Utilization Review Coordinator
Alan B. Miller Medical Center
Utilization Management Coordinator 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 continuum of inpatient and outpatient services. Our modern 120-bed facility offers specialized mental health services and substance use treatment for teens, adults, and older adults experiencing issues such as depression, anxiety, personality disorders and co-occurring addictions. The Utilization Management Coordinator reports to the Utilization Management Director. UM Coordinators provide an ongoing, systematic process for the assessment of the necessity and efficiency of the use of Via Linda Behavioral Hospital services. Interface with managed care organizations, external reviewers, and other payors for initial reviews, continued stay reviews and discharge planning. Assists in the promotion and maintenance of high-quality patient care through the review and evaluation of clinical practices. This is an in-office position. Qualifications: Bachelor's Degree in Social Services, Human Development, Nursing, or related field required. Master's degree preferred. Registered Nurse or licensed as an LMSW, LCSW, LPC, MFT or similar AZ Board of Behavioral Health licensure preferred. 3+ years' experience in a behavioral health or medical inpatient facility serving patients, and special knowledge of the UM department. Must have or be able to obtain a Level 1 Fingerprint Clearance Card. About Universal Health Services: One of the nation's largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. UHS is recognized as one of the World's Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America's Top 500 Public Companies. EEO Statement: All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
- ...Utilization Review Coordinator Fully Remote MBH Remote Worker - Phoenix, AZ 85024 Overview Position Type Full Time Education Level Bachelors Degree Category Health Care Description This is where you change your story At Meadows we understand that new...SuggestedFull timeLocal areaRemote work
- ...Job Description Job Description Job Title: Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred] – Behavioral Health Employment Type: Full-Time Schedule: In-office, Monday through Friday Position Overview...SuggestedFull timeWork at officeLocal areaMonday to Friday
- ...Fridays Closed Holidays Key Responsibilities: A Case Manager/ Utilization Review Nurse, in collaboration with patients/families, physicians... ...team, provides leadership and advocacy in the coordination of patient-centered care across the continuum to facilitate...SuggestedPart time
Healthcare Outcomes Performance Company
Phoenix, AZ6 hours ago - ...work opportunity requires residency, and work to be performed, within the State of Arizona. PURPOSE OF THE JOB The Utilization Review Supervisor coordinates the activities of the UR department as they relate to medical necessity reviews, authorizations of inpatient,...SuggestedFull timeWork experience placementRemote work2 days per week1 day per week
- Blue Cross Blue Shield of Arizona is seeking a Utilization Review Supervisor in Phoenix, AZ. This hybrid role requires coordination of medical necessity reviews and supervision of the UR team to ensure compliance with standards. Qualified candidates must have 2 years of...Suggested
$20 - $25 per hour
...Job Title: Botox Utilization Review Specialist Location: Phoenix, AZ Hours & Schedule: Full-time, Monday through Friday, mornings to 4:00... ...medical necessity based on payer-specific clinical criteria Coordinate with insurance carriers to confirm eligibility, benefits, and...Hourly payFull timeWork at officeMonday to FridayDay shiftWeekday workHealthOp Solutions
Phoenix, AZ6 hours ago$63.75k - $107k
Join to apply for the Energy and Utility Coordinator role at Maricopa County 21 hours ago Be among the first 25 applicants Join to apply for... ...energy and water conservation opportunities and options Perform, review, and approve utility benchmarking, EPA Energy Star...Full timeContract workTemporary workWork at officeLocal area- Responsibilities Utilization Management Coordinator PRN- As Needed Monday - Friday (Not Remote) Quail Run Behavioral Health Hospital in Phoenix is seeking... ..., dedicated professionals in our utilization review department Benefits include: Challenging and rewarding work...ReliefLocal areaMonday to Friday
- Responsibilities Utilization Management Coordinator PRN- As Needed Monday - Friday (Not Remote) Quail Run Behavioral Health Hospital in Phoenix is... ...compassionate, dedicated professionals in our utilization review department Benefits Challenging and rewarding work environment...ReliefLocal areaMonday to Friday
- Universal Hospital Services Inc. in Phoenix is seeking a dynamic UM Coordinator to join our utilization review team. The role involves contacting external case managers for insurance certification and helping the treatment team with discharge planning. The ideal candidate...
