Utilization Review Jobs in Phoenix, AZ

Calculated Hire - Phoenix, AZ, United States

engagement. · Exhibit thought leadership and deep understanding of the plans landscape, including cost containment strategies, engagement, utilization, client requirements, market drivers, and buying cycles

from: linkedin.com - 20 days ago

Gallagher - Phoenix, Arizona

required. Hold an active RN license within the state of Arizona or have a NLC. Willing to be licensed in states requiring same for Utilization Review. Desired: Bachelor's degree. Experience in Worker's

from: resume-library.com - 10 days ago

Pennymac - Phoenix, Arizona

and maximize staff utilization Provide support to production staff regarding underwriting and credit policy matters Complete second reviews of loan files and resolves exception cases Perform other related duties

from: resume-library.com - 2 days ago

VillageMD/Summit Health/CityMD/Starling - Phoenix, Arizona, United States

% of charts for the first month of clinical care. Review all hospitalizations, ED visits, and lead utilization rounds. Be available for APP questions Direct patient care Provide visits in clinic, in the home

from: doccafe.com - 15 days ago

HonorHealth - Phoenix, Arizona

monthly operating reviews with department directors to create a culture of financial awareness and accountability while ensuring the efficient utilization of resources. A basic understanding of net revenue

from: resume-library.com - 17 days ago

CareOregon - Portland, OR / Phoenix, AZ / Astoria, OR / 13 more...

. Provide rate setting support through data analysis, policy review and strategy development. Identify any actuarial unsound adjustments to the rates. Provide medical cost and utilization trend $120,000 - $145,200

from: milwaukeejobs.com - 16 days ago

Internal Revenue Service - Phoenix, Arizona (+2 locations)

program plans and determine impact of changes on program goals; Experience using cross-functional programs and their interrelationship with assigned program to conduct reviews, studies/projects 86962.0-167336.0

from: Usajobs.gov - 17 days ago

Veterans Health Administration - Phoenix, Arizona

in an interdisciplinary coordinated care delivery model. Coordinates with the patient care team to review clinic appointment availability (utilization) to ensure that clinic schedules are closely monitored to effectively 46081.0-59907.0

from: Usajobs.gov - More than 30 days ago

HonorHealth - Scottsdale, Arizona

and Certifications Registered Nurse (RN) State And/Or Compact State Licensure Required Responsibilities: Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health care services

from: resume-library.com - 11 days ago

Life Care Center of Scottsdale - Scottsdale, Arizona

employment. * One (1) year of clinical experience in post-acute care setting preferred * Prior case management, utilization review, and discharge planning experience preferred Specific Job Requirements

from: resume-library.com - 2 days ago