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Utilization Review Rn Jobs in Phoenix, AZ (NOW HIRING)

Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position ... Bachelor's degree from an accredited college/university in social work, mental health, or nursing ...

Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position ... Bachelor's degree from an accredited college/university in social work, mental health, or nursing ...

Responsibilities Utilization Review Manager (URM) Position: Full-Time Shift: Daytime This position ... Bachelor's degree from an accredited college/university in social work, mental health, or nursing ...

CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is ... Review medical records to identify potential quality, safety, and utilization concerns * Conduct ...

REMOTE RN - Quality Review

Phoenix, AZ · Remote

$42 - $43.50/hr

Review medical records to identify potential quality, safety, and utilization concerns * Conduct ... Active, unrestricted license as a Registered Nurse (RN) or Licensed Clinical Social Worker (LCSW) * ...

Nurse Case Manager (RN)

Glendale, AZ · On-site

$61K - $100K/yr

Nurse Case Manager (RN) Hospitals on Incredible Health are actively hiring and accepting ... Clinical pathway, Navigator, or Utilization Review. Shift(s) available: day shift, night shift, and ...

Nurse Case Manager (RN)

Glendale, AZ · On-site

$61K - $100K/yr

Nurse Case Manager (RN). Nurses with experience in any of the following areas are strongly ... Clinical pathway, Navigator, or Utilization Review. * Shift(s) available: day shift, night shift ...

The RN Case Manager works in collaboration with patients, providers, and key stakeholders in ... utilization review documents according to hospital policy and state/ federal regulations.

... utilization review documents according to hospital policy and state/ federal regulations ... Nursing/RN - Registered Nurse - State Licensure And/Or Compact State Licensure Current RN (AZ or ...

... utilization review documents according to hospital policy and state/ federal regulations ... Nursing/RN - Registered Nurse - State Licensure And/Or Compact State Licensure Current RN (AZ or ...

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Utilization Review Rn information

See Phoenix, AZ salary details

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$41

$68

How much do utilization review rn jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for utilization review rn in Phoenix, AZ is $41.98, according to ZipRecruiter salary data. Most workers in this role earn between $33.17 and $48.22 per hour, depending on experience, location, and employer.

How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?

A Utilization Review RN works closely with physicians, case managers, and other healthcare team members to ensure that patients receive appropriate care while adhering to regulatory and insurance guidelines. This collaboration often involves discussing clinical findings, clarifying documentation, and negotiating care plans to meet both patient needs and payer requirements. Effective communication and teamwork are essential, as Utilization Review RNs frequently serve as liaisons between clinical staff and insurance representatives to facilitate timely authorizations and prevent unnecessary delays in patient care.

What are the key skills and qualifications needed to thrive as a utilization review RN, and why are they important?

To thrive as a Utilization Review RN, you need a current RN license, strong clinical assessment skills, and knowledge of healthcare regulations and insurance guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certifications like CCM or ACM is often required. Excellent critical thinking, communication, and negotiation skills help you advocate for appropriate patient care while collaborating with providers and payers. These skills ensure cost-effective, quality care and compliance with regulatory standards in healthcare delivery.

How to get into utilization review as a registered nurse?

To become a utilization review RN, you typically need a valid registered nurse license and experience in clinical settings. Additional certifications such as the Certified Professional in Healthcare Quality (CPHQ) or knowledge of medical coding and insurance processes can enhance your qualifications. Gaining experience in case management or health insurance companies can also improve your chances of entering the field.

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

AspectUtilization Review RnCase Manager
CredentialsRN license, certifications in utilization reviewRN license, certifications in case management
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, community agencies, insurance companies
Primary FocusReviewing medical necessity and appropriateness of careCoordinating patient care and discharge planning

Utilization Review Rns primarily focus on evaluating the necessity of medical treatments, while Case Managers coordinate patient care and discharge planning. Both roles require RN licensure and certifications, but their daily responsibilities and work environments differ slightly, with Utilization Review Rns concentrating on review processes and Case Managers on patient advocacy and care coordination.

What is a utilization review RN?

