7 utilization review case manager jobs at 5 companies in Phoenix, AZ
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Utilization Review Coordinator
Phoenix, Arizona, United States
OnsiteFull Time
High school diploma or equivalent; 1–2 years of utilization review preferred. Requires analytical, communication, collaboration, case management, authorization, behavioral health, and regulatory knowledge.
Microsoft Office 365, SmartSheets, Kipu, Collaborate MD, Sigmund Electronic Management system
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RN Case Manager - Utilization Review
Phoenix, Arizona, United States
OnsiteFull Time
3+ YOECurrent unrestricted Arizona RN license, ADN required (BSN preferred), 3+ years clinical acute care experience, prior case management/utilization management, HCQM or CCM preferred, skilled in medical necessity review and payer communication.
InterQual, MCG, Revenue Cycle Management (RCM)
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RN Case Manager - Utilization Review
Phoenix, Arizona, United States
OnsiteFull Time
3+ YOECurrent unrestricted Arizona RN license, ADN required (BSN preferred), 3+ years acute care clinical experience, prior case management/utilization management experience, ability to apply InterQual/MCG and analyze medical necessity.
InterQual, MCG
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Supervisor, Utilization Management
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$91k-$107k/yr RemoteFull Time
3+ YOE3+ MgmtCurrent RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required.
InterQual, ICD, DSM, CPT, HCPCS, American Dental codes, Microsoft Office, Microsoft Word, Microsoft Outlook, TriWest Intranet
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RN, Case Manager
Arizona or Tucson or Phoenix or Mesa or Maricopa County or Pinal County
$35-$59/hr RemoteFull Time
3+ YOEActive RN license in state worked, BLS required, 3+ years clinical experience (3-5 preferred), bachelor's degree in case management or health care, care management/utilization review knowledge; CCM preferred.
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Supervisor, Utilization Management
Phoenix or Alaska or Arkansas or Arizona or Colorado or Florida or Hawaii or Iowa or Idaho or Illinois or Kansas or Louisiana or Maryland or Minnesota or Missouri or Montana or Nebraska or Nevada or New Mexico or North Carolina or North Dakota or Oklahoma or Oregon or South Carolina or South Dakota or Tennessee or Texas or Utah or Virginia or District of Columbia or Washington or Wisconsin or Wyoming
$91k-$107k/yr RemoteFull Time
3+ YOE3+ MgmtActive RN license, 3+ years healthcare experience, 3+ years supervisory experience, 2+ years utilization review/case management, U.S. citizenship and favorable DoD background investigation required; CCM/HCQM preferred.
Microsoft Office, Microsoft Word, Microsoft Outlook, InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, Current Procedural Terminology, Healthcare Common Procedural Coding System
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Case Management Director
Glendale, Arizona, United States
OnsiteFull Time
3+ YOERequires 3 years of hospital-based case management experience, including utilization review and discharge planning. Active discipline license required where applicable; bachelor's degree required, BSN and RN license for nursing.