Utilization Management Coordinator Jobs in Arizona

Responsibilities Utilization Management Coordinator PRN- As Needed Monday - Friday (Not Remote) Quail Run Behavioral Health Hospital in Phoenix is seeking a dynamic and talented UM Coordinator to ...

The RN Care Management Coordinator assumes a leadership role and works collaboratively with the ... or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas, and ...

P3 Health Partners is seeking a Utilization Management Manager to oversee the daily operations of ... Partner with Medical Directors to support medical necessity determinations and coordination of care ...

P3 Health Partners is seeking a Utilization Management Manager to oversee the daily operations of ... Partner with Medical Directors to support medical necessity determinations and coordination of care ...

The supervisor coordinates across teams to support meeting contractual metrics and timeliness ... years utilization review or case management • U.S. Citizenship • Must be able to receive a ...

The supervisor coordinates across teams to support meeting contractual metrics and timeliness ... years utilization review or case management • U.S. Citizenship • Must be able to receive a ...

The supervisor coordinates across teams to support meeting contractual metrics and timeliness ... years utilization review or case management • U.S. Citizenship • Must be able to receive a ...

Identify and communicate to the Quality Improvement Coordinator potential quality of care and ... Utilization Management or Case Management Certification. Where You'll Work: This is a fully remote ...

Job Summary Manages prospective and concurrent Utilization Management (UM) programs including prior ... This position reports to the Director of UM and coordinates with Case Management (CM) and Care ...

Utilization Management Reviewer Requisition Number: R-000002878 Department Name: Supervisor ... Coordinates integration of regulatory, payer, and clinical standards to optimize patient outcomes ...

Job Summary The Utilization Management Clinical Review nurse reviews and makes decisions about the ... Coordination, or Disease Management for review as necessary. • Prepares cases for Medical ...

Knowledge of utilization management principles and care coordination practices * Familiarity with NCQA and URAC standards preferred * Ability to analyze clinical documentation and make independent ...

The manager must possess knowledge and experience in confidentiality and compliance with HIPAA ... Utilization Management experience, preferably in a psychiatric setting for a minimum of two (2) ...

The Patient Transition and Utilization Coordinator provides support services to the staff of the Case Management and Utilization Management departments. This position coordinates and implements the ...

The Patient Transition and Utilization Coordinator provides support services to the staff of the Case Management and Utilization Management departments. This position coordinates and implements the ...

Proactively monitor utilization of services for patients to optimize reimbursement for the facility ... Act as liaison between managed care organizations and the facility professional clinical staff.

Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...

Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...

Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...

Description The UR Coordinator's primary responsibility is managing, reviewing, and monitoring utilization of patient resources and obtaining payor authorization as required for all provided services.