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Utilization Case Manager Jobs in Arizona (NOW HIRING)

GQR

RN - Case Manager

Tuba City, AZ · On-site

$2.2K - $2.3K/wk

Contract - W2 Case Management/Utilization Review Registered Nurse (RN) Job Location: Tuba City, Arizona Start Date: September 7, 2026 Profession: Registered Nurse (RN) Facility: Estimated Pay: $2281 ...

Northland Cares

Medical Case Manager

Cottonwood, AZ · On-site

The Medical Case Manager provides comprehensive medical case management services to a broad ... utilization of supportive and entitlement services); provide triage services and stabilization ...

Northland Cares

Medical Case Manager

Cottonwood, AZ · On-site

The Medical Case Manager provides comprehensive medical case management services to a broad ... utilization of supportive and entitlement services); provide triage services and stabilization ...

Northland Cares

Medical Case Manager

Cottonwood, AZ · On-site

$19 - $22/hr

The Medical Case Manager provides comprehensive medical case management services to a broad ... utilization of supportive and entitlement services); provide triage services and stabilization ...

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 ...

HonorHealth

RN Case Manager Shea

Scottsdale, AZ · On-site

Case Management Shift: Day Department: Case Management * up to $10,000 sign-on bonus * Monday ... Assists in the maintenance of department logs and databases, department statistics, and utilization ...

GLC On-The-Go

Travel Utilization Review RN

Tuba City, AZ · On-site

$2.2K - $2.3K/wk

GLC On-The-Go 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 ...

Vir Healthway

RN Case Manager

Tuba City, AZ · On-site

Coordinates care for patients with abuse, chronic pain, and frequent utilization issues. Interacts ... case management, contract health, and utilization review processes Shift: Monday to Friday, 8am-5pm ...

Conflux Systems

RN Case Manager

Tuba City, AZ · On-site

Coordinates care for patients with abuse, chronic pain, and frequent utilization issues. Interacts ... case management, contract health, and utilization review processes Shift: Monday to Friday, 8am-5pm ...

Care Career

Travel Utilization Review RN

Tuba City, AZ · On-site

Care Career 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 ...

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All JobsUtilization Case JobsUtilization Case Manager JobsUtilization Case Manager Jobs in Arizona

Utilization Case Manager information

What is a utilization case manager?

A Utilization Case Manager is a healthcare professional responsible for evaluating the necessity, appropriateness, and efficiency of medical services provided to patients. They review patient cases, coordinate with healthcare providers, and ensure that treatments are in line with established guidelines and insurance requirements. Their goal is to optimize patient outcomes while managing costs and ensuring compliance with regulations. Utilization Case Managers often work in hospitals, insurance companies, or managed care organizations.

How does a utilization case manager typically collaborate with healthcare providers and insurance companies?

Utilization Case Managers play a key role in coordinating care between healthcare providers and insurance companies. They review patient cases to ensure that the recommended treatments are medically necessary and align with insurance policies. This often involves regular communication with doctors, nurses, and insurance representatives to gather information, clarify treatment plans, and advocate for appropriate patient care. Strong collaboration skills are essential, as Utilization Case Managers must balance the needs of patients with organizational guidelines while maintaining positive professional relationships.

What degree do I need for utilization review?

Utilization case managers typically need at least a bachelor's degree in healthcare, nursing, social work, or a related field. Some positions may require a master's degree or professional certification, such as a Certified Case Manager (CCM) or Certified Professional in Healthcare Quality (CPHQ), to advance in the role or handle complex cases.

What are the key skills and qualifications needed to thrive as a utilization case manager?

To thrive as a Utilization Case Manager, you need a background in nursing or social work, strong analytical skills, and a solid understanding of healthcare regulations and insurance processes, often supported by RN licensure or certification in case management (e.g., CCM). Familiarity with utilization management software, electronic health records (EHRs), and payer authorization systems is essential. Excellent communication, critical thinking, and negotiation skills help facilitate collaboration among patients, providers, and payers. These skills ensure appropriate care delivery, cost management, and compliance with healthcare standards.

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

AspectUtilization Case ManagerUtilization Review Nurse
CredentialsRN license, case management certificationRN license, certification in utilization review
Work EnvironmentCase management teams, hospitals, insurance companiesUtilization review departments, hospitals, insurance providers
Primary FocusCoordinating patient care, discharge planning, resource allocationAssessing medical necessity, reviewing patient records for appropriateness
Common UsageBroader case management roles, patient advocacySpecific review of medical necessity and insurance claims

While both roles require RN licensure and focus on patient care, the Utilization Case Manager primarily coordinates overall patient services and discharge planning, whereas the Utilization Review Nurse concentrates on evaluating the medical necessity of treatments for insurance purposes. Understanding these distinctions helps in choosing the right career path or job search focus.

What are popular job titles related to Utilization Case Manager jobs in Arizona?

For Utilization Case Manager jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Utilization Case Manager jobs in Arizona look for?

