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Utilization Review Coordinator
Mesa, AZ within
Concurrent Review Nurse
WellCare Health Plans Inc. - Phoenix, AZ, USA
Oversees utilization management activities by assessing the necessity and efficiency of services ... Assesses and coordinates simple discharge planning (short-term rehabilitation, homecare e...
StartWire - 24 Days ago
IASIS Healthcare - Phoenix, AZ, USA
The Prior Authorization Nurse reviews, authorizes, coordinates, and responds to requests for ... Ensure appropriate utilization of services of cost effective, medically necessary care, follo...
MyJobHelper - 2 Days ago
Utilization Management Nurse Consultant
Aetna Inc. - Scottsdale, AZ, USA
Consults and lends expertise to other internal and external constituents in the coordination and ... utilization management review experience preferred. EDUCATION The minimum level of educat...
StartWire - 96 Days ago
RN Case Mgr-AZ
Banner Health - Mesa, AZ, USA
The intensity of care coordination provided is situational and appropriate based on patient need ... Minimum Qualifications Must possess knowledge of case management or utilization review as...
StartWire - 25 Days ago
RN Business Manager, Perioperative Services Job
Mayo Clinic - Phoenix, AZ, USA
... utilization of accounting data and information systems. Maintains and organizes department ... This individual coordinates with Hospital Surgical Services leadership, Information Se...
StartWire - 12 Days ago
Registered Nurse Transplant Coordinator
Banner Health - Phoenix, AZ, USA
Reviews potential recipients current medical status to determine eligibility for transplant ... Must have a working knowledge of care management, resource/utilization management, and ho...
Lensa - 143 Days ago
Anthem - Mesa, AZ, USA
Nurse Med Mgmt I or II*is focused on line item reviews of inpatient hospital claims based on CMS ... Applies clinical knowledge to work with facilities and providers for care coordination. *...
MyJobHelper - 81 Days ago
NCI - Phoenix, AZ, USA
Utilizes Medicare and Contractor guidelines for coverage determinations. + Coordinates and compiles ... Preferred Education and Experience: + At least 2 years utilization/quality assura...
MyJobHelper - 193 Days ago
Anthem - Mesa, AZ, USA
Consult with clinical reviewers and/or medical directors to ensure medically appropriate, high ... utilization management or managed care experience, which would provide an equivalent b...
MyJobHelper - 81 Days ago
RN Utilization Review Coordinator
Camp Recovery - Chandler, AZ, USA
Performs and supervises the Utilization Management functions as mandated by JCAHO and private ... review of cases for payment from Medicaid/Private payers. * Coordinates benefits for cl...
StartWire - 18 Days ago
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