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Rn Utilization Management Jobs in Arizona (NOW HIRING)

Tuba City Regional

RN - Utilization

Tuba City, AZ · On-site

RN - Utilization Pulse Healthcare is currently seeking Travel Nurses for multiple positions in locations throughout the United States. Start Date: 09/07/2026 Duration: 91 days City: Tuba City State:

Mission Hospital

RN - Utilization

Tuba City, AZ · On-site

$2.7K/wk

Details Client Name Tuba City Regional Job Type Travel Offering Nursing Profession RN Specialty Utilization Job ID 37695955 Job Title RN - Utilization Weekly Pay $2723.51 Shift Details Shift 5X8 Days ...

Voyage Health

Travel RN Utilization Review

Tuba City, AZ · On-site

$2.4K - $2.5K/wk

Position Details Specialty: RN Utilization Review Location: Tuba City, Arizona Employment Type: Travel/Contract Pay: $2467 - $2597 per week Shift: 5x8 Days Start Date: ASAP Contract Length: 13-week ...

Centstone

Registered Nurse Utilization

Tuba City, AZ · On-site

Registered Nurse Utilization Location: Tuba City, Arizona Pay Rate: $ 2300 To $ 2560 per week ... The ideal candidate will work closely with physicians, case management, and interdisciplinary teams ...

Centstone HC

Registered Nurse Utilization

Tuba City, AZ · On-site

Registered Nurse Utilization Location: Tuba City, Arizona Pay Rate: $ 2300 To $ 2560 per week ... The ideal candidate will work closely with physicians, case management, and interdisciplinary teams ...

Meda Health, LLC

RN - Utilization Review

Tuba City, AZ · On-site

$2.5K/wk

Details Client Name Tuba City Regional Healthcare Job Type Travel Offering Nursing Profession RN Specialty Utilization Review Job ID 18896874 Job Title RN - Utilization Review Weekly Pay $2552.28 ...

Mission Hospital

RN - Utilization Review

Tuba City, AZ · On-site

$2.6K/wk

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

Travel Utilization Review RN

Tuba City, AZ · On-site

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 ...

Sky Mavis

Manager Utilization Management

Tucson, AZ · On-site

$100 - $140/hr

Active, unrestricted Registered Nurse (RN) license in the state of Arizona, California, Nebraska ... Experience leading utilization management teams within a Medicare Advantage environment.

Socket.dev

Manager Utilization Management

Tucson, AZ · On-site

$100 - $140/hr

Active, unrestricted Registered Nurse (RN) license in the state of Arizona, California, Nebraska ... Experience leading utilization management teams within a Medicare Advantage environment.

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All JobsRn Utilization Management JobsRn Utilization Management Jobs in Arizona

Rn Utilization Management information

See Arizona salary details

$36.3K

$83.4K

$151.9K

How much do rn utilization management jobs pay per year?

As of Aug 26, 2026, the average yearly pay for rn utilization management in Arizona is $83,388.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,100.00 and $97,400.00 per year, depending on experience, location, and employer.

What is an RN Utilization Management?

RN Utilization Management nurses are registered nurses who specialize in reviewing healthcare services to ensure patients receive appropriate and cost-effective care. They evaluate the necessity, efficiency, and quality of medical treatments and procedures, often working with insurance companies, hospitals, or healthcare organizations. Their responsibilities include reviewing patient records, coordinating with clinical staff, making coverage recommendations, and ensuring compliance with healthcare regulations. This role helps manage healthcare costs while maintaining high standards of patient care.

What skills and qualifications are needed to thrive as an RN Utilization Management?

To thrive as an RN Utilization Management Nurse, you need a current RN license, strong clinical assessment skills, and experience in care coordination or case management. Familiarity with utilization review tools, electronic health records, and knowledge of insurance guidelines or InterQual/MCG criteria are typically required. Exceptional communication, critical thinking, and negotiation skills help facilitate collaboration among providers, payers, and patients. These abilities are crucial for ensuring appropriate resource use, compliance with regulations, and optimal patient outcomes.

How does an RN Utilization Management typically collaborate with physicians and other healthcare team members?

RN Utilization Management professionals work closely with physicians, case managers, and insurance representatives to ensure patients receive appropriate, high-quality care while managing healthcare costs. They review patient records, communicate clinical findings, and may participate in interdisciplinary meetings to discuss care plans and discharge needs. Building strong relationships and maintaining open lines of communication with the care team is essential for timely authorizations and effective care coordination. This collaborative approach helps optimize patient outcomes and resource utilization.

What is the difference between Rn Utilization Management vs Rn Case Management?

AspectRn Utilization ManagementRn Case Management
CertificationsRN license, possibly certifications in utilization reviewRN license, case management certification often preferred
Work EnvironmentUtilization review departments, insurance companies, hospitalsCommunity clinics, hospitals, insurance companies
Primary FocusReviewing medical necessity and appropriateness of servicesCoordinating patient care and discharge planning

Both roles require an RN license, but Rn Utilization Management focuses on reviewing the necessity of services, while Rn Case Management emphasizes coordinating patient care. Understanding these differences helps professionals choose the right career path and employers.

