Concurrent Review Nurse jobs - Phoenix, AZ
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| May 30 | Concurrent Review Coordinator | Coventry Healthcare | Scottsdale, AZ |
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Job Title: Concurrent Review CoordPosting Location: AZ - ScottsdaleLocation: AZ - ... a talented and diverse team.Concurrent Review CoordinatorGENERAL SUMMARYReviews all... more |
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More Job Postings from the Web
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| May 31 | Lead, Call Center Operations | Centene | Tempe, AZ |
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Position Purpose: Coordinate the daily work functions of the NurseWise/Nurse Response staf ... progress and competence to trainers. Perform concurrent quality audits and provide... more |
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| May 31 | Clinical Resource Specialist | Centene | Tempe, AZ |
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drivers license. Position Responsibilities: Review medications to ensure compliance, ... follow-up Work closely with Concurrent Review Nurses in discharge planning... more |
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| May 30 | Utilization Review Coordinator - Registered Nurse | John C. Lincoln Hospitals | Phoenix, AZ |
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of care through comprehensive concurrent review for medical necessity of outpatient ... and review. Initiates the appeal process for concurrent denials. Provides Case Manger,... more |
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| May 29 | Utilization Review | John C. Lincoln Hospitals | Phoenix, AZ |
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level of care through comprehensive concurrent review for medical necessity of ... and review. Initiates the appeal process for concurrent denials. Provides Case Manger,... more |
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| May 26 | Registered Nurse / RN Hospital Concurrent Review Nurse Supervisor | Medical Staffing Source of America | Phoenix, AZ |
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Relocation: Relocation available on some positions! Department: Registered Nurse / RN Salary: Competitive Salary we will do our best to negotiate at least $2.00 more an hour that... more |
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| May 24 | Case Manager/Care Coordinator II-Medicare Special Needs Program-TELECOMMUTING OPTION! | Health Net of Arizona | Tempe, AZ |
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to Medical Directors. Performs prospective, concurrent and retrospective reviews and ... Certification/License: Active, valid & unrestricted state of AZ Registered Nurse license... more |
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| May 21 | Utilization Review Coordinator - Registered Nurse | John C. Lincoln Healthcare Network | Phoenix, AZ |
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of care through comprehensive concurrent review for medical necessity of outpatient ... review. ? Initiates the appeal process for concurrent denials. ? Provides Case Manger,... more |
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| May 21 | Medicare Specialist (PFS) - Pat Acts Mgmt-C | Scottsdale Healthcare Osborn Medical Center | Scottsdale, AZ |
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Ability to reconcile accounts is mandatory. Concurrent review and reconciliation to correct balance. Solid knowledge of PPS, OPPS and IRF for the purpose of negotiating balances... more |
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| May 18 | Utilization Mgmt Nurse | UnitedHealth Group | Phoenix, AZ |
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management, utilization review, or concurrent review (on-site or telephonic ... for utilization management, utilization review, or concurrent review (on-site or... more |
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| May 16 | Case Manager/Care Coordinator II-Medicare Special Needs Program-TELECOMMUTING OPTION! | Health Net | Tempe, AZ |
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Medical Directors. * Performs prospective, concurrent and retrospective reviews and ... Certification/License: * Active, valid & unrestricted state of AZ Registered Nurse license... more |
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| May 15 | Prior Authorization Nurse | Care1st Health Plan Arizona | Phoenix, AZ |
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Authorization Nurse conducts prospective review of authorization requests including ... upon completion. Assist Case Management and Concurrent Review staff with complex cases. more |
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| May 10 | Director of Medical Services | Abrazo Health Care | Phoenix, AZ |
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prior-authorization and inpatient concurrent review functions for the health plan's ... primarily Prior Authorization, Inpatient Concurrent Review and Discharge Planning. more |
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| May 07 | RN Supervisor of Utilization Review - Managed Care | Carenational Healthcare Services | Scottsdale, AZ |
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Managed CarePhoenix, AZJob Summary:The UM / Concurrent Review Nurse Supervisor supports ... daily oversight of Concurrent Review nurse caseloads and makes adjustments... more |
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| May 03 | Staff Pharmacist - Phoenix POD | Pharmerica | Phoenix, AZ |
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information to conduct Drug Utilization Review (DUR) on all prescriptions and review ... clinical and laboratory data, and concurrent medication (including... more |
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| May 03 | Phoenix RN Supervisor of Utilization Review - Managed Care | Carenational Healthcare Services | Phoenix, AZ |
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Care Phoenix, AZ Job Summary: The UM / Concurrent Review Nurse Supervisor supports ... daily oversight of Concurrent Review nurse caseloads and makes adjustments as... more |
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| May 01 | Concurrent Coder Documentation Improvement Specialist | St. Luke's Medical Center | Phoenix, AZ |
