Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or ... Active, unrestricted RN, LPN, LCSW, or LPC license Required Education and Experience: * Completion ...
Utilization Management Nurse - Behavioral Health Focus (Remote) Time Zone Preference: Pacific or ... Active, unrestricted RN, LPN, LCSW, or LPC license Required Education and Experience: * Completion ...
US; must live in Pacific or Mountain time zone; remote with minimal travel Schedule: Monday ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
US; must live in Pacific or Mountain time zone; remote with minimal travel Schedule: Monday ... Must have an RN license in good standing and be willing to obtain licensure in other states. * A ...
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Clinical Care Manager (RN)
Phoenix, AZ · On-site +1
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... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. TAKING CARE ...
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Phoenix, AZ · On-site +1
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... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. TAKING CARE ...
RN Field Case Manager
Phoenix, AZ · On-site +1
$77.40K - $98.30K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. TAKING CARE ...
RN Field Case Manager
Phoenix, AZ · On-site +1
$77.40K - $98.30K/yr
... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. TAKING CARE ...
Communicate patient status and therapy response promptly with physicians, pharmacists, supervisors ... Active and unrestricted Registered Nurse (RN) license in the state of Arizona * Current BLS/CPR ...
Communicate patient status and therapy response promptly with physicians, pharmacists, supervisors ... Active and unrestricted Registered Nurse (RN) license in the state of Arizona * Current BLS/CPR ...
Communicate patient status and therapy response promptly with physicians, pharmacists, supervisors ... Active and unrestricted Registered Nurse (RN) license in the state of Arizona * Current BLS/CPR ...
Communicate patient status and therapy response promptly with physicians, pharmacists, supervisors ... Active and unrestricted Registered Nurse (RN) license in the state of Arizona * Current BLS/CPR ...
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Registered Nurse - Medical Policy Development/Research Specialist - Remote - AZ
Phoenix, AZ · On-site +1
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Part Time Pharmacist, 7on/7off, Evenings
Phoenix, AZ · Remote
$57.75 - $69.50/hr
Pharmacist must have reliable internet service, backup computer and equipment, as well as a ... Remote order entry and CPOE order evaluation and verification * Physician and nursing consultations
Part Time Pharmacist, 7on/7off, Evenings
Phoenix, AZ · Remote
$57.75 - $69.50/hr
Pharmacist must have reliable internet service, backup computer and equipment, as well as a ... Remote order entry and CPOE order evaluation and verification * Physician and nursing consultations
Part Time Pharmacist, 7on/7off, Evenings
Phoenix, AZ · Remote
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Part Time Pharmacist, 7on/7off, Evenings
Phoenix, AZ · Remote
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Phoenix, AZ · On-site +1
$36 - $41/hr
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Call Center Telecare Registered Nurse - OVERNIGHT (Remote)
Phoenix, AZ · On-site +1
$36 - $41/hr
The VITAS Telecare RN is a member of the interdisciplinary team who is the pivotal person responsible for identifying the physical, psychological, social, and spiritual needs of those patients and ...
Our technology-enabled remote care model pairs continuous health insights with a highly skilled ... Nurse practitioners, registered nurses, medical assistants, patient-success coordinators, and other ...
Our technology-enabled remote care model pairs continuous health insights with a highly skilled ... Nurse practitioners, registered nurses, medical assistants, patient-success coordinators, and other ...
Clinical Quality RN - Remote MST
Phoenix, AZ · Remote
$60.20K - $107.40K/yr
The Clinical Quality RN will be responsible for conducting quality of care (QOC) investigation, review and management of the regulatory Incident/Accident/Death (IAD) portal, documenting and ...
Clinical Quality RN - Remote MST
Phoenix, AZ · Remote
$60.20K - $107.40K/yr
The Clinical Quality RN will be responsible for conducting quality of care (QOC) investigation, review and management of the regulatory Incident/Accident/Death (IAD) portal, documenting and ...
Clinical Quality RN - Remote MST
Phoenix, AZ · On-site +1
$60.20K - $107.40K/yr
The Clinical Quality RN will be responsible for conducting quality of care (QOC) investigation, review and management of the regulatory Incident/Accident/Death (IAD) portal, documenting and ...