- ...Humana is offering a remote internship opportunity for a Utilization Management Behavioral Health Registered Nurse (RN). This role is part... ...members or military spouses. Interns will conduct clinical reviews, communicate with providers, and document findings. Applicants...InternshipRemote work
Humana
Phoenix, AZ1 day ago - A healthcare provider is seeking a Utilization Review Nurse to coordinate resources and ensure efficient delivery of home health care. This role involves monitoring patient admissions and ongoing care while ensuring adherence to guidelines. The ideal candidate will have...Contract workRemote work
IntePros
Phoenix, AZ17 hours ago $35 - $40 per hour
...Base Pay Range $35.00/hr - $40.00/hr Location Fully Remote Position Summary The Utilization Review Nurse serves as a key liaison in coordinating resources and services to meet patients’ needs, ensuring efficient, cost-effective, and compliant delivery of...Contract workRemote workFlexible hoursWeekend workIntePros
Phoenix, AZ17 hours ago- ...DescriptionJob DescriptionSouthwest Gas has growth and business development opportunities in the Central Arizona Division. The Utility Coordinator (UC)’s main role is to support the Energy Solutions team in their dynamic strategic outreach plan to promote natural gas to ,...For contractorsLocal areaFlexible hours
- Quail Run Behavioral Health Hospital in Phoenix is seeking a Utilization Management Coordinator to join our dedicated team. This role involves contacting external case managers for insurance benefits certification, understanding patient treatment requirements, and advocating...Relief
- Energy Jobline ZR is looking for a Utility Coordinator in Phoenix, Arizona to support the Energy Solutions team. The role involves educating customers on natural gas benefits and managing service installations. You will guide customers through the installation process and...Flexible hours
- ...Closed Holidays Key Responsibilities: A Case Manager/Utilization Review Nurse, in collaboration with patients/families, physicians... ...team, provides leadership and advocacy in the coordination of patient-centered care across the continuum to facilitate...Part time
- ...of Arizona is looking for a Clinical Analyst to assess member utilization and predict future healthcare spending. The successful candidate... ...with specific qualifications as an RN analyst in Utilization Review or Care Management. This position promotes a hybrid work...
- A leading healthcare provider in Phoenix seeks a Utilization Management Coordinator to manage insurance certification processes. The successful candidate will need a Bachelor’s degree in a relevant field, preferably with two years of healthcare experience. This role includes...
- Sedgwick is seeking a Physical Therapy Utilization Review Advisor to enhance patient care by counseling providers and reviewing treatment plans. Ideal candidates should have a Master's degree in Physical Therapy and a minimum of eight years of relevant experience. The...
- ...Center, not a Uniform Security guard position. Data Base Analysis: Utilize a database of varied information, both current and historical,... ...States, as well as in cities and small towns. Event Analysis: Review a series of completed events and deduce what has happened; when...Hourly payTemporary workLocal areaFlexible hours
Swift Transportation
Phoenix, AZ6 hours ago $24.33 - $36.19 per hour
...Summary and Responsibilities The Credentials Coordinator is responsible for coordinating the... ...other data supporting various statistics utilized internally to monitor operations.... ...input for training materials and job aids. Reviews applications and other data sources for...Full timeWork at officeDignity Health
Phoenix, AZ17 hours ago- ...the United States. For more than 20 years, TEiC has supported utilities and power producers during critical outages and complex turnarounds... ...project estimates using TEiC estimating tools and templates. Review and approve estimates for projects within the area. Lead the...Temporary workFlexible hours
- ...Description Summary As an Architectural Coordinator working for Taylor Morrison you will be... ...and sales Schedule and facilitate plan review sessions with builder, vendors and purchasing... ...plans and materials Ensure builders utilize plan revision process; track and facilitate...Work at office
Taylor Morrison
Scottsdale, AZ2 days ago - ...you will oversee the full lifecycle of utility infrastructure projects, ensuring quality... ...project scopes, budgets, and schedules. Coordinate with clients, design teams, internal staff... ...ensure timely payments. Conduct QA/QC reviews and ensure compliance with standards. Mentor...Work at officeWork from home
Dibble Engineering
Phoenix, AZ17 hours ago $95k - $145k
...Project Manager - Underground Utilities Location: Phoenix, AZ Compensation: $95-145K (DOE) Industry... ...preconstruction activities including scope reviews and value engineering Conduct regular site visits and field coordination as needed Qualifications 5+ years of experience...For contractorsFor subcontractorZARRELLCO
Phoenix, AZ17 hours ago- ...Job Title Responsible for coordinating the day-to-day scheduling activities of a company... ...Maintains accurate records of all trades. Utilizes computerized system for tracking,... ...techniques. Work typically involves regular review of output by a senior coworker or supervisor...For subcontractor
$25 - $36 per hour
...Senior Coordinator, Office Services The Senior Coordinator, Office Services supports and... ...appropriate workplace decorum. ~ Proficiency in utilizing advanced features of Microsoft Word and... ...that is accurate and requires minimal review. ~ Proactive approach to seeking...Contract workWork at office- ...ADA Coordinator If you thrive in a dynamic environment where your keen eye for detail and ability to adapt can be fully utilized, the ADA Coordinator is the position for you! The Maricopa County... ...Conducting compliance reviews with all applicable laws, regulations...Casual workWork at office
- ...Harmony is seeking an experienced MDS Coordinator to join our clinical leadership team. This... ...develop and update resident care plans Review clinical documentation to support... ...reimbursement Participate in Medicare meetings and utilization review processes Assist with quality...
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