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 ...
Utilization Review Manager
Phoenix, AZ · On-site
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 ...
Utilization Review Manager
Phoenix, AZ · On-site
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 ...
Utilization Review Manager
Phoenix, AZ · On-site
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 ...
Utilization Review Manager
Phoenix, AZ · On-site
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 Review Nurse
Phoenix, AZ · Remote
$41 - $44/hr
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 ...
Quick apply
Clinical Quality Review Nurse
Phoenix, AZ · Remote
$41 - $44/hr
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 ...
UR Utilization Review Coordinator
$34 - $36/hr
Two (2) years behavioral health experience and/or previous work in Utilization Management/Utilization Review working with Medicare and Medicaid payor sources is highly recommended. * Able to ...
New
Quick apply
UR Utilization Review Coordinator
$34 - $36/hr
Two (2) years behavioral health experience and/or previous work in Utilization Management/Utilization Review working with Medicare and Medicaid payor sources is highly recommended. * Able to ...
New
Registered Nurse (RN) - Case Management
Phoenix, AZ · On-site
$2.2K/wk
Contract Weeks: 40 Requirements - Active RN license - Experience in case management or utilization review Roles & Responsibilities - Facilitate patient care along the continuum through effective ...
Registered Nurse (RN) - Case Management
Phoenix, AZ · On-site
$2.2K/wk
Contract Weeks: 40 Requirements - Active RN license - Experience in case management or utilization review Roles & Responsibilities - Facilitate patient care along the continuum through effective ...
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) * ...
Quick apply
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) * ...
As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients ... Utilization Review. Consistently applies the utilization review process as required by the Code of ...
As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients ... Utilization Review. Consistently applies the utilization review process as required by the Code of ...
The RN Case Manager works with the physician who is the decisive authority in the referral ... Utilization Review. Consistently applies the utilization review process as required by the Code of ...
The RN Case Manager works with the physician who is the decisive authority in the referral ... Utilization Review. Consistently applies the utilization review process as required by the Code of ...
Education & Experience Required: • Registered Nurse, with current valid, unrestricted nursing ... years utilization review or case management • U.S. Citizenship • Must be able to receive a ...
Education & Experience Required: • Registered Nurse, with current valid, unrestricted nursing ... years utilization review or case management • U.S. Citizenship • Must be able to receive a ...
Education & Experience Required: • Registered Nurse, with current valid, unrestricted nursing ... years utilization review or case management • U.S. Citizenship • Must be able to receive a ...
Education & Experience Required: • Registered Nurse, with current valid, unrestricted nursing ... years utilization review or case management • U.S. Citizenship • Must be able to receive a ...
Education & Experience Required: • Registered Nurse, with current valid, unrestricted nursing ... years utilization review or case management • U.S. Citizenship • Must be able to receive a ...
Education & Experience Required: • Registered Nurse, with current valid, unrestricted nursing ... years utilization review or case management • U.S. Citizenship • Must be able to receive a ...
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) 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 ...
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 ...
RN Case Manager Shea
Scottsdale, AZ · On-site
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.
RN Case Manager Shea
Scottsdale, AZ · On-site
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.
RN Case Manager Shea
Scottsdale, AZ · On-site
... 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 ...
RN Case Manager Shea
Scottsdale, AZ · On-site
... 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 ...
RN Case Manager Shea
Scottsdale, AZ · On-site
... 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 ...
RN Case Manager Shea
Scottsdale, AZ · On-site
... 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 ...
... RN analyst or auditor in Utilization Review, Medical Claim Review and/or Care Management Required Education * Associate's Degree in Nursing or related field of study Required Licenses * Active ...
... RN analyst or auditor in Utilization Review, Medical Claim Review and/or Care Management Required Education * Associate's Degree in Nursing or related field of study Required Licenses * Active ...
... RN analyst or auditor in Utilization Review, Medical Claim Review and/or Care Management Required Education * Associate's Degree in Nursing or related field of study Required Licenses * Active ...
... RN analyst or auditor in Utilization Review, Medical Claim Review and/or Care Management Required Education * Associate's Degree in Nursing or related field of study Required Licenses * Active ...
... RN analyst or auditor in Utilization Review, Medical Claim Review and/or Care Management Required Education * Associate's Degree in Nursing or related field of study Required Licenses * Active ...
... RN analyst or auditor in Utilization Review, Medical Claim Review and/or Care Management Required Education * Associate's Degree in Nursing or related field of study Required Licenses * Active ...
Utilization Review Rn information
See Tempe, AZ salary details
$20.49 - $24.64
2% of jobs
$24.64 - $28.78
9% of jobs
$31.61 is the 25th percentile. Wages below this are outliers.
$28.78 - $32.92
21% of jobs
The median wage is $36.28 / hr.
$32.92 - $37.07
23% of jobs
$37.07 - $41.21
13% of jobs
$44.44 is the 75th percentile. Wages above this are outliers.
$41.21 - $45.36
10% of jobs
$45.36 - $49.50
8% of jobs
$49.50 - $53.64
5% of jobs
$53.64 - $57.79
5% of jobs
$57.79 - $61.93
2% of jobs
$61.93 - $66.08
2% of jobs
$20
$40
$66
How much do utilization review rn jobs pay per hour?
How does a utilization review RN collaborate with physicians and other healthcare professionals during the patient care review process?
What are the key skills and qualifications needed to thrive as a utilization review RN, and why are they important?
How to get into utilization review as a registered nurse?
What is the difference between Utilization Review Rn vs Case Manager?
| Aspect | Utilization Review Rn | Case Manager |
|---|---|---|
| Credentials | RN license, certifications in utilization review | RN license, certifications in case management |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, community agencies, insurance companies |
| Primary Focus | Reviewing medical necessity and appropriateness of care | Coordinating 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?

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 15 days ago
Universal Health Services rating
6.8
Based on 253 frontline employees who took The Breakroom Quiz
492nd of 887 rated healthcare providers
Job description
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_TIMEWhat Universal Health Services employees say
Pay
Benefits
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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