The top searched job categories for Utilization Case Manager jobs in Arizona are:

What cities in Arizona are hiring for Utilization Case Manager jobs?

Cities in Arizona with the most Utilization Case Manager job openings:

Utilization Case Manager jobs near you

Travel Utilization Review RN

MedPro Healthcare Staffing

Tuba City, AZ • On-site

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 12 days ago

Job description

MedPro Healthcare Staffing is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Tuba City, Arizona.

Job Description & Requirements
  • Specialty: Utilization Review
  • Discipline: RN
  • Start Date: 09/07/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 9 hours, days
  • Employment Type: Travel

MedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is seeking a quality Case Manager Registered Nurse (RN) for a travel assignment with one of our top healthcare clients.

 

Requirements

  • Eighteen months of recent experience in an Acute Care Case Manager setting
  • Active RN License
  • BLS Certifications
  • Degree from accredited nursing program

Benefits

  • Weekly pay and direct deposit
  • Full coverage of all credentialing fees
  • Private housing or housing allowance
  • Group Health insurance for you and your family
  • Company-paid life and disability insurance
  • Travel reimbursement
  • 401(k) matching
  • Unlimited Referral Bonuses up to $1,000

Duties Responsibilities

The role of the case management nurse (RN) is to coordinate continuity of care for patients often as a liaison between the patient’s family and healthcare organization. Work is administered in a variety of settings, including HMOs, community health organizations, long-term care facilities, behavioral health programs, rehabilitation centers, schools, and case management companies

  • Coordinate continuity of care for patients often as a liaison between the patient’s family and healthcare organization
  • Strives to promote self-managed care and the use of healthcare resources in the most cost-effective way possible
  • Ensure that the proper treatment is administered at the appropriate time in order to maximize health and well-being

About Agency

MedPro Healthcare Staffing is a Joint Commission certified provider of contract staffing services. Since 1983, we have placed nursing and allied travelers in top healthcare facilities nationwide. Join us today for your very own MedPro Experience®.

If qualified and interested, please call for immediate consideration.


MedPro Staffing is an Equal Opportunity Employer. All applicants will be considered for employment without attention to race, color, religion, national origin, age, sex, disability, marital status or veteran status.

Key Words: RN Travel, Travel Nurse, Contract Nurse, Agency Nurse, Travel Contract, Travel Nursing, Case Manager, Case Management, Utilization Review, Case Manager RN


*Weekly payment estimates are intended for informational purposes only and include a gross estimate of hourly wages and reimbursements for meal, incidental, and housing expenses. Your recruiter will confirm your eligibility and provide additional details.


MedPro Job ID #a0Fcx00000YFZl4EAH. Pay package is based on 9 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Case Manager Registered Nurse Nursing: Case Manager.

About MedPro Healthcare Staffing

At MedPro Healthcare Staffing, we believe no one cares more for caregivers than we do. Our mission is simple: you focus on your patients, and we’ll take care of the rest.

As a Joint Commission-certified leader in temporary and contract healthcare staffing since 1983, MedPro has proudly connected nursing and allied travelers with top healthcare facilities across the nation. With thousands of job opportunities available nationwide, we make it easy to find assignments that align with your goals and lifestyle.

Our on-staff clinical support team—alongside a compassionate group of experienced recruiters—provides hands-on guidance every step of the way. From Day 1 medical benefits and a 401(k) plan to personalized career support, we’re committed to ensuring every professional we serve feels valued, cared for, and empowered to succeed.

Guided by a CEO who is a Registered Nurse, MedPro is built on a foundation of clinical insight and genuine compassion for the caregiving community. Through The MedPro Experience®, we deliver travel assignments that are rewarding, memorable, and designed to help you DREAM big, EXPLORE often, and ACHIEVE greatness.

Benefits

  • Day 1 medical, dental, and vision benefits for you and your family
  • Weekly pay and direct deposit
  • Unlimited Referral Bonuses starting at $500
  • On Staff Clinical Support Team
  • Access to nationwide travel assignments
  • MPX+ Mobile app -24/7 real-time access to jobs, credentials, assignment details, and more
  • Full coverage of all credentialing fees
  • Private housing or housing allowance
  • Tax Free Per Diems, Housing Stipends and Travel Reimbursements
  • Company-paid life and disability insurance
  • Travel reimbursement
  • 401(k) matching
Benefits
  • Weekly pay
  • Referral bonus
  • Employee assistance programs
MedPro Healthcare Staffing logo

About MedPro Healthcare Staffing

Sourced by ZipRecruiter

At MedPro Healthcare Staffing, we are committed to placing travel nurses and allied professionals on rewarding assignments throughout the country, caring for each as part of our team, while having fun along the way. Founded in 1983, MedPro is a Joint Commission certified, leading provider of contract staffing services including travel nursing and allied health to facilities throughout the U.S. Our wide array of clients includes acute and long-term post-acute hospitals, government facilities, and medical laboratories.

Industry

Recruiting and staffing services

Company size

501 - 1,000 Employees

Headquarters location

Sunrise, FL, US

Year founded

1983

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