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

Job Tags

Similar Jobs

OLIVER Transcreation

Freelance | German Creative Writer | Technology Company Job at OLIVER Transcreation

 ...prestigious client in the technology industry, we are seeking a talented German Creative Writer to join our team at OLIVER to deliver and maintain high-quality marketing copy for a leading US tech global company/brand and their product launches and descriptions. You will help... 

Brix & Partners L L C

International Tax Analyst - Entry Level with Health Benefits Job at Brix & Partners L L C

A leading tax consulting firm in New York is seeking a junior tax professional. This role involves U.S. tax compliance and assisting international clients with tax planning and consulting services. Strong communication and accounting skills are required, along with a Bachelor...

iCRYO

RN - Registered Nurse - Part time Position Job at iCRYO

 ...Do you have a passion for nursing but are tired of the hectic, high-stress environment of a clinic or ER?This is your chance to take...  ...your RN career on an exciting new path! Join our team as a part or full-time Registered Nurse with competitive pay, commissions, and opportunities... 

West Chester Assisted Living & Memory Care

Wellness Nurse - Part-Time Job at West Chester Assisted Living & Memory Care

 ...story include caring for others and a dedicated work ethic, then we need you! Job Description Schedule: Part-Time, 7am-7pm. The Wellness Nurse supports the health and well-being of residents through ongoing clinical monitoring and support, provides... 

Ameriship Parcel Delivery

Courier/Independent Contractor Job at Ameriship Parcel Delivery

 ...Job Details: Position: Delivery/Pickupdriver Pay: $600 - $1,200 per week Job Type:Independent Contractor/Courier Schedule: Monday through Friday Locations: Tyler, TX 75708 Job Summary: Ameriship Parcel Delivery is a medical overnight and courier...