Utilization Review Coordinator
Universal Hospital Services
Responsibilities Utilization Review (UR) Coordinator Position: Full-Time Shift: Daytime For over 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction treatment for adults across the Phoenix area and Nationwide. Calvary’s proven treatment programs address the practical, physical, and spiritual aspects of addiction for lasting recovery. Our flagship location in Phoenix offers onsite detoxification and in-patient treatment programs, a partial hospitalization program (PHP), and an intensive outpatient program (IOP). We also have a satellite clinic offering Intensive Outpatient Programs in the West Valley region. Through our programs we offer many other holistic healing and treatment options complementing our services ranging from yoga, art workshops, and music. Our website: Summary of UR Coordinator Duties: The UR Coordinator is responsible for managing the treatment activities offered to the patient, including the appropriate clinical screening of admissions, establishment of treatment plans and interace with the treatment team/external case managers/managed care organizations. Beneftis for the UR Coordinator include: Tuition Assistance after 90 days of employment Career development opportunities within UHS and its 300+ Subsidiaries Challenging and rewarding work environment HealthStream online learning catalogue with plenty of free CEU courses Competitive Compensation & Generous Paid Time Off Excellent Medical, Dental, Vision and Prescription Drug Plans 401(K) with company match and discounted stock plan Pet Insurance What do our current employees value at Calvary Healing Center & UHS? An environment that puts patient care first. One of the most rewarding aspects of working as an employee is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. Supportive and responsive leadership. You are never alone, as you are part of a large network of professionals that routinely exchange ideas and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for skills diversification and career advancement as an employee with UHS. One of the Nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. Qualifications Bachelor's degree from an accredited college/university in social work, mental health, or nursing degree. A minimum of two (2) years direct clinical experience in a psychiatric or mental health setting. Experience in treatment planning and communication with external review organizations or comparable entites. Valid Fingerprint Clearance Card Completion of BLS & First Aid Certification, within 30 days of employment. Completion of Handle With Care Training, within 30 days of employment 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. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: or View phone number on click.appcast.io #J-18808-Ljbffr
- ...Sanctuary Recovery Centers Inc seeks a detail-oriented Utilization Review (UR) Coordinator / Authorization Representative with clinical experience. This in-office role manages authorizations, ensures medical necessity documentation, and maintains AHCCCS compliance. Ideal...SuggestedWork at office
$60k - $83.2k
...Commence cuts straight to better care. Requirements The Clinical Review Coordinator conducts all mandatory case review and quality assurance... ...coverage and payment policies, standards of care, and utilization review criteria applicable to a specific position. Communicates...SuggestedFull timeContract workFor contractorsWork at officeRemote workShift work- ...Sanctuary Recovery Centers in Phoenix, AZ, seeks a detail-oriented Utilization Review (UR) Coordinator / Authorization Representative with clinical experience preferred. This in-office role manages authorizations, documents medical necessity, and ensures AHCCCS compliance...SuggestedWork at office
$18 - $20 per hour
...National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator PRIMARY PURPOSE : To assign utilization review requests; to verify and enter data in appropriate system(s); and to...SuggestedWork at officeLocal areaFlexible hours- ...UR Coordinator The UR Coordinator's primary responsibility is managing, reviewing, and monitoring utilization of patient resources and obtaining payor authorization as required for all provided services. The UR Coordinator will function as liaison between payor source...SuggestedTemporary workWork at officeLocal area
$24 - $29 per hour
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 We are seeking a detail-oriented and highly organized...Hourly payFull timeWork at officeLocal areaMonday to Friday- ...Utilization Review Supervisor Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire... ...Purpose Of The Job The Utilization Review Supervisor coordinates the activities of the UR department as they relate to medical...Full timeRemote work2 days per week1 day per week
- ...Under the direction of the Network Manager for Utilization Management, assists in the administration... ...approval of admissions via the clinical review and appeal processes. Secondarily, this position supports Care Coordination department efforts in optimizing department...Work at officeRemote workShift work
- 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...
