Average salary: $95,882 /yearly

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Search Results: 11,507 vacancies

 ...Valleywise Health Medical Center Department: Care Management Schedule: Regular FT 40 Hours Per Week Shifts: Mid As a Valleywise Utilization Review RN Coordinator, you are part of a multidisciplinary team providing exceptional care to our patients. As a Utilization Review RN... 
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Valleywise Health

Phoenix, AZ
3 days ago
 ...Responsibilities Utilization Review Coordinator Via Linda Behavioral Hospital is a brand-new behavioral health provider serving Scottsdale and the great Phoenix region.  We opened in February 2022 and now offer a full continuum of inpatient and outpatient... 
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Shift Day

Scottsdale, AZ
14 days ago
Registered Nurse RN Utilization Management Care Reviewer Remote Location Remote in Phoenix, AZ : Primary City/State: Arizona, Arizona Department Name: Utilization Mgmt Work Shift: Day Job Category: Clinical Care Find your path in health care. At Banner Health... 
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Banner Health

Phoenix, AZ
1 day ago
 ...less structured and more complex issues. The Preservice Review/Prior Authorization RN will manage the full array of health care services,...  ...Discharge Planning ~ Experience with InterQual ~ Utilization Review experience *All employees working remotely will... 
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UnitedHealth Group

Phoenix, AZ
1 day ago
 ...Behavioral Health RN - Medical Claim Review - FULLY REMOTE POSITION MUST HAVE ARIZONA OR COMPACT RN LICENSE Medix Healthcare Phoenix...  ...these services done, billed or coded correctly? Will be utilizing a lot of AHCCCS specific programs in addition to Microsoft... 
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Medix

Phoenix, AZ
6 hours ago
 ...Responsibilities Utilization Review (UR) Coordinator Opportunity.  Position: PRN (as needed)  This position is on-site and cannot be done remotely.  For nearly 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction... 
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Shift PRN

Phoenix, AZ
more than 2 months ago
 ...Job Description Role: Purchase Reviewer (Resource) Estimated Duration: 6+ months Location: Phoenix, AZ (hybrid) Position Description...  ...and without supervision when required or needed •Utilize electronic systems and other tools/resources •Clearly communicate... 
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SA Technologies, Inc.

Phoenix, AZ
6 hours ago
 ...Job Description Role: Purchase Reviewer-1153 Estimated Duration: 6+ months Location: Phoenix, AZ Position Description...  ...and expectations •Research and escalate constituent concerns, utilizing systems and tools to verify compliance standards and interpreting... 
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SA Technologies, Inc.

Phoenix, AZ
6 hours ago
 ...a part of the #1 full truckload carrier in the nation. Be a part of Swift Transportation. Job Responsibilities: What you will do Review violations, log and follow up to ensure compliance. Are to include but are not limited to the following, other duties may be assigned... 
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Swift Transportation

Phoenix, AZ
13 hours ago
 ...credentialing experience preferred. Two (2) years contract reviewing experience preferred. Knowledge and understanding of the medical...  ...skills. Strong organizational skills and the ability to utilize multiple types of office equipment (i.e. phones, copier, fax, etc... 
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Southwest Network

Phoenix, AZ
2 days ago
 ..., Retrospective UM. Supervises staff who conduct retrospective review of medical claims for appropriate DRG or non-DR coding and processing...  ...years processing medical claims •2+ years of UM experience utilizing commercially developed UM criteria •2+ years supervisory/... 
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TriWest Healthcare

Phoenix, AZ
3 days ago
 ...is hiring very dynamic, experienced, polished and professional utility team members to join our team. The utility position is truly...  ...Strong company culture of respect and teamwork The company reviews CDC guidelines and complies with Federal, State, and local rules... 
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Buck and Rider

Phoenix, AZ
17 days ago
 ...owned community bank and one of Prairie Business Magazine's 50 best places to work for 10 years running. We are looking for a Credit Review Associate who can clearly identify borrower risk and translate the risk factors into terms others can understand within a narrative... 
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First International Bank & Trust

Phoenix, AZ
3 days ago
 ...Role: Penalty Review Specialist-1276 Estimated Duration: 6+ months Location: Phoenix, AZ (hybrid) Position Description...  ...decisions in line with procedural standards and tax laws. Utilize problem-solving skills for data analysis. Educate taxpayers... 
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SA Technologies

Phoenix, AZ
6 days ago
 ...information, such as your job duties and employee benefits offered at the unit, during the interview process. What You'll Do: As a Utility Worker at Sodexo, you are a team unifier and solutions driver. Your dedication to team needs and client solutions will make an... 
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Sodexo S A

Tempe, AZ
4 days ago
 ...more information about our data handling practices and your data rights: Responsibilities: MV Transportation is seeking a Utility/Bus Washer/Fueler . Successful candidate will ensure that the fleet is fully prepared for service. Job Responsibilities:... 
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MV Transportation

Phoenix, AZ
6 hours ago
 ...Join us as an Medical Director to conduct chart and peer reviews from your home office. This is a Part Time 25 hours a...  ...to evaluate the medical necessity of services that do not meet utilization review criteria. Review appeals for denied services related to... 
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Max Populi, LLC

Phoenix, AZ
4 days ago
 ...passion and drives every decision we make. Job Posting Title Clinical Review Pharmacist The Clinical Staff Pharmacist is responsible for the processing and documenting of Utilization Management requests (i.e. formulary exceptions, prior authorization, step... 
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Prime Therapeutics

Phoenix, AZ
2 days ago
 ...Performs medical necessity and clinical reviews of authorization requests to determine medical...  ...and/or interdepartmental teams on utilization processes to promote high quality and cost...  ...+ Acute care experience preferred + RN license preferred + Prior Authorization... 
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Centene Corporion

Phoenix, AZ
17 days ago
 ...Description & Requirements Maximus is hiring a Clinical Reviewer to support our North Dakota QRTP program. The Clinical Reviewer reviews...  ...- Minimum 2 years of clinical experience required - LPN, RN, LCSW, or related licensure may be required based on contract requirements... 
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Maximus

Phoenix, AZ
6 hours ago