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Remote Supervisor Utilization Management Jobs in Arizona

Oscar Health

Utilization Review Nurse

Tempe, AZ · Remote

$35 - $45.94/hr

You will report into the Supervisor, Utilization Review. Work Location: This is a remote position ... Previous experience conducting concurrent or inpatient reviews for a managed care plan This is an ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Phoenix, AZ · On-site +1

$57 - $69.50/hr

Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

Pharmacy Careers

Appeals Pharmacist (Remote)

Yuma, AZ · On-site +1

$49.25 - $60/hr

Prior managed care or utilization management experience preferred - retail and hospital pharmacists ... Many roles offer hybrid or fully remote options. * Rewards: Competitive salary, comprehensive ...

Actalent

Pharmacist

Phoenix, AZ · Remote

$55/hr

Remote Clinical Pharmacist - Utilization Management We are seeking a dedicated Clinical Pharmacist ... Participate in routine structured touchpoints and communicate regularly with supervisors and team ...

Arizona Department of Administration

$71.03K/yr

REMOTE OPTIONS, PHOENIX Categories: Administrative Support/Customer Service, Healthcare/Medical ... Under the general direction of the Medical Management (MM) Manager and Supervisor, this position ...

Deloitte

Epic Tapestry Consultant

Tempe, AZ · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...

Deloitte

Epic Tapestry Consultant

Gilbert, AZ · On-site +1

Role is remote Preferred * Work Experience/Direct knowledge of Utilization Management or Tapestry Utilization Management build * Strong desktop skills including Word, Excel, PowerPoint * Work ...

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Remote Supervisor Utilization Management information

What is the difference between Remote Supervisor Utilization Management vs Remote Utilization Review Nurse?

AspectRemote Supervisor Utilization ManagementRemote Utilization Review Nurse
CredentialsRN, often with management or supervisor certificationsRN, with clinical review certifications
Work EnvironmentSupervises teams, manages utilization processes remotelyPerforms clinical reviews, assesses patient necessity remotely
Employer & Industry UsageHealth insurance companies, managed care organizationsInsurance companies, third-party administrators
Primary FocusOverseeing utilization management operationsConducting clinical utilization reviews

Remote Supervisor Utilization Management roles focus on overseeing utilization management teams and processes, ensuring compliance and efficiency. In contrast, Remote Utilization Review Nurses primarily perform clinical assessments to determine the necessity of services. Both roles require RN credentials but differ in responsibilities and scope within the utilization management field.

What are the most commonly searched types of Supervisor Utilization Management jobs in Arizona? The most popular types of Supervisor Utilization Management jobs in Arizona are:
What are popular job titles related to Remote Supervisor Utilization Management jobs in Arizona? For Remote Supervisor Utilization Management jobs in Arizona, the most frequently searched job titles are:
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Remote Supervisor Utilization Management jobs near you
RN - Utilization Management

RN - Utilization Management

Spectrum Healthcare Resources

Phoenix, AZ • Remote

Full-time

Posted 13 days ago

Job description

Spectrum Healthcare Resources has a potential need for Registered Nurse Utilization Managers (RNUM). These will be completely remote positions, working entirely from the Nurse’s home. The Nurse will be reviewing cases, educating patients on appropriate care and managing health care costs for the dependents of our Nation’s Active Duty and eligible retirees.

The Nurse will be working remotely Monday through Friday, 8 hours per day.

Requirements

  • Bachelors Nursing Degree
  • At least one active state nurse license, preferably compact state licensure
  • At least 2 years’ experience working as an RNUM, preferably in a remote or hybrid environment.
  • Possess current certification in either
    • Completion of an accredited Certified Professional Utilization Review (CPUR) program
    • Certified Case Manager (CCM) issued by the Commission for Case Manager Certification.

--OR--

  • Possess two (2) years of full-time broad based registered nurse experience in a utilization management review or a case management setting within the preceding five (5) years. Notwithstanding the aforementioned experience requirements, the HCWs must have pertinent clinical experience within the past two (2) years sufficient to demonstrate current clinical competency for the setting and procedures required by this contract.
  • Highly organized, self-directed worker able to function in a high-volume environment without distractions.
  • Strong verbal and written communication skills.
  • Proficient level of experience with Microsoft Office applications and strong technical aptitude.
  • Must have access to secure, high speed internet.

Company Overview:

Spectrum Healthcare Resources (SHR) was established in 1988 to deliver systems and processes designed to meet the unique needs of Military and VA Health Systems.  SHR is a leading organization that provides physician and clinical staffing and management services to United States Military Treatment Facilities, VA clinics and other Federal Agencies through various contracting vehicles.  A Joint Commission Health Care Staffing Services firm, SHR is the military staffing division of TeamHealth, a Nationwide organization that serves 850 civilian and military hospitals with a team of 9,600 affiliated health care professionals. EOE/Disabled/Veterans


US-AZ-Phoenix
Joseph Day
314-744-4138
joseph_day@spectrumhealth.com
Spectrum Healthcare Resources logo

About Spectrum Healthcare Resources

Sourced by ZipRecruiter

Spectrum is a leading organization that provides program management and physician and clinical staffing services to United States Military Treatment Facilities, VA Clinics and Federal Agencies. We are dedicated to the markets we serve, leading our organization’s experience for almost three decades.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Saint Louis, MO, US

Year founded

1988

Social media

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