Tucson, AZ · On-site
... vision insurance 401(k) retirement plan Paid time off (PTO) Continuing medical education (CME ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
... vision insurance 401(k) retirement plan Paid time off (PTO) Continuing medical education (CME ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
... vision insurance 401(k) retirement plan Paid time off (PTO) Continuing medical education (CME ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
... vision insurance 401(k) retirement plan Paid time off (PTO) Continuing medical education (CME ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
... vision insurance 401(k) retirement plan Paid time off (PTO) Continuing medical education (CME ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
... vision insurance 401(k) retirement plan Paid time off (PTO) Continuing medical education (CME ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
$113K - $148K/yr
Comprehensive health, dental, and vision insurance * 401(k) retirement plan * Paid time off and CME ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
$113K - $148K/yr
Comprehensive health, dental, and vision insurance * 401(k) retirement plan * Paid time off and CME ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
... vision insurance • 401(k) retirement plan • Paid time off (PTO) • Continuing medical ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
... vision insurance • 401(k) retirement plan • Paid time off (PTO) • Continuing medical ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
$113K - $148K/yr
Comprehensive health, dental, and vision insurance * 401(k) retirement plan * Paid time off and CME ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
$113K - $148K/yr
Comprehensive health, dental, and vision insurance * 401(k) retirement plan * Paid time off and CME ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
$113K - $148K/yr
Comprehensive health, dental, and vision insurance * 401(k) retirement plan * Paid time off and CME ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
$113K - $148K/yr
Comprehensive health, dental, and vision insurance * 401(k) retirement plan * Paid time off and CME ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
Maintain effective communication with third party insurance carriers to resolve issues that ... Work closely with Utilization Review and Admissions staff to ensure proper authorization of ...
Tucson, AZ · On-site
Maintain effective communication with third party insurance carriers to resolve issues that ... Work closely with Utilization Review and Admissions staff to ensure proper authorization of ...
Tucson, AZ · On-site
... vision insurance • 401(k) retirement plan • Paid time off (PTO) • Continuing medical ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
... vision insurance • 401(k) retirement plan • Paid time off (PTO) • Continuing medical ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
... vision insurance • 401(k) retirement plan • Paid time off (PTO) • Continuing medical ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
... vision insurance • 401(k) retirement plan • Paid time off (PTO) • Continuing medical ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
... vision insurance • 401(k) retirement plan • Paid time off (PTO) • Continuing medical ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
... vision insurance • 401(k) retirement plan • Paid time off (PTO) • Continuing medical ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
$115K - $151K/yr
Comprehensive health, dental, and vision insurance * 401(k) retirement plan * Paid time off and CME ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
$115K - $151K/yr
Comprehensive health, dental, and vision insurance * 401(k) retirement plan * Paid time off and CME ... Assists the physician as follows, but not limited to Utilization Review, Quality Assurance, Program ...
Tucson, AZ · On-site
$15.50 - $21/hr
The position works closely with utilization review staff, business office staff and clinical staff to insure continuity of communication. This position is also responsible for inquiry calls, tracking ...
Tucson, AZ · On-site
$15.50 - $21/hr
The position works closely with utilization review staff, business office staff and clinical staff to insure continuity of communication. This position is also responsible for inquiry calls, tracking ...
Tucson, AZ · On-site
Experience: 5 years related experience in nursing, microbiology, utilization review, education ... Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match
Tucson, AZ · On-site
Experience: 5 years related experience in nursing, microbiology, utilization review, education ... Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match
Tucson, AZ · On-site
Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match ... Experience:5 years related experience in nursing, microbiology, utilization review, education,. #LI ...
Tucson, AZ · On-site
Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match ... Experience:5 years related experience in nursing, microbiology, utilization review, education,. #LI ...
Participates in the utilization review process for patients. Demonstrates knowledge of local, state ... Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match
Participates in the utilization review process for patients. Demonstrates knowledge of local, state ... Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match
Participates in the utilization review process for patients. Demonstrates knowledge of local, state ... Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match
Participates in the utilization review process for patients. Demonstrates knowledge of local, state ... Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match
Participates in the utilization review process for patients. Demonstrates knowledge of local, state ... Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match
Participates in the utilization review process for patients. Demonstrates knowledge of local, state ... Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match
Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match ... Experience:5 years related experience in nursing, microbiology, utilization review, education,. #LI ...
Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match ... Experience:5 years related experience in nursing, microbiology, utilization review, education,. #LI ...
Tucson, AZ · On-site
Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match ... Experience: 5 years related experience in nursing, microbiology, utilization review, education ...
New
Tucson, AZ · On-site
Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match ... Experience: 5 years related experience in nursing, microbiology, utilization review, education ...
New
$20.23 - $24.32
2% of jobs
$24.32 - $28.41
9% of jobs
$31.21 is the 25th percentile. Wages below this are outliers.
$28.41 - $32.50
21% of jobs
The median wage is $35.81 / hr.
$32.50 - $36.59
23% of jobs
$36.59 - $40.68
13% of jobs
$43.86 is the 75th percentile. Wages above this are outliers.
$40.68 - $44.77
10% of jobs
$44.77 - $48.86
8% of jobs
$48.86 - $52.96
5% of jobs
$52.96 - $57.05
5% of jobs
$57.05 - $61.14
2% of jobs
$61.14 - $65.23
2% of jobs
$20
$39
$65
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.
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.
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.
The most popular types of Insurance Utilization Review jobs in Tucson, AZ are:
For Insurance Utilization Review jobs in Tucson, AZ, the most frequently searched job titles are:
The top searched job categories for Insurance Utilization Review jobs in Tucson, AZ are:
Cities near Tucson, AZ with the most Insurance Utilization Review job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 14 days ago
6.3
Based on 357 frontline employees who took The Breakroom Quiz
670th of 898 rated healthcare providers
Carondelet Medical Group is seeking a full-time Nurse Practitioner or Physician Assistant to join our Cardiovascular team at St. Joseph's Hospital in Tucson, AZ. This role offers the opportunity to be an integral part of a busy and growing cardiology practice, supporting timely access to care for a high-volume patient population. The position is ideal for an NP or PA who enjoys outpatient cardiovascular care, collaboration with physicians, and managing complex medical patients in a clinic-based setting.
Position Highlights
Full-time Cardiology NP/PA opportunity
Outpatient and inpatient setting
Manages new and established cardiology patients to improve access and throughput
Orders and interprets diagnostic testing and develops treatment plans
Collaborative, team-based environment with cardiologists and clinical staff
Compensation and Benefits
Competitive salary
Health, dental, and vision insurance
401(k) retirement plan
Paid time off (PTO)
Continuing medical education (CME) allowance
Malpractice insurance
Education:
Required: Master's Prepared Advanced Practice Nurse Practitioner
Experience:
Certifications:
Required: Must be currently licensed, certified or registered to practice profession as required by law, regulation in state of practice or policy. RNP License. Additional certification(s) per governing board and in accordance with the facility Medical Staff Bylaws.
Physical Demands:
Get the full story on Breakroom
Sourced by ZipRecruiter
Health care and social assistance
10,000+ Employees
Dallas, TX, US
1969
