Remote Utilization Review Nurse Job at TriWest Healthcare Alliance, Phoenix, AZ

  • TriWest Healthcare Alliance
  • Phoenix, AZ

Job Description

TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective, appropriate utilization of Behavioral Health and Medical/Surgical services. Responsibilities include preauthorization, inpatient and continued stay reviews, and presenting complex cases for Medical Director review, while staying compliant with InterQual and TriWest policies. #J-18808-Ljbffr TriWest Healthcare Alliance

Job Tags

Similar Jobs

Stephen Cole - State Farm Agent

Customer Relations Representative - State Farm Agent Team Member Job at Stephen Cole - State Farm Agent

 ...outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to...  ...questions, working for a State Farm independent contractor agent may be the career for you! State...  ...are not employees of State Farm. Flexible work from home options available.... 

PSG Global Solutions

Contract Recruiter - Onsite : Immediately Hiring Job at PSG Global Solutions

 ...Global Solutions is hiring a High-Volume Recruiter to support an online retail clients hiring team. In this onsite role, youll...  ...-volume corporate, recruitment process outsourcing (RPO), or staffing agency environment. Strong candidate assessment, organization, and... 

Focus Interpreting Inc

American Sign Language Interpreter in Pasadena Job at Focus Interpreting Inc

 ...POSITION SUMMARY: Focus Interpreting is seeking a talented American Sign Language (ASL) Interpreter to join our team in Pasadena. In this role, you will facilitate communication between deaf and hearing individuals by accurately interpreting spoken language into ASL... 

BayCare

Transporter I Job at BayCare

 ...Transporter IAt BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support... 

Career Soft Solutions Inc

Healthcare Project Manager Job at Career Soft Solutions Inc

 ...We are Hiring for Project Manager Healthcare in Street, Boise, Idaho 83702 Project Manager 450 W. State Street, Boise, Idaho 83702 Hybrid 17 months of contract ONLY W2 Skill Required / Desired Amount of Experience Project management experience...