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

The Inline Group

Physician (MD/DO) - Internal Medicine - General/Other in Peoria, IL Job at The Inline Group

 ...Doctor of Medicine | Internal Medicine - General/Other Location: Peoria, IL Employer...  ...: ASAP About the Position Carle Physician Group - Full Time outpatient;...  ...family medicine, integrative medicine, and preventive medicine services. X-ray services are... 

General Logistics, Inc.

Class A CDL Truck Driver Job Job at General Logistics, Inc.

Class A CDL Truck Driver JobPulling reefer trailer. Off loading products into reefer straight trucks. Sunday night thru Thursday. Night time operation. No overnights. Pay: average $1,350.00 per weekBCBS health, paid vacations, paid holidays, 401(k),driver referral... 

Sonsoft

Mulesoft Developer Job at Sonsoft

 ...Development and QA teams to establish best practices implementation of methodologies and toolsets,Make technology decisions related to Mulesoft/eCommerce environmentOversee the development and maintenance of technical and process documentationDocuments design specifications... 

24 Seven Talent

Social Media Manager Job at 24 Seven Talent

 ...One of our sports tech startup clients is looking for a Social Media Manager and Content Creator to join their new team for an exciting...  ...: $33-36/hr DOEQualifications At least 25 years of experience in digital marketing, social media, or community management... 

Naughty Dog

Senior Game Designer (Combat) Job at Naughty Dog

 ...Naughty Dog has been crafting best-selling, critically acclaimed games that constantly push the boundaries of narrative, gameplay, and...  ...studio and the titles we craft together.What you will do:Pitch, design, implement, and own enemy NPC archetypesWork with AI...