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Concurrent Review Nurse jobs - Gilbert, AZ

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May 24 Case Manager/Care Coordinator II-Medicare Special Needs Program-TELECOMMUTING OPTION! Health Net of Arizona Tempe, AZ

to Medical Directors. Performs prospective, concurrent and retrospective reviews and ...   Certification/License: Active, valid & unrestricted state of AZ Registered Nurse license... more

May 21 Utilization Review Coordinator - Registered Nurse John C. Lincoln Healthcare Network Phoenix, AZ

of care through comprehensive concurrent review for medical necessity of outpatient ... review. ? Initiates the appeal process for concurrent denials. ? Provides Case Manger,... more

May 18 Utilization Mgmt Nurse UnitedHealth Group Phoenix, AZ

management, utilization review, or concurrent review (on-site or telephonic ... for utilization management, utilization review, or concurrent review (on-site or... more

May 15 Prior Authorization Nurse Care1st Health Plan Arizona Phoenix, AZ

Authorization Nurse conducts prospective review of authorization requests including ... upon completion. Assist Case Management and Concurrent Review staff with complex cases. more

May 03 Phoenix RN Supervisor of Utilization Review - Managed Care Carenational Healthcare Services Phoenix, AZ

Care Phoenix, AZ Job Summary: The UM / Concurrent Review Nurse Supervisor supports ... daily oversight of Concurrent Review nurse caseloads and makes adjustments as... more

May 02 Concurrent Review Coordinator Coventry Healthcare Scottsdale, AZ

Job Title: Concurrent Review CoordPosting Location: AZ - ScottsdaleLocation: AZ - ... a talented and diverse team.Concurrent Review CoordinatorGENERAL SUMMARYReviews all... more

May 02 Concurrent Coder Documentation Improvement Specialist St. Lukes Medical Center Phoenix, AZ

Responsible for performing concurrent coding and attending daily case management meetings to review and update working DRGs. Initiate and facilitate physician query completion. more

May 01 Concurrent Coder Documentation Improvement Specialist IASIS Healthcare Phoenix, AZ

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

Apr 27 Acute Case Manager Humana Phoenix, AZ

other health care providers in reviewing concurrent medical care and services against ... within the acute care setting performing concurrent review either telephonically or... more

Apr 20 Director, Orthopedics/Spine- RN/BSN- Clinical Cost Mgt -75% Travel MATCH Resources Phoenix, AZ

professional development, performance review, recruitment, retention or other staff management responsibilities. Manages multiple client engagements and delegates work... more

Apr 19 Medicare Specialist (PFS) Scottsdale Healthcare Scottsdale, AZ

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

Apr 19 Case Management Supervisor Tempe, AZ

with established onsite and concurrent review, case management, referral, ... License/Certifications: RN (Registered Nurse) or LCSW (Licensed Certified Social Worker) p... more

Apr 18 Sr Utilization Mgmt Nurse- Concurrent Review-Work from home, located UnitedHealth Group Phoenix, AZ

management, utilization review, or concurrent review (on-site or telephonic ... years healthcare experience with concurrent review experience. * Must have ability to... more

Apr 17 Hospital Concurrent Review Nurse Supervisor Abrazo Health Care Phoenix, AZ

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

Apr 06 CLAIMS MEDICAL REVIEW NURSE Azstatejobs Phoenix, AZ

POSITION SUMMARY: As Claims Medical Review Nurse this position is responsible for ... good computer skills, recent experience in concurrent and retrospective review; CCI,... more

Mar 28 Hospital Concurrent Review Nurse Supervisor Phoenix Health Plan/abrazo Advantage Health Plan Phoenix, AZ

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

Mar 28 Medical Claim Review Medical Director - FT and PT Virtual UnitedHealth Group Phoenix, AZ

Claim Review (MCR) and Clinical Appeal Review (CAR) operations, the organizations ... Review team and Inpatient Concurrent Review team regarding coverage and other... more

Mar 19 Utilization Review Coordinator - Registered Nurse John C. Lincoln Hospitals Phoenix, AZ

of care through comprehensive concurrent review for medical necessity of outpatient ... and review. Initiates the appeal process for concurrent denials. Provides Case Manger,... more

Mar 16 Case Management Supervisor Centene Tempe, AZ

with established onsite and concurrent review, case management, referral, ... License/Certifications: RN (Registered Nurse) or LCSW (Licensed Certified Social Worker) p... more

Feb 17 Nurse Reviewer Banner Health Mesa, AZ

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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