A Utilization Review RN is a registered nurse who evaluates the necessity, appropriateness, and efficiency of healthcare services and treatments provided to patients. They review medical records, collaborate with healthcare teams, and ensure that patient care meets established guidelines and payer requirements. Their role helps control costs, optimize care, and support compliance with healthcare regulations. Utilization Review RNs often work in hospitals, insurance companies, or managed care organizations.
What cities near Phoenix, AZ are hiring for Utilization Review Rn jobs? Cities near Phoenix, AZ with the most Utilization Review Rn job openings:
Infographic showing various Utilization Review Rn job openings in Phoenix, AZ as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 14% Part Time, and 3% Contract. Highlights an 90% Physical, 3% Hybrid, and 7% Remote job distribution, with an average salary of $87,323 per year, or $42 per hour.

Utilization Review Manager

UHS

Phoenix, AZ

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 16 days ago


Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 253 frontline employees who took The Breakroom Quiz

492nd of 887 rated healthcare providers


Job description

Responsibilities

Utilization Review Manager (URM)

Position: Full-Time 

Shift: Daytime

This position includes a $1,500 sign on bonus!

For over 60 years, Calvary Healing Center has provided a full continuum of care, specializing in addiction treatment for adults across the Phoenix area and Nationwide.  Calvary’s proven treatment programs address the practical, physical, and spiritual aspects of addiction for lasting recovery. Our flagship location in Phoenix offers on-site detoxification and in-patient treatment programs, a partial hospitalization program (PHP), and an intensive outpatient program (IOP). We also have satellite clinics offering Intensive Outpatient Programs in the West Valley region and Metropolitan Phoenix.  Through our programs we offer many other holistic healing and treatment options complementing our services ranging from yoga, art workshops, and music. 

Our website: https://calvarycenter.com/

Summary of URM Duties: The UR Manager oversees utilization management including, but not limited to: utilization review, case documentation, payer relationships, regulatory requirements, staff management and department administration. Supports the overall success of the facility and promotes patient satisfaction, regulatory compliance and optimal reimbursement.

Benefits for the URM include:

  • Tuition Assistance after 90 days of employment 
  • Career development opportunities within UHS and its 300+ Subsidiaries
  • Challenging and rewarding work environment
  • HealthStream on-line learning catalogue with plenty of free CEU courses
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Pet Insurance

If you would like to learn more about the URM position, please contact Loretta Gaspar, HR Director at: Loretta.Gaspar@uhsinc.com

What do our current employees value at Calvary Healing Center & UHS?

An environment that puts patient care first.  One of the most rewarding aspects of working as an employee is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times.  Supportive and responsive leadership.  You are never alone, as you are part of a large network of professionals that routinely exchange ideas and review current topics within the industry.  Having the opportunity to grow, learn, and advance in your career.  There are very robust continuing education options and opportunities for skills diversification and career advancement as an employee with UHS.  

One of the Nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, our annual revenues were $10.77 billion in 2018. In 2020, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2019, ranked #293 on the Fortune 500; and in 2017, listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies. Headquartered in King of Prussia, PA, UHS has more than 87,000 employees and through its subsidiaries operates 26 acute care hospitals, 327 behavioral health facilities, 40 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 37 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.


Qualifications

Education/ Experience: 

  • Bachelor's degree from an accredited college/university in social work, mental health, or nursing degree. 
  • A minimum of three (3) years direct clinical experience in a psychiatric or mental health setting. 
  • Experience in treatment planning and communication with external review organizations or comparable entities. 
  • Valid Arizona Level One Fingerprint Clearance Card 
  • Completion of BLS & First Aid Certification, within 30 days of employment. 
  • Completion of Handle With Care Training, within 30 days of employment

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.


We believe that diversity and inclusion among our teammates is critical to our success.


Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 

1-800-852-3449

Qualifications:

Education/ Experience: 

  • Bachelor's degree from an accredited college/university in social work, mental health, or nursing degree. 
  • A minimum of three (3) years direct clinical experience in a psychiatric or mental health setting. 
  • Experience in treatment planning and communication with external review organizations or comparable entities. 
  • Valid Arizona Level One Fingerprint Clearance Card 
  • Completion of BLS & First Aid Certification, within 30 days of employment. 
  • Completion of Handle With Care Training, within 30 days of employment

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.


We believe that diversity and inclusion among our teammates is critical to our success.


Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 

1-800-852-3449

Education:UNAVAILABLEEmployment Type: FULL_TIME

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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