Clinical Quality RN - Remote MST
Phoenix, AZ · On-site +1
$60.20K - $107.40K/yr
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Surprise, AZ · On-site +1
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Licensed Practical Nurse, NW Community Based Outpatient Clinic (CBOC)
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Bilingual Clinical Care Manager (RN)
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Bilingual Clinical Care Manager (RN)
Phoenix, AZ · On-site +1
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We are currently hiring LPNs, RNs, and NPs across all specialties for a wide range of settings, including hospitals, home health, healthtech, and telehealth. Whether you prefer bedside care or remote ...
We are currently hiring LPNs, RNs, and NPs across all specialties for a wide range of settings, including hospitals, home health, healthtech, and telehealth. Whether you prefer bedside care or remote ...
We are currently hiring LPNs, RNs, and NPs across all specialties for a wide range of settings, including hospitals, home health, healthtech, and telehealth. Whether you prefer bedside care or remote ...
We are currently hiring LPNs, RNs, and NPs across all specialties for a wide range of settings, including hospitals, home health, healthtech, and telehealth. Whether you prefer bedside care or remote ...
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Glendale, AZ · Remote
$26.41 - $51.49/hr
Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Care Review Clinician (RN)
Glendale, AZ · Remote
$26.41 - $51.49/hr
Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Care Review Clinician (RN)
Phoenix, AZ · Remote
$26.41 - $51.49/hr
Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Care Review Clinician (RN)
Phoenix, AZ · Remote
$26.41 - $51.49/hr
Remote position, must reside in Arizona. Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time ... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...
Remote Pharmaceutical Rn information
See Arizona salary details
$13.22 - $16.68
6% of jobs
$16.68 - $20.14
0% of jobs
$20.14 - $23.60
2% of jobs
$23.60 - $27.06
15% of jobs
$27.41 is the 25th percentile. Wages below this are outliers.
$27.06 - $30.53
16% of jobs
The median wage is $33.41 / hr.
$30.53 - $33.99
13% of jobs
$33.99 - $37.45
19% of jobs
$38.66 is the 75th percentile. Wages above this are outliers.
$37.45 - $40.91
11% of jobs
$40.91 - $44.37
6% of jobs
$44.37 - $47.84
5% of jobs
$47.84 - $51.30
6% of jobs
$13
$34
$51
How much do remote pharmaceutical rn jobs pay per hour?
What is a Remote Pharmaceutical RN job?
What are the key skills and qualifications needed to thrive in the Remote Pharmaceutical Rn position, and why are they important?
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$40/hr
Other
Posted 3 days ago
Job description
Job Title: Utilization Management Nurse - Behavioral Health Focus (Remote)
Time Zone Preference:
Pacific or Mountain Time Zone is preferred
Work Schedule:
Tuesday through Saturday, 8:00 AM - 5:00 PM PST
Compensation:
$40 per hour
Position Type:
Temporary to Permanent
Position Summary:
A Managed Care Organization is seeking a Utilization Management Nurse to review provider-submitted service authorization requests and evaluate medical necessity, with a primary focus on behavioral health services. This position plays a key role in ensuring members receive appropriate and timely care by performing prior authorizations and concurrent reviews.
Day-to-Day Responsibilities:
Review provider submissions for prior service authorizations, particularly in behavioral health
Evaluate requests for medical necessity and appropriate service levels
Provide concurrent review and prior authorization according to internal policies
Identify appropriate benefits and determine eligibility and expected length of stay
Collaborate with internal departments, including Behavioral Health and Long Term Care, to ensure continuity of care
Refer cases to medical directors as needed
Maintain productivity and quality standards
Participate in staff meetings and assist with onboarding of new team members
Foster professional relationships with internal teams and provider partners
Must-Have Requirements:
Background in Behavioral Health services and/or experience with a Managed Care Organization (MCO) in Utilization Management
Licensure Requirements:
Active, unrestricted RN, LPN, LCSW, or LPC license
Required Education and Experience:
Completion of an accredited Registered Nursing program (or equivalent combination of experience and education)
2 years of clinical experience, preferably in hospital nursing, utilization management, or case management
Knowledge, Skills, and Abilities:
Understanding of state and federal healthcare regulations
Experience with InterQual and NCQA standards
Strong organizational, communication, and problem-solving skills
Proficient in Microsoft Office and electronic documentation systems
Ability to work independently and manage multiple priorities
Professional demeanor and commitment to confidentiality and compliance with HIPAA standards
Team-oriented with the ability to build and maintain positive working relationships
About Morgan Stephens
Sourced by ZipRecruiter
Industry
Recruiting and staffing services
Company size
11 - 50 Employees
Headquarters location
Tallahassee, FL, US
Year founded
2009