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Phoenix, AZ · On-site
$53K/yr
The Extended Foster Care Review (FCR) Specialist reports to the Extended Foster Care Review ... Terminology of Arizona's child welfare system processes, including Youth Thrive Framework * DCS ...
Phoenix, AZ · On-site
$53K/yr
The Extended Foster Care Review (FCR) Specialist reports to the Extended Foster Care Review ... Terminology of Arizona's child welfare system processes, including Youth Thrive Framework * DCS ...
Phoenix, AZ · On-site
$53K/yr
The Extended Foster Care Review (FCR) Specialist reports to the Extended Foster Care Review ... Terminology of Arizona's child welfare system processes, including Youth Thrive Framework * DCS ...
Tuba City, AZ · On-site
Demonstrated knowledge of Utilization Review, Case Management, and Purchased Referred Care (PRC) processes. * Proficiency with Electronic Health Record (EHR) systems. About the Organization ...
Tuba City, AZ · On-site
Demonstrated knowledge of Utilization Review, Case Management, and Purchased Referred Care (PRC) processes. * Proficiency with Electronic Health Record (EHR) systems. About the Organization ...
... care, medical necessity determinations, and overall utilization management processes based on ... Review members' transfer and discharge plans to promote continuity of care and minimize gaps ...
... care, medical necessity determinations, and overall utilization management processes based on ... Review members' transfer and discharge plans to promote continuity of care and minimize gaps ...
The Extended Foster Care Review (FCR) Specialist reports to the Extended Foster Care Review ... Terminology of Arizona's child welfare system processes, including Youth Thrive Framework * DCS ...
New
The Extended Foster Care Review (FCR) Specialist reports to the Extended Foster Care Review ... Terminology of Arizona's child welfare system processes, including Youth Thrive Framework * DCS ...
New
Tempe, AZ · Remote
$35 - $45.94/hr
You will perform frequent case reviews, check medical records and speak with care providers ... Any Oscar applicant who requires reasonable accommodations during the application process should ...
Tempe, AZ · Remote
$35 - $45.94/hr
You will perform frequent case reviews, check medical records and speak with care providers ... Any Oscar applicant who requires reasonable accommodations during the application process should ...
Tuba City, AZ · On-site
... care and utilization review processes. Demonstrate knowledge of electronic health record systems.
Tuba City, AZ · On-site
... care and utilization review processes. Demonstrate knowledge of electronic health record systems.
Tuba City, AZ · On-site
$2.6K/wk
... care, and utilization review processes - Knowledge of electronic health record systems Description: The Utilization Review Nurse ensures that patients receive appropriate care by verifying medical ...
Tuba City, AZ · On-site
$2.6K/wk
... care, and utilization review processes - Knowledge of electronic health record systems Description: The Utilization Review Nurse ensures that patients receive appropriate care by verifying medical ...
None. Who is Axiom Care? Founded in 2012, Axiom Care is a Phoenix-based behavioral health ... Analytical Thinking - Uses logical reasoning to process, break down, and work through a situation ...
None. Who is Axiom Care? Founded in 2012, Axiom Care is a Phoenix-based behavioral health ... Analytical Thinking - Uses logical reasoning to process, break down, and work through a situation ...
None. Who is Axiom Care? Founded in 2012, Axiom Care is a Phoenix-based behavioral health ... Analytical Thinking - Uses logical reasoning to process, break down, and work through a situation ...
None. Who is Axiom Care? Founded in 2012, Axiom Care is a Phoenix-based behavioral health ... Analytical Thinking - Uses logical reasoning to process, break down, and work through a situation ...
Tuba City, AZ · On-site
$2.6K/wk
Knowledge of case management, purchased/referred care, and utilization review processes . * Experience with electronic health record systems . 298653 No Local candidates at this time. About Bestica ...
Tuba City, AZ · On-site
$2.6K/wk
Knowledge of case management, purchased/referred care, and utilization review processes . * Experience with electronic health record systems . 298653 No Local candidates at this time. About Bestica ...
Tempe, AZ · On-site
$18/hr
Why join Customer Care? Your Launchpad to a Carvana Career: We believe in a "Careers Not Jobs ... Review, process, and complete documentation required to transfer a vehicle title, ensuring all ...
Tempe, AZ · On-site
$18/hr
Why join Customer Care? Your Launchpad to a Carvana Career: We believe in a "Careers Not Jobs ... Review, process, and complete documentation required to transfer a vehicle title, ensuring all ...
Tempe, AZ · On-site
$18/hr
Why join Customer Care? Your Launchpad to a Carvana Career: We believe in a "Careers Not Jobs ... Review, process, and complete documentation required to transfer a vehicle title, ensuring all ...
Tempe, AZ · On-site
$18/hr
Why join Customer Care? Your Launchpad to a Carvana Career: We believe in a "Careers Not Jobs ... Review, process, and complete documentation required to transfer a vehicle title, ensuring all ...
Tuba City, AZ · On-site
$2.6K/wk
... care and utilization review processes. · Demonstrate knowledge of electronic health record systems. Shift Information: Monday - Friday from 8am - 5pm. Callback on weekends/holiday About Bestica We ...
Tuba City, AZ · On-site
$2.6K/wk
... care and utilization review processes. · Demonstrate knowledge of electronic health record systems. Shift Information: Monday - Friday from 8am - 5pm. Callback on weekends/holiday About Bestica We ...