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Responsible for performing concurrent coding and attending daily case management meetings to review and update working DRG's. Initiate and facilitate physician query completion. more |
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| May 01 | Concurrent Coder Documentation Improvement Specialist | IASIS Healthcare | Phoenix, AZ |
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Responsible for performing concurrent coding and attending daily case management meetings to review and update working DRG's. Initiate and facilitate physician query completion. more |
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| Apr 24 | Concurrent Review Coordinator Job | Coventry Health Care | Scottsdale, AZ |
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Job Title: Concurrent Review Coord Posting Location: AZ - Scottsdale Location: AZ - ... a talented and diverse team. Concurrent Review Coordinator GENERAL SUMMARY Reviews... more |
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| Apr 20 | Director, Orthopedics/Spine- RN/BSN- Clinical Cost Mgt -75% Travel | MATCH Resources | Phoenix, AZ |
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professional development, performance review, recruitment, retention or other staff management responsibilities. Manages multiple client engagements and delegates work... more |
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| Apr 19 | Case Management Supervisor | Tempe, AZ | |
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with established onsite and concurrent review, case management, referral, ... License/Certifications: RN (Registered Nurse) or LCSW (Licensed Certified Social Worker) p... more |
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| Apr 19 | Medicare Specialist (PFS) | Scottsdale Healthcare | Scottsdale, AZ |
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Ability to reconcile accounts is mandatory. Concurrent review and reconciliation to correct balance. Solid knowledge of PPS, OPPS and IRF for the purpose of negotiating balances... more |
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| Apr 18 | Sr Utilization Mgmt Nurse- Concurrent Review-Work from home, located | UnitedHealth Group | Phoenix, AZ |
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management, utilization review, or concurrent review (on-site or telephonic ... years healthcare experience with concurrent review experience. * Must have ability to... more |
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| Apr 17 | Utilization Mgmt Nurse, RN, Work in Phoenix hospitals and office from home | UnitedHealth Group | Phoenix, AZ |
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management, utilization review, or concurrent review (on-site or telephonic ... for utilization management, utilization review, or concurrent review (on-site or... more |
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| Apr 17 | Utilization Management Nurse - Phoenix, AZ, Opportunity to Telecommute | UnitedHealth Group | Phoenix, AZ |
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management, utilization review, or concurrent review (on-site or telephonic ... utilization review, or concurrent review (on-site care management) • Performs... more |
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| Apr 16 | Hospital Concurrent Review Nurse Supervisor | Abrazo Health Care | Phoenix, AZ |
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the day-to day operations of the Concurrent Review staff to ensure all contract ... support and ongoing education to the Concurrent Review team. * Conducts monthly... more |
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| Apr 13 | HLTH PROG MGR 1 | Azstatejobs | Phoenix, AZ |
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review. * Protocols for prior authorization, concurrent review and LTC levels of care ... limitations. * Develop, implement and review case management and utilization review... more |
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| Apr 13 | Clinical Specialist | Humana | Phoenix, AZ |
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information for all patients identified for review, per program workflow and protocols. * ... activities to the observation management and Concurrent Review clinical staff * Perform... more |
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| Apr 06 | CLAIMS MEDICAL REVIEW NURSE | Azstatejobs | Phoenix, AZ |
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POSITION SUMMARY: As Claims Medical Review Nurse this position is responsible for ... good computer skills, recent experience in concurrent and retrospective review; CCI,... more |
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| Mar 28 | Medical Claim Review Medical Director - FT and PT Virtual | UnitedHealth Group | Phoenix, AZ |
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Claim Review (MCR) and Clinical Appeal Review (CAR) operations, the organizations ... Review team and Inpatient Concurrent Review team regarding coverage and other... more |
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| Mar 28 | Clinical Documentation Improvement Specialist | Maxim Healthcare Services | Phoenix, AZ |
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AZ. The responsibilities are primarily to review medical records concurrently within ... a large plus: -Case Management / Utilization review experience -Clinical Documentation... more |
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| Mar 28 | Hospital Concurrent Review Nurse Supervisor | Phoenix Health Plan/abrazo Advantage Health Plan | Phoenix, AZ |
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the day-to day operations of the Concurrent Review staff to ensure all contract ... Minimum of 3 Years Insurance Utilization Review and 5 years Acute Care Experience, 2... more |
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| Mar 16 | Case Management Supervisor | Centene | Tempe, AZ |
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with established onsite and concurrent review, case management, referral, ... License/Certifications: RN (Registered Nurse) or LCSW (Licensed Certified Social Worker) p... more |
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| Feb 17 | Nurse Reviewer | Banner Health | Mesa, AZ |
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on concurrent and retrospective utilization review. Accurately and thoroughly completes ... of services approved through concurrent review and case management. Minimum... more |
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