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Utilization Review Intake Coordinator Jobs in Arizona

UHS

Utilization Management Coordinator - PRN

Phoenix, AZ · On-site

... coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting ... Performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid ...

Centstone HC

Registered Nurse Utilization

Tuba City, AZ · On-site

This role focuses on reviewing medical necessity, coordinating patient care, supporting discharge ... Knowledge of Utilization Review, Case Management, Electronic Health Records (Allscripts preferred ...

Emblem Home Health Phoenix

Intake Manager

Phoenix, AZ · On-site

JOB SUMMARY The Intake Manager communicates and coordinates with patients, families, community ... Responsible for pulling and reviewing intake reporting related to daily, weekly or monthly ...

Deercreekseniorliving

Intake Manager

Phoenix, AZ · On-site

$60 - $85/hr

JOB SUMMARY The Intake Manager communicates and coordinates with patients, families, community ... Responsible for pulling and reviewing intake reporting related to daily, weekly or monthly ...

Pure Infusion

Intake Project Support Specialist

Phoenix, AZ · On-site

$17.50 - $23.50/hr

You'll be the central resource across Intake, coordinating contract flips, payer retractions, site ... Gather transcription-related escalations for supervisor review. Monitor outstanding documentation ...

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Utilization Review Intake Coordinator information

What does a utilization review intake coordinator do?

A Utilization Review Intake Coordinator is responsible for reviewing and processing incoming referrals and requests for healthcare services to ensure they meet clinical guidelines and payer requirements. They collect and verify patient information, coordinate with healthcare providers, and initiate case reviews for medical necessity and insurance authorization. Their work is vital in ensuring patients receive appropriate care while adhering to insurance and regulatory policies.

What are the key skills and qualifications needed to thrive as a utilization review intake coordinator?

To thrive as a Utilization Review Intake Coordinator, you need a solid understanding of medical terminology, insurance processes, and healthcare regulations, often supported by a background in healthcare administration or nursing. Familiarity with electronic medical records (EMR) systems, insurance verification tools, and authorization management software is typically required. Strong organizational skills, attention to detail, and effective communication are essential soft skills for this position. These competencies ensure accurate and timely processing of patient cases, compliance with regulations, and coordination among patients, providers, and payers.

What are some common challenges faced by utilization review intake coordinators, and how can they be managed?

Utilization Review Intake Coordinators often face the challenge of managing high volumes of case referrals while ensuring accuracy and timeliness in processing. Balancing multiple priorities, such as coordinating with clinical staff, verifying insurance information, and meeting regulatory deadlines, can be demanding. Effective time management, strong communication skills, and familiarity with electronic health record (EHR) systems are essential for handling these challenges. Staying organized and building strong working relationships with both internal teams and external stakeholders also helps streamline workflows and reduce stress.

What is the difference between Utilization Review Intake Coordinator vs Utilization Review Nurse?

AspectUtilization Review Intake CoordinatorUtilization Review Nurse
CredentialsHigh school diploma or equivalent; certification may be preferredRN license; certification in case management or utilization review often required
Work EnvironmentOffice setting, administrative tasks, patient data intakeClinical setting, reviewing medical records, patient care coordination
Employer & IndustryInsurance companies, healthcare providers, third-party administratorsHospitals, clinics, insurance companies
Search & Comparison IntentFocus on administrative and intake responsibilitiesFocus on clinical review and patient care decisions

The Utilization Review Intake Coordinator primarily handles administrative tasks related to patient data intake and initial review, often requiring administrative credentials. In contrast, the Utilization Review Nurse performs clinical assessments, reviews medical records, and makes patient care decisions, requiring an RN license. Both roles are essential in healthcare utilization management but differ in their focus and qualifications.

What are popular job titles related to Utilization Review Intake Coordinator jobs in Arizona?

For Utilization Review Intake Coordinator jobs in Arizona, the most frequently searched job titles are:

What job categories do people searching Utilization Review Intake Coordinator jobs in Arizona look for?

The top searched job categories for Utilization Review Intake Coordinator jobs in Arizona are:

Utilization Review Intake Coordinator jobs near you
Infographic showing various Utilization Review Intake Coordinator job openings in Arizona as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution.

Utilization Management Coordinator - PRN

UHS

Phoenix, AZ • On-site

Per diem

Medical, Dental, Vision, Retirement, PTO

Re-posted 19 days ago

Universal Health Services rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

454th of 898 rated healthcare providers

Job description

Responsibilities
Quail Run Hospital is a 115-bed, acute care psychiatric hospital located in Phoenix, Arizona. Quail Run features individual units for adolescents, adults, and seniors, and offers inpatient acute care, partial hospitalization, and intensive outpatient programs. On average, over 10,000 patients receive care from our compassionate health care team each year at Quail Run Behavioral Health. Website: https://jobs.uhsinc.com/quail-run-behavioral-health
PRN- As Needed Monday - Friday (Not Remote)
Job Description
Facilitates a continuum of service while promoting positive outcome and optimal reimbursement, through coordination of patient care, daily clinical reviews, quality documentation, appeals, and reporting.
Job Duties/Responsibilities
  • Performs timely, daily clinical reviews with all payer types (Managed Medicare, Managed Medicaid and commercial) to secure authorization for continued treatment (i.e. by fax, telephone or on-line) based on payer's criteria.
  • Functions as a key member of the multidisciplinary treatment team to educate and guide on level of care requirements and payer expectations for patient acuity and appropriate utilization.
  • Completes quality and timely appeal/denial letters. Participates in post claim recovery review and ongoing audit activity, supporting compliance with CMS and other regulators.
Benefit Highlights:
  • Challenging and rewarding work environment
  • Competitive Compensation and Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Career development opportunities within UHS and its 300+ Subsidiaries!
About Universal Health Services
Headquartered in King of Prussia, PA, Universal Health Services, Inc. (NYSE: UHS) is one of the nation's largest and most respected providers of hospital and healthcare services. Since our founding in 1979, UHS has grown steadily into a premier Fortune 500® corporation perennially recognized by multiple esteemed national rating entities. Through its subsidiaries, UHS operates inpatient acute care facilities, inpatient behavioral health facilities, outpatient and other facilities, nationwide virtual behavioral health services, an insurance offering, a physician network and various related services with physical locations in the U.S., Puerto Rico, Ireland and United Kingdom. www.uhs.com .
Qualifications
Job Requirements
  • Bachelor's prepared healthcare professional (Counseling, Psychology or Social Work) required.
  • Minimum of 1 years experience in psychiatric behavioral health preferred.
  • Handle With Care and Basic Life Support (BLS) for Providers required. Training provided at the facility.
  • Level 1 Arizona Fingerprint Clearance card or be able to obtain within 30 days of hire.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

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About Universal Health Services

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.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US

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