Tuba City, AZ · On-site
$2.6K/wk
... review processes Express Healthcare Staffing Colorado Job ID #CO---1655. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be ...
Tuba City, AZ · On-site
$2.6K/wk
... review processes Express Healthcare Staffing Colorado Job ID #CO---1655. Pay package is based on 8 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be ...
Must demonstrate knowledge of case management, purchased referred care and utilization review processes. * Must demonstrate knowledge of electronic health record systems. * A valid, current, full and ...
Quick apply
Must demonstrate knowledge of case management, purchased referred care and utilization review processes. * Must demonstrate knowledge of electronic health record systems. * A valid, current, full and ...
Phoenix, AZ · On-site
$24 - $29/hr
... Health Care Cost Containment System) requirements. The ideal candidate thrives in a fast-paced ... Coordinate and complete utilization review processes in compliance with AHCCCS guidelines and ...
Phoenix, AZ · On-site
$24 - $29/hr
... Health Care Cost Containment System) requirements. The ideal candidate thrives in a fast-paced ... Coordinate and complete utilization review processes in compliance with AHCCCS guidelines and ...
Phoenix, AZ · On-site
$24 - $29/hr
... Health Care Cost Containment System) requirements. The ideal candidate thrives in a fast-paced ... Coordinate and complete utilization review processes in compliance with AHCCCS guidelines and ...
Phoenix, AZ · On-site
$24 - $29/hr
... Health Care Cost Containment System) requirements. The ideal candidate thrives in a fast-paced ... Coordinate and complete utilization review processes in compliance with AHCCCS guidelines and ...
Tuba City, AZ · On-site
$2.5K - $2.6K/wk
... direct care - Knowledge: Familiarity with case management, utilization review processes, and ... electronic health record systems - Ability: Capable of functioning effectively in an inpatient ...
Tuba City, AZ · On-site
$2.5K - $2.6K/wk
... direct care - Knowledge: Familiarity with case management, utilization review processes, and ... electronic health record systems - Ability: Capable of functioning effectively in an inpatient ...
Phoenix, AZ · On-site
$24 - $29/hr
Strong working knowledge of AHCCCS requirements, including authorization processes and compliance ... of care (e.g., RTC, PHP, IOP, outpatient)Excellent organizational skills and attention to ...
Quick apply
Phoenix, AZ · On-site
$24 - $29/hr
Strong working knowledge of AHCCCS requirements, including authorization processes and compliance ... of care (e.g., RTC, PHP, IOP, outpatient)Excellent organizational skills and attention to ...
... and utilization review processes. Coordinates integration of regulatory, payer, and clinical ... Coordinates with physicians, care teams, and ancillary staff to support effective discharge ...
... and utilization review processes. Coordinates integration of regulatory, payer, and clinical ... Coordinates with physicians, care teams, and ancillary staff to support effective discharge ...
$8.29 - $9.73
6% of jobs
$9.73 - $11.18
6% of jobs
$12.43 is the 25th percentile. Wages below this are outliers.
$11.18 - $12.63
14% of jobs
$12.63 - $14.07
19% of jobs
The median wage is $14.43 / hr.
$14.07 - $15.52
15% of jobs
$15.52 - $16.96
13% of jobs
$17.10 is the 75th percentile. Wages above this are outliers.
$16.96 - $18.41
9% of jobs
$18.41 - $19.86
5% of jobs
$19.86 - $21.30
5% of jobs
$21.30 - $22.75
3% of jobs
$22.75 - $24.19
3% of jobs
$8
$15
$24
A Care Review Processor is responsible for reviewing medical claims, authorizations, and healthcare documentation to ensure accuracy, completeness, and compliance with company policies and regulations. They work with healthcare providers, insurance companies, and internal teams to process claims efficiently. Their role helps streamline patient care by validating medical necessity and ensuring proper claim adjudication. Strong attention to detail and knowledge of medical terminology are essential for success in this position.
As a Care Review Processor, your day-to-day responsibilities usually include reviewing medical records and authorization requests, verifying insurance coverage, ensuring documentation is complete, and coordinating with healthcare providers to clarify information. You may also be responsible for entering data into claims systems, communicating with patients or case managers, and helping to resolve discrepancies or incomplete submissions. Most of your work will involve close attention to detail and following established healthcare or insurance processes. Teamwork is often part of the role, as you may collaborate with clinicians, billing teams, and customer service representatives to facilitate accurate and timely care reviews.
A Care Review Processor requires a solid understanding of healthcare procedures, medical terminology, and insurance guidelines, typically supported by experience in medical claims or healthcare administration. Familiarity with claims management software, electronic health records (EHR) systems, and Microsoft Office is often necessary, along with knowledge of HIPAA compliance requirements. Strong attention to detail, organizational skills, and the ability to communicate effectively with medical professionals and insurance providers are vital soft skills. These competencies ensure accurate review and processing of care requests while supporting efficient, compliant healthcare operations.
For Care Review Processor jobs in Arizona, the most frequently searched job titles are:
The top searched job categories for Care Review Processor jobs in Arizona are:

$53K/yr
Full-time
Medical, Dental, Life, Retirement, PTO
Re-posted 29 days ago
Sourced by ZipRecruiter
Hospitals
501 - 1,000 Employees
Phoenix, AZ, US
1979