more at HonorHealth.com. Responsibilities: Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health... comprehensive review for medical necessity of extended stay, outpatient observation, and inpatient stays and the utilization...
of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist... reviews and monitors utilization of health care services with the goal of maintaining high quality cost-effective care...
, and Internet) Saturday availability Preferred Qualifications: 3+ years of experience as an RN in utilization management... is assigned to the appropriate team for review (e.g., Medicare, Medicaid, Commercial) -Validate that cases/requests for services...
and communication skills Computer skills Utilization Review skills Medical Claims Review skills Producing work products with limited...Job Description: The role will be focused on the review and adjudication of Federal Emergency Services (FES) 1500...
obtain on their own FPCC. 3. RN License in the state of AZ Job Description: The role will be focused on the review... practice, medical case management protocols, quality management and utilization review protocols as related...
independently Active RN License in the State of Arizona Job Description The Medical Review Nurse will be responsible... practice, case management, and utilization review protocols. Strong knowledge of AHCCCS rules/regulations, managed care...
in utilization review Disqualifiers: not independently licensed in AZ, not living in AZ Additional qualities to look... for: expertise reviewing BH medical charts, treatment plans, any experience in BH utilization review. Candidate Requirements...
needs to obtain their own laptop SOAZ – Posting ID # 5297 - Medical Review Nurse (Local Only/Mostly Remote/Onsite... program Good written and communication skills Computer skills Utilization Review skills Medical Claims Review...