to none in the industry
- Competitive hourly rates
- 401(k) Retirement Plan - with company match
- Employee Assistance Program / Employee Discount Program
Hourly rates are dependent upon experience. They start at $29.00 and range up to $37.00 per hour.
This is an on-site role located at our brand-new facility in Mesa.
At Agave Ridge we specialize in serving adolescents ages 11-17, adults age 18+, and senior adults age 55+ who are struggling with mental health concerns and substance use disorders. We provide holistic, age-appropriate care that addresses our patients’ mental, physical, emotional, and social needs so that they can wholly heal.
Responsibilities will include :
We are an Equal Employment Opportunity employer.