Utilization Review Manager
Phoenix, AZ · On-site
... management including, but not limited to: utilization review, case documentation, payer ... A minimum of three (3) years direct clinical experience in a psychiatric or mental health setting.
Phoenix, AZ · On-site
... management including, but not limited to: utilization review, case documentation, payer ... A minimum of three (3) years direct clinical experience in a psychiatric or mental health setting.
Phoenix, AZ · On-site
... management including, but not limited to: utilization review, case documentation, payer ... A minimum of three (3) years direct clinical experience in a psychiatric or mental health setting.
Phoenix, AZ · On-site
... management including, but not limited to: utilization review, case documentation, payer ... A minimum of three (3) years direct clinical experience in a psychiatric or mental health setting.
Phoenix, AZ · On-site
... management including, but not limited to: utilization review, case documentation, payer ... A minimum of three (3) years direct clinical experience in a psychiatric or mental health setting.
Stay current on the latest healthcare policies, clinical guidelines, and best practices for utilization management. * Participate in continuing education and training programs related to UR, case ...
Stay current on the latest healthcare policies, clinical guidelines, and best practices for utilization management. * Participate in continuing education and training programs related to UR, case ...
Phoenix, AZ · On-site
$24 - $29/hr
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...
Phoenix, AZ · On-site
$24 - $29/hr
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...
Phoenix, AZ · On-site
$24 - $29/hr
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...
Phoenix, AZ · On-site
$24 - $29/hr
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...
Phoenix, AZ · On-site
$24 - $29/hr
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...
Quick apply
Phoenix, AZ · On-site
$24 - $29/hr
Utilization Review (UR) Coordinator / Authorization Representative [Clinical Experience Preferred ... This role is responsible for managing authorizations, ensuring medical necessity documentation, and ...
... the Case Management and Utilization Management departments. This position coordinates and ... clinical and financial information, and formulates and implements plans to resolve issues ...
... the Case Management and Utilization Management departments. This position coordinates and ... clinical and financial information, and formulates and implements plans to resolve issues ...
... the Case Management and Utilization Management departments. This position coordinates and ... clinical and financial information, and formulates and implements plans to resolve issues ...
... the Case Management and Utilization Management departments. This position coordinates and ... clinical and financial information, and formulates and implements plans to resolve issues ...
$117K - $140K/yr
As a Population Health Clinical Pharmacist, you wil use clinical knowledge to review medication ... Takes ownership to identify and resolve utilization management issues and promotes a best-in-class ...
$117K - $140K/yr
As a Population Health Clinical Pharmacist, you wil use clinical knowledge to review medication ... Takes ownership to identify and resolve utilization management issues and promotes a best-in-class ...
Mesa, AZ · On-site
$117K - $140K/yr
As a Population Health Clinical Pharmacist, you wil use clinical knowledge to review medication ... Takes ownership to identify and resolve utilization management issues and promotes a best-in-class ...
Mesa, AZ · On-site
$117K - $140K/yr
As a Population Health Clinical Pharmacist, you wil use clinical knowledge to review medication ... Takes ownership to identify and resolve utilization management issues and promotes a best-in-class ...
Details: • Permanent, full-time position • Lead efforts to ensure consistency of clinical ... Evaluate utilization management program effectiveness and recommends improvements • With CCO ...
Details: • Permanent, full-time position • Lead efforts to ensure consistency of clinical ... Evaluate utilization management program effectiveness and recommends improvements • With CCO ...
$117K - $140K/yr
As a Population Health Clinical Pharmacist, you wil use clinical knowledge to review medication ... Takes ownership to identify and resolve utilization management issues and promotes a best-in-class ...
$117K - $140K/yr
As a Population Health Clinical Pharmacist, you wil use clinical knowledge to review medication ... Takes ownership to identify and resolve utilization management issues and promotes a best-in-class ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Assigned projects span drug coverage administration, Preferred Drug List (PDL) management, prior authorization, utilization management, drug utilization review, clinical criteria configuration, and ...
Phoenix, AZ · On-site
$130 - $140/hr
As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
Phoenix, AZ · On-site
$130 - $140/hr
As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical ...
Phoenix, AZ · On-site
$180 - $280/hr
... Management, Utilization Management and Social Work. This position is accountable for ensuring ... Advancing education and training to shape the next generation of clinical leaders * Advocating for ...
New
Phoenix, AZ · On-site
$180 - $280/hr
... Management, Utilization Management and Social Work. This position is accountable for ensuring ... Advancing education and training to shape the next generation of clinical leaders * Advocating for ...
New
Tempe, AZ · On-site
$113K - $135K/yr
Oversee the drug utilization review and medication therapy management programs for specialty ... Develop and review guideline criteria for prior authorization and non-formulary drugs in support of ...
Tempe, AZ · On-site
$113K - $135K/yr
Oversee the drug utilization review and medication therapy management programs for specialty ... Develop and review guideline criteria for prior authorization and non-formulary drugs in support of ...
Phoenix, AZ · On-site
$49/hr
Must have at least three (3) years of recent acute clinical hospital experience; preferably in Case Management and/or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas ...
Phoenix, AZ · On-site
$49/hr
Must have at least three (3) years of recent acute clinical hospital experience; preferably in Case Management and/or Utilization Management. Specialized Training: * Trained in Epic, InterQual, Midas ...
Phoenix, AZ · On-site
$135 - $150/hr
As a Field Medical Director, MSK Surgery you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
Phoenix, AZ · On-site
$135 - $150/hr
As a Field Medical Director, MSK Surgery you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical ...
... clinical outcomes through advocacy, partnership and innovation, while lowering the cost of health ... Manages and evaluates the effectiveness of Case Management and Utilization Management systems and ...
... clinical outcomes through advocacy, partnership and innovation, while lowering the cost of health ... Manages and evaluates the effectiveness of Case Management and Utilization Management systems and ...
| Aspect | Utilization Management Non Clinical | Utilization Review Nurse |
|---|---|---|
| Credentials | Certifications like CCM, RN (optional), but primarily non-clinical certifications | RN license, certifications such as CCM or CUC |
| Work Environment | Office-based, administrative setting, telecommuting options | Clinical settings, hospitals, or insurance companies, often with direct patient or provider interaction |
| Employer & Industry Usage | Health insurance companies, managed care organizations | Hospitals, insurance companies, healthcare providers |
| Search & Comparison Intent | Understanding non-clinical roles in utilization management | Clinical review roles involving direct patient care assessment |
Utilization Management Non Clinical roles focus on administrative, policy, and documentation tasks without direct patient care, while Utilization Review Nurses perform clinical assessments to determine care necessity. Both roles are essential in healthcare utilization but differ mainly in clinical involvement and required credentials.

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 21 days ago
6.8
Based on 253 frontline employees who took The Breakroom Quiz
494th of 887 rated healthcare providers
Get the full story on Breakroom
Sourced by ZipRecruiter
Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.
Health care and social assistance
10,000+ Employees
King of Prussia, PA, US