- HonorHealth in Arizona seeks an Utilization Review RN Specialist to review and monitor utilization for cost-effective, high-quality care. This role ensures medical necessity across Medicare, AHCCCS, and other payers, both on admission and concurrently. The position requires...Remote job
- Quail Run Behavioral Health Hospital in Phoenix seeks a dynamic Utilization Management Coordinator to join our utilization review team. This PRN role supports certification and recertification of benefits for patients during their stay and collaborates with the treatment...Relief
$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... ...compassionate, dedicated professionals in our utilization review department Benefits Challenging and rewarding work environment...ReliefLocal areaMonday to Friday
- Banner Health’s Behavioral Health Utilization Review Department seeks a Director to lead a centralized team optimizing patient care through strategic utilization review. Open to an experienced RN or Social Worker with leadership and utilization review background; offers...
- ...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
$64.6 per hour
Utilization Review RN - AZ Lighthouse Medical Staffing is hiring an experienced Utilization Review RN for a travel assignment in AZ. Assignment Details Location: AZ Specialty: Utilization Review RN Guaranteed Hours: 40 Contract Length: 13 weeks Compensation Estimated...Hourly payWeekly payContract work$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 work- ...You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will... ...obtain additional state licenses to meet business needs 1+ year of utilization review experience in a managed care setting 1+ years of...
- Medix is seeking a qualified registered nurse for utilization review in Arizona. You will perform frequent case reviews, check medical records, and discuss treatment with care providers to ensure appropriate care based on research results. Required are active RN licensure...
$2,584 per month
Lighthouse Medical Staffing seeks an experienced Utilization Review RN for a travel assignment in AZ. The role offers 40 guaranteed hours per week for a 13-week contract, with an estimated pay of $64.6/hour and weekly pay of $2,584. Responsibilities include delivering...Weekly payContract workFlexible hours$47 - $58 per hour
...award-winning HumanGood life plan communities is seeking a MDS Coordinator-RN. Under limited supervision, the MDS Coordinator-RN... ...comprehensive knowledge of MDS processes and performs utilization reviews; has knowledge of Quality Improvement and Care Planning; ensures...Full timeMonday to FridayShift work- ...Marketing Team as a Litigation Practice Coordinator located in our Atlanta, Miami or Phoenix... ...records of the firm’s litigation experience utilizing the firm’s proposal databaseEnsures the... ...platforms, while ensuring appropriate review, verification, and data-quality...Full timeWork at office
- ...largest technology companies. As a BIM Coordinator, you will collaborate with our BIM team... ...the site-level contact for BIM content review, approval, management, and maintenance.... ...CAD/BIM content for data center projects, utilizing professional tools and processes to ensure...Full timeFlexible hours
$19 - $22 per hour
...oriented , Call Center, Process Qualification Coordinators to join our team. In this role, you... ...creating, and working with new orders, reviewing multiple systems simultaneously to... ...healthcare setting or call center Experience utilizing multi-line phone-system. PHYSICAL...Hourly payFull timeTemporary workWork experience placementWork at officeLocal areaImmediate startRemote workWork from homeFlexible hours- ...to resolve and elevate queries or concerns Process new orders, review multiple systems, confirm delivery appointments, verify insurance... ..., healthcare setting or call center Preferred: Experience utilizing multi-line phone-system Ability to perform physical activities...Work experience placementWork at office
- ...Appeal And Grievance Coordinator Reviewer Support medical and pharmacy appeals and grievances by researching cases, reviewing medical records, claims, coverage guidelines, and historical data, and ensuring timely and accurate resolution in accordance with applicable...Work at office
$120k - $160k
...transmission, distribution, and renewable energy, utilizing advanced technologies and creative... ...document control procedures.Prepare or coordinate key project planning documents,... ...risks through proper scoping, contract review, and communication.Develop, maintain, and...Full timeContract workFor subcontractorRemote work- ...candidate will support project execution by coordinating field operations, leveraging BIM... ...and schedules. · BIM Implementation: Utilize BIM software (e.g., Revit, Navisworks, or... ...models for clash detection, constructability reviews, and coordination with subcontractors....For subcontractor
- ...begins. Position Summary The Intake Coordinator I Oncology acts on behalf of Caris as... ...Responsible for the creation of electronic orders utilizing the Caris laboratory information system,... ...and meet regulation requirements. Reviews incoming documents and determines action...Work at officeWeekend workAfternoon shift
- ...Asset Coordinator Summit Line Construction is headquartered in Heber City, Utah. With... ...supplement Equipment 360 data, flagging trends, utilization gaps, and cost concerns. Maintain... ...asset reporting, rental utilization reviews, equipment status updates, and cost...Temporary workWork at officeLocal areaImmediate start
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