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Hourly Weekend Utilization Review Jobs in Arizona

Sky Mavis

Manager Utilization Management

Tucson, AZ · On-site

$100 - $140/hr

P3 Health Partners is seeking a Utilization Management Manager to oversee the daily operations of our Utilization Management (UM) department and help drive quality, efficiency, and compliance across ...

TEEMA Solutions Group

Medical Director

Phoenix, AZ · On-site

$192.86 - $199.75/hr

Duties & ResponsibilitiesClinical Governance & Utilization Review Coverage Determinations: Evaluate ... Structured 40‑hour work week Hourly Pay Rate: $140.00 - $145.00 per hour. Perks: This ...

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All JobsHourly Utilization Review JobsHourly Weekend Utilization Review JobsHourly Weekend Utilization Review Jobs in Arizona

Hourly Weekend Utilization Review information

What is the difference between Hourly Weekend Utilization Review vs Medical Billing Specialist?

AspectHourly Weekend Utilization ReviewMedical Billing Specialist
CredentialsTypically requires healthcare-related certifications, such as RHIT or RHIARequires coding certifications like CPC or CCS
Work EnvironmentHealthcare facilities, insurance companies, or utilization review organizations, often during weekendsMedical offices, billing companies, or hospitals, primarily weekdays
Job FocusAssessing patient care and resource utilization during weekendsProcessing insurance claims, coding, and billing

Hourly Weekend Utilization Review involves evaluating patient care and resource use during weekends, often requiring healthcare certifications. In contrast, Medical Billing Specialists focus on coding and billing processes, mainly during weekdays. Both roles are essential in healthcare operations but differ in focus, credentials, and work hours.

What are the most commonly searched types of Weekend Utilization Review jobs in Arizona?

The most popular types of Weekend Utilization Review jobs in Arizona are:

Hourly Weekend Utilization Review jobs near you

RN Care Management Coordinator

Valleywise Health System

Phoenix, AZ • On-site

$36.94 - $54.49/hr

Other

Posted 3 days ago

New

Valleywise Health rating

7.5

Company rating: 7.5 out of 10

Based on 60 frontline employees who took The Breakroom Quiz

191st of 898 rated healthcare providers

Job description

Under the direction of the department manager or designee, the RN Care Management Coordinator is part of the interdisciplinary team and serves as the expert in discharge planning. This position is responsible for the assessment, identification of needs and coordination of care and services to facilitate the patient's progression through the continuum of care in a timely and cost-effective manner. The RN Care Management Coordinator assumes a leadership role, and works collaboratively with the patient, family, interdisciplinary team internally and externally to identify desired outcomes and develop a safe plan of care.
Hourly Pay Rate: $36.94 - $54.49
Varied shifts including weekend coverage.
Qualifications
Education:
  • Prefer a bachelor's degree or higher in nursing.

Experience:
  • Must have at least three (3) years of recent acute clinical hospital experience, preferably in Case Management and/or Utilization Management.

Specialized Training:
  • Trained in Epic, InterQual, Midas and internally used software programs is strongly preferred.

Certification/Licensure:
  • Must possess a current, valid Arizona (AZ) RN license, temporary AZ RN license, or valid compact RN license for the current state of practice.
  • Must be in good standing with the issuing Board of Nursing.
  • Basic Life Support (BLS) certification is required within 30 days of hire.
  • Specialty certification in Utilization Review or Case Management (e.g., ACM, CCM) is preferred within 30 months of hire.

Knowledge, Skills, and Abilities:
  • Must have a working knowledge of case management, hospital, community resources and resource/utilization management.
  • The position requires excellent communication and clinical skills and ability to maintain professional rapport with physicians.
  • Requires extensive knowledge of evidence based clinical guidelines, best practice, workup, treatment, prognosis and hospital procedures.
  • Critical thinking ability is essential.
  • Strong critical care skills, understanding of medical documentation and pathophysiology.
  • Knowledge of acute care criteria sets and state and federal reimbursement programs.
  • Requires the ability to read, write and speak effectively in English.

What Valleywise Health employees say

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