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Manager Optum Utilization Review Jobs in Arizona

Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position includes a $1,500 sign on bonus! For over 60 years, Calvary Healing Center has provided a full ...

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You ... Previous experience conducting concurrent or inpatient reviews for a managed care plan This is an ...

Job Type Full-time Description The UR Coordinator's primary responsibility is managing, reviewing, and monitoring utilization of patient resources and obtaining payor authorization as required for ...

Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position includes a $1,500 sign on bonus! For over 60 years, Calvary Healing Center has provided a full ...

RN,AZ - Utilization Review RN, City: Tuba City, State: Arizona, Estimated Start Date:09/07/2026 ... manage needed information quickly and simply, thus allowing for speedy submittal to facilities.

Bestica is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Tuba City, Arizona. & Requirements * Specialty: Utilization Review * Discipline: RN * Start Date: 09 ...

Utilization Management Reviewer Requisition Number: R-000002878 Department Name ... Supervisor, Utilization Review Work Location: UK Chandler Hospital, Pavilion A Grade Level: 11 Type ...

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Manager Optum Utilization Review information

What does a manager Optum Utilization Review do?

A Manager of Optum Utilization Review oversees a team responsible for evaluating the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They ensure that all reviews comply with regulatory standards, company policies, and clinical guidelines. Managers also collaborate with healthcare providers, monitor team performance, and help implement process improvements to optimize patient outcomes and resource use. Their role is vital in balancing quality patient care with cost-effective service delivery.

How does a manager Optum Utilization Review typically collaborate with clinical and non-clinical teams to ensure effective case management?

As a Manager in Optum Utilization Review, you will regularly coordinate with clinical teams such as nurses, physicians, and case managers to review patient cases for medical necessity and compliance with policies. You’ll also work closely with non-clinical staff, including data analysts and administrative professionals, to streamline workflows and support accurate documentation. Effective collaboration ensures timely decision-making, helps resolve escalated cases, and supports continuous quality improvement initiatives. This role often requires strong communication and leadership skills to align multidisciplinary teams and achieve organizational goals.

What are the key skills and qualifications needed to thrive as a manager Optum Utilization Review, and why are they important?

To thrive as a Manager, Optum Utilization Review, you need a background in healthcare management, clinical expertise (often as an RN or related field), and experience with utilization management processes. Familiarity with utilization review software, electronic health records (EHRs), and relevant certifications such as CCM (Certified Case Manager) or URAC accreditation is typically required. Strong leadership, analytical thinking, and effective communication skills help you guide teams and collaborate with providers and payers. These competencies are crucial for ensuring compliance, optimizing patient care, and achieving organizational goals in a complex healthcare environment.

What is the difference between Manager Optum Utilization Review vs Utilization Review Nurse?

AspectManager Optum Utilization ReviewUtilization Review Nurse
CredentialsTypically requires a nursing license, certifications in case management or utilization reviewRegistered Nurse (RN) license, certifications in case management or utilization review
Work EnvironmentSupervises teams, manages review processes, collaborates with healthcare providersConducts patient reviews, assesses medical necessity, documents findings
Employer & Industry UsageCommon in health insurance companies, managed care organizations, healthcare providersPrimarily in hospitals, insurance companies, healthcare organizations

The main difference is that the Manager Optum Utilization Review oversees the review process and team management, while the Utilization Review Nurse focuses on conducting individual patient assessments and reviews. Both roles require nursing credentials and knowledge of healthcare policies, but the manager has additional responsibilities in leadership and process oversight.

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

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

What cities in Arizona are hiring for Manager Optum Utilization Review jobs?

Cities in Arizona with the most Manager Optum Utilization Review job openings:

Infographic showing various Manager Optum Utilization Review job openings in Arizona as of July 2026, with employment types broken down into 86% Full Time, 12% Part Time, 1% Temporary, and 1% Contract. Highlights an 86% Physical, 1% Hybrid, and 13% Remote job distribution.

Utilization Review Manager

UHS

Phoenix, AZ • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

This job post has expired 5 days ago. Applications are no longer accepted.


Universal Health Services rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

460th of 895 rated healthcare providers


Job description

Responsibilities

Utilization Review Manager (URM)

Position: Full-Time 

Shift: Daytime

This position includes a $1,500 sign on bonus!

For over 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction treatment for adults across the Phoenix area and Nationwide.  Calvary’s proven treatment programs address the practical, physical, and spiritual aspects of addiction for lasting recovery. Our flagship location in Phoenix offers on-site detoxification and in-patient treatment programs, a partial hospitalization program (PHP), and an intensive outpatient program (IOP). We also have satellite clinics offering Intensive Outpatient Programs in the West Valley region and Metropolitan Phoenix.  Through our programs we offer many other holistic healing and treatment options complementing our services ranging from yoga, art workshops, and music. 

Our website: https://calvarycenter.com/

Summary of URM Duties: The UR Manager oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration. Supports the overall success of the facility and promotes patient satisfaction, regulatory compliance and optimal reimbursement.

Benefits for the URM include:

  • Tuition Assistance after 90 days of employment 
  • Career development opportunities within UHS and its 300+ Subsidiaries
  • Challenging and rewarding work environment
  • HealthStream on-line learning catalogue with plenty of free CEU courses
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Pet Insurance

If you would like to learn more about the URM position, please contact Loretta Gaspar, HR Director at: Loretta.Gaspar@uhsinc.com

What do our current employees value at Calvary Healing Center & UHS?

An environment that puts patient care first.  One of the most rewarding aspects of working as an employee is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times.  Supportive and responsive leadership.  You are never alone, as you are part of a large network of professionals that routinely exchange ideas and review current topics within the industry.  Having the opportunity to grow, learn, and advance in your career.  There are very robust continuing education options and opportunities for skills diversification and career advancement as an employee with UHS.  

One of the Nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.


Qualifications

Education/ Experience: 

  • Bachelor's degree from an accredited college/university in social work, mental health, or nursing degree. 
  • A minimum of three (3) years direct clinical experience in a psychiatric or mental health setting. 
  • Experience in treatment planning and communication with external review organizations or comparable entities. 
  • Valid Arizona Level One Fingerprint Clearance Card 
  • Completion of BLS & First Aid Certification, within 30 days of employment. 
  • Completion of Handle With Care Training, within 30 days of employment

EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.


We believe that diversity and inclusion among our teammates is critical to our success.


Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 

1-800-852-3449

Qualifications:

Education/ Experience: 

  • Bachelor's degree from an accredited college/university in social work, mental health, or nursing degree. 
  • A minimum of three (3) years direct clinical experience in a psychiatric or mental health setting. 
  • Experience in treatment planning and communication with external review organizations or comparable entities. 
  • Valid Arizona Level One Fingerprint Clearance Card 
  • Completion of BLS & First Aid Certification, within 30 days of employment. 
  • Completion of Handle With Care Training, within 30 days of employment

EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.


We believe that diversity and inclusion among our teammates is critical to our success.


Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 

1-800-852-3449

Education:UNAVAILABLEEmployment Type: FULL_TIME

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US