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Insurance Utilization Review Jobs in Arizona (NOW HIRING)

HOPCO

RN Case Manager - Utilization Review

Phoenix, AZ · On-site

Case Manager/Utilization Review Nurse At The CORE Institute, we are dedicated to taking care of you ... Prepare and submit clinical appeals to insurance companies when services are denied, providing ...

HOPCo

RN Case Manager - Utilization Review

Phoenix, AZ · On-site

A Case Manager/Utilization Review Nurse, in collaboration with patients/families, physicians and ... Prepare and submit clinical appeals to insurance companies when services are denied, providing ...

Mission Hospital

RN - Utilization

Tuba City, AZ · On-site

$2.7K/wk

Utilization Desired Shift: 5X8 Days, 09:00:00-17:00:00, 8.00-5 Why Travel with Pulse ? * Dedicated ... Group Health insurance benefits: ; * Medical Plan ; * Dental Plan ; * Vision Plan; * Short and ...

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Insurance Utilization Review information

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How much do insurance utilization review jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for insurance utilization review in Arizona is $39.40, according to ZipRecruiter salary data. Most workers in this role earn between $31.15 and $45.24 per hour, depending on experience, location, and employer.

What are the most common challenges faced by insurance utilization review professionals?

One common challenge in Insurance Utilization Review is balancing the need for cost-effective care with the clinical needs of patients, which often requires careful analysis and decision-making. Professionals in this role frequently navigate complex medical records, strict policy guidelines, and collaborate with healthcare providers who may advocate strongly for particular treatments. Managing challenging conversations while maintaining professionalism and ensuring timely determinations are also a regular part of the role. Developing expertise in these areas can make the job both demanding and rewarding, while building a strong foundation for career growth within healthcare administration.

What are the key skills and qualifications needed to thrive in insurance utilization review?

To thrive in Insurance Utilization Review, you generally need a strong background in healthcare or nursing, an understanding of medical terminology, and analytical thinking skills, often supported by an RN license or relevant clinical experience. Familiarity with utilization management software, coding systems like ICD-10, and knowledge of regulatory requirements (such as Medicare or Medicaid) are important. Strong communication, attention to detail, and problem-solving abilities help professionals excel when interacting with providers and insurers. These skills are essential to ensure appropriate care is authorized while maintaining regulatory compliance and cost-effectiveness.

What is an insurance utilization review?

An Insurance Utilization Review job involves evaluating medical treatments and services to determine if they are necessary, appropriate, and covered by a patient's insurance plan. Professionals in this role review medical records, treatment plans, and insurance policies to ensure compliance with guidelines and cost-effectiveness. They work closely with healthcare providers, insurance companies, and patients to facilitate approvals or appeals. The goal is to balance quality patient care with cost containment in the healthcare system.

What are popular job titles related to Insurance Utilization Review jobs in Arizona? For Insurance Utilization Review jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Insurance Utilization Review jobs in Arizona look for? The top searched job categories for Insurance Utilization Review jobs in Arizona are:
What cities in Arizona are hiring for Insurance Utilization Review jobs? Cities in Arizona with the most Insurance Utilization Review job openings:
Insurance Utilization Review jobs near you
Infographic showing various Insurance Utilization Review job openings in Arizona as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 20% Part Time, and 5% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $81,956 per year, or $39.4 per hour.

Travel Utilization Review RN - $2,772 per week

Catalytic Solutions, Inc.

Tuba City, AZ • On-site

$2.7K/wk

Other

Medical, Dental, Vision, Life

Posted 7 days ago

Job description

Catalytic Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Tuba City, Arizona.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 09/07/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 8 hours, days
  • Employment Type: Travel

About Catalytic Solutions

At Catalytic Solutions, we’re redefining what healthcare staffing should feel like. We believe outstanding patient care begins with clinicians who feel supported, respected, and empowered. That’s why we combine personalized recruiter relationships with transparent, tech-driven processes that make every assignment simple, seamless, and rewarding.

We partner with top healthcare systems nationwide to deliver high-quality travel nurses and allied professionals at competitive rates—while ensuring our clinicians earn industry-leading pay packages. Behind every placement is our experienced operations team handling compliance, credentialing, and communication so you can focus on delivering exceptional care.

Catalytic Solutions—where clinicians thrive, partners trust us, and healthcare staffing gets smarter.

### Exciting Opportunity for Utilization Review RN **Job Description:** - Join a dynamic team committed to enhancing patient care and safety! - Monday - Friday schedule: 8 AM - 5 PM with callback on weekends/holidays. **Key Responsibilities:** - Ensure patients receive appropriate care by: - Verifying medical necessity. - Confirming correct patient status. - Monitoring ongoing need for services. - Support: - Accurate clinical documentation for proper reimbursement. - Coordination with providers and care teams on discharge planning and transitions. - Manage resource use: - Control costs and reduce unnecessary length of stay. - Communicate with payers to prevent denials. - Ensure compliance with: - CMS and Joint Commission requirements. - Contribute to reporting and quality improvement efforts. - Serve as a liaison: - Align patient care with quality standards and reimbursement rules. **Necessary Qualifications:** - Education: - Bachelor’s Degree in Nursing. - License/Certification: - Valid, current, full, and unrestricted Professional Nursing License (RN) from any state or territory in the USA. - Must maintain current Basic Life Support (BLS) certification by the American Heart Association (AHA) throughout employment. - Experience: - Three (3) years of clinical nursing experience performing direct patient care. - At least 2 years in an Inpatient setting (medical-surgical unit, PACU, or higher acuity unit). - Knowledge of case management, purchased referred care, and utilization review processes. - Familiarity with electronic health record systems. **Why Catalytic Solutions (CatSol):** At CatSol, we connect dedicated therapists with rewarding assignments across the country. Enjoy competitive pay, seamless onboarding, and a supportive recruiter who’s with you every step of the way. Join us — where your expertise makes a difference every day!

Catalytic Solutions Job ID #18898373. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Utilization Review,07:00:00-15:00:00

About Catalytic Solutions About Catalytic Solutions

At Catalytic Solutions, we’re redefining what healthcare staffing should feel like. We believe outstanding patient care begins with clinicians who feel supported, respected, and empowered. That’s why we combine personalized recruiter relationships with transparent, tech-driven processes that make every assignment simple, seamless, and rewarding.

We partner with top healthcare systems nationwide to deliver high-quality travel nurses and allied professionals at competitive rates—while ensuring our clinicians earn industry-leading pay packages. Behind every placement is our experienced operations team handling compliance, credentialing, and communication so you can focus on delivering exceptional care.

Catalytic Solutions—where clinicians thrive, partners trust us, and healthcare staffing gets smarter.

Why Vivian Health?

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.

Benefits
  • Benefits start day 1
  • Sick pay
  • Life insurance
  • Referral bonus
  • Health savings account
  • Discount program
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • Wellness and fitness programs
  • License and certification reimbursement
  • Pet insurance

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