How to get into utilization management as an RN?

To become an RN in utilization management, gain experience as a registered nurse, often in case management or clinical roles, and obtain knowledge of healthcare policies and insurance processes. Certifications such as Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ) can enhance prospects. Strong communication skills and familiarity with electronic health records (EHR) systems are also beneficial.

What are popular job titles related to Rn Utilization Management jobs in Arizona?

For Rn Utilization Management jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Rn Utilization Management jobs in Arizona look for?

The top searched job categories for Rn Utilization Management jobs in Arizona are:

What cities in Arizona are hiring for Rn Utilization Management jobs?

Cities in Arizona with the most Rn Utilization Management job openings:

Rn Utilization Management jobs near you
Infographic showing various Rn Utilization Management job openings in Arizona as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 12% Part Time, 2% Temporary, and 2% Contract. Highlights an 84% Physical, 3% Hybrid, and 13% Remote job distribution, with an average salary of $83,388 per year, or $40.1 per hour.

RN Utilization Management Care Reviewer

Phoenix, AZ • Remote

Banner Health

7.5

Company rating: 7.5 out of 10

Based on 771 frontline employees who took The Breakroom Quiz

239th of 893 rated healthcare providers

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Good employer

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$37.14 - $61.90/hr

Full-time

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

Job description

Department Name:

Utilization Mgmt

Work Shift:

Day

Job Category:

Clinical Care

Nursing careers are better at Banner Health. We’ve built smarter processes to help nurses focus on what really matters. If you want to make a difference in people’s lives - this could be the opportunity you’ve been waiting for. 

As a Remote RN Utilization Management Care Reviewer, you’ll play a critical role in ensuring our Medicare Advantage and AHCCCS members receive the right care at the right time while supporting safe, successful transitions after hospitalization. Collaborating with post-acute facilities and interdisciplinary care teams, you’ll apply your clinical expertise to review medical necessity, optimize length of stay, and help improve member outcomes. If you have a passion for utilization management, care coordination, or case management—and experience with MCG or InterQual is a plus—we’d love to hear from you! 

 

This is a remote, salaried opportunity. CANDIDATES MUST RESIDE IN THE STATE OF ARIZONA. The schedule is as follows: Monday-Friday 8am-5pm, no weekends, and major holidays off,

Banner Plans & Networks (BPN) is an accountable care organization that joins Arizona's largest health care provider, Banner Health, and an extensive network of primary care and specialty physicians to provide the most comprehensive healthcare solutions for Maricopa County and parts of Pinal County. Through BPN, known nationally as an innovative leader in new health care models, insurance plans and physicians are coming together to work collaboratively to keep members in optimal health, while reducing costs.

POSITION SUMMARY
This position, within the Utilization Management Department, will determine the medical appropriateness of requested services by reviewing clinical information and applying evidenced-based guidelines. This position will interact with providers, members, internal and external service teams to obtain necessary information and communicate determinations. In addition to pre-service, admission, and concurrent review determinations, this position will be responsible for managing length of stay, discharge planning, resources, and identification of potential quality of care or safety concerns.
CORE FUNCTIONS
1. Assesses inpatient services for members to ensure optimum outcomes, cost effectiveness, and compliance with all state and federal regulations and guidelines.
2. Analyzes clinical services from members or providers against evidence-based guidelines.
3. Identifies appropriate benefits, eligibility, and expected length of stay for requested services, treatments, and/or procedures.
4. Conducts inpatient reviews to determine financial responsibility. May also perform authorization reviews and/or related duties as needed. Processes requests within required timelines.
5. Refers appropriate cases to Medical Directors and presents them in a consistent and efficient manner. Makes appropriate referrals to other clinical programs.
6. Collaborates with multidisciplinary teams to promote Banner Health's Integrated model.
7. Adheres to UM policies and procedures.
MINIMUM QUALIFICATIONS


Bachelor’s degree in nursing or equivalent working knowledge.
Active, unrestricted State Registered Nursing (RN) license in good standing. MCG certification or ability to obtain within six months of hire.
Five years of clinical nursing experience or equivalent working knowledge.
Must be highly proficient with computer usage, typing, Microsoft Suite, and possess the ability to navigate through multiple platforms. Must be highly proficient in medical record review including EMR and paper/fax platforms.
PREFERRED QUALIFICATIONS


Two to three years of Utilization Management experience using MCG, CMS, and clinical criteria. MSN preferred. Case Management Certification (CCM or RN-BC or CMCN). Utilization Management Certification. Certified Professional in Healthcare Quality Certification (CPHQ). Experience with Medicare Advantage, ACOs, Commercial, Dual Eligible, AHCCCS, and/or ALTCS. Experience with URAC and NCQA accreditation process. Experience using Medical Management software platforms.
Additional related education and/or experience preferred.

Estimated Pay Range:

$37.14 - $61.90 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.

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