Utilization Review Manager Salary in Arizona - State Average

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Average Salary for Utilization Review Manager in Arizona - State Average

The average salary of a(n) Utilization Review Manager in Arizona - State Average is $44,161.

The average hourly rate of a(n) Utilization Review Manager in Arizona - State Average is $21.23.

The average bonus of a(n) Utilization Review Manager in Arizona - State Average is $1,448.00.

Job Description:

Manages a department responsible for the determination of medical necessity and appropriateness of care based on predetermined criteria and/or guidelines. Manages the utilization review function to ensure accurate and timely prior authorization of designated healthcare services, concurrent review, and retrospective review activity. Typically requires licensure as a Registered Nurse with clinical and managed care experience. Hires, develops, and motivates a qualified utilization review department staff. Plans, organizes, implements, and evaluates departmental outcomes. Performs regular data analysis of hospital census, authorization information, and medical cost reports to identify variances and root causes so that areas of focus may be identified and resources may be appropriately deployed. Ensures that benefits and policies are properly interpreted and that care is rendered in the most appropriate site of service with a focus on quality care and cost efficient outcomes. Assures timely response to provider requests for services per department standards. Conducts regular clinical reviews for utilization management activities based on guidelines and standards for patients in a variety of settings. Prepares and manages the departmental budget. Less

Manages a department responsible for the determination of medical necessity and appropriateness of care based on predetermined criteria and/or guidelines. Manages the utilization review function to ensure accurate and timely prior authorization of designated healthcare services, concurrent review, and retrospective... More

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Results for Utilization Review Manager in Arizona - State Average

Integrated Care Manager - Phoenix, AZ

Aetna

Click here to review the benefits associated with this position. Analyzes all utilization, self-report and clinical data available to consolidate information...

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Case Manager - RN or LCSW (Phoenix) - Phoenix, AZ

TriWest Healthcare Alliance

O URAC-recognized case manager certification upon hire. The VA will then review this paperwork and verify your citizenship....

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Case Manager (RN) - Phoenix, AZ

Aetna

Nursing/Certified Case Manager (CCM) is desired. Click here to review the benefits associated with this position....

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Banner Staffing: RN Case Manager-AZ - Mesa, AZ

Banner Health

CCM (Certified Case Manager) preferred. Banner Staffing are currently seeking RN Case Managers. Must possess knowledge of case management or utilization review...

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RN - CASE MANAGER/CDI - FT - DAYS - REQ #1494 - Arizona

Valley View Medical Center

Nurse Care Manager:. This position is responsible for initial utilization and discharge assessment and completes concurrent utilization review and monitor...

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