Utilization Review Manager - Home Care jobs in Glendale, AZ
Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
Recently Added Utilization Review Manager - Home Care jobs
RN Utilization Review Coordinator
- Valleywise Health System
-
Phoenix, AZ
FULL_TIME
-
As a Valleywise Utilization Review RN Coordinator, you are part of a multidisciplinary team providing exceptional care to our patients. As a Utilization Review RN Coordinator, you work under the direction of the Manager of Care Management as part of the inpatient Care Management Team. You are responsible for determining the appropriateness of patient status and medical necessity for services provided through the acute care medical hospital. This requires proficiency in clinical criteria, evidence-based practice, regulatory compliance, reimbursement sources, and the health care delivery system. The RN Utilization Review Coordinator is responsible for assuring the appropriate use of resources and facilitating the patient’s progression through the continuum of care in a timely and cost-effective manner. This position works with managed care plans, third-party payers, the business office, and the interdisciplinary team to ensure authorization for reimbursement at the appropriate level is confirmed to ensure payment of expected reimbursement.Hourly Pay Range: $34.15 - $50.37QualificationsEducation:
- Prefer a bachelor's degree in Nursing.
Experience:- Preferred to have at least three (3) years of recent acute clinical RN hospital experience, preferably in Case Management and/or Utilization Management.
Specialized Training:- Trained in Epic, InterQual, Midas and internally used software programs is strongly preferred.
Certification/Licensure:- Must possess a current, valid Arizona RN licensure and be in good standing with the AZ Board of Nursing.
- Prefer specialty certification in utilization or case management to be obtained within 30 months of hire.
- Prefer to have Basic Life Support within 30 days of hire.
- Prefer to complete CPI training within six months of hire.
Knowledge, Skills, and Abilities:- Must have a working knowledge of case management, hospital, community resources, and resource/utilization management.
- The position requires excellent communication, clinical skills, and maintaining professional rapport with physicians.
- Requires extensive knowledge of evidence-based clinical guidelines, best practice, workup, treatment, prognosis, and hospital procedures.
- Critical thinking ability is essential.
- Strong critical care skills, understanding of medical documentation and pathophysiology.
- Knowledge of acute care criteria sets and state and federal reimbursement programs.
- Requires the ability to read, write, and speak effectively in English.
- 5 Days Ago
Utilization Review Coordinator
- Neuropsychiatric Hospitals
-
Phoenix, AZ
FULL_TIME
- About Us HEALING THE BODY AND MIND Founded fifteen (15) years ago, NeuroPsychiatric Hospital is the largest hospital system in the nation providing care to patients with both neurological and medical ...
- 9 Days Ago
Home Care Branch Manager
- Endeavor Home Care Group, LLC
-
Phoenix, AZ
FULL_TIME
- We are truly passionate about helping others and are looking for someone to join our family at Endeavor as a Branch Manager for our Scottsdale/Phoenix Office. Endeavor Home Care is one of the largest ...
- 4 Days Ago
Care Manager for Home Care Agency
- HomeWell Care Services
-
Phoenix, AZ
FULL_TIME
- Benefits: Competitive salary Flexible schedule Training & development IMMEDIATE NEED FOR A GREAT CARE MANAGER TO HELP A GROWING HOME CARE AGENCY HomeWell isn't your typical home health agency. We're r...
- 2 Months Ago
Care Manager for Home Care Agency
- HomeWell Care Services AZ236
-
Phoenix, AZ
FULL_TIME
- Benefits: Competitive salary Flexible schedule Training & development IMMEDIATE NEED FOR A GREAT CARE MANAGER TO HELP A GROWING HOME CARE AGENCY HomeWell isn't your typical home health agency. We're r...
- 2 Months Ago
Care Manager for Home Care Agency
- HomeWell Care Services
-
Glendale, AZ
FULL_TIME
- Benefits: Company parties Competitive salary Flexible schedule Opportunity for advancement Paid time off Training & development IMMEDIATE NEED FOR GREAT CAREGIVERS WHO WANT TO STEP INTO A COORDINATOR ...
- 2 Months Ago
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0 Utilization Review Manager - Home Care jobs found in Glendale, AZ area
Clinical Manager - Adult Mental Health Services (Phoenix)
- Jewish Family & Children's Service
-
Phoenix, AZ
- Overview: Jewish Family and Childrens Services (JFCS) values each and every talented applicant, regardless of religious ...
- 5/1/2024 12:00:00 AM
Supervisory Tax Specialist (TCO Group Manager), NTE 1 YR (12 MONTH ROSTER) (Amended)
- Department Of The Treasury
-
Glendale, AZ
- Duties WHAT IS THE TAX EXEMPT/GOVERNMENT ENTITIES (TEGE) DIVISION? A description of the business units can be found at: ...
- 5/1/2024 12:00:00 AM
Authorization Specialist II
- Centene Corporation
-
Phoenix, AZ
- You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Managem...
- 5/1/2024 12:00:00 AM
Bilingual General Manager
- Ojos Locos
-
Phoenix, AZ
- The position requires the General Manager to be responsible for directing and assisting with the work of store employees...
- 5/1/2024 12:00:00 AM
Store Manager
- Community Choice Financial Family of Brands
-
Phoenix, AZ
- Overview: As a Store Manager ("SM"), you will assist in managing overall store performance by overseeing account managem...
- 5/1/2024 12:00:00 AM
Full-Time Operations Manager
- The Buckle
-
Glendale, AZ
- Summary The Operations Manager is responsible for fulfilling our mission statement, "to create the most enjoyable shoppi...
- 4/29/2024 12:00:00 AM
Operations manager
- Michaels Stores
-
Glendale, AZ
- Store - PHX-PEORIA, AZ Lead the operational processes to deliver sales and profits while protecting our assets. Provide ...
- 4/29/2024 12:00:00 AM
Project Manager
- Jet Industries
-
Glendale, AZ
- Jet Industries Inc. is a nationwide, family-owned, contractor that has thrived in business since 1977 by fostering an en...
- 4/28/2024 12:00:00 AM
About Glendale, Arizona
Glendale /ˈɡlɛndeɪl/ is a city in Maricopa County, Arizona, United States, located about nine miles (14 km) northwest from Downtown Phoenix. According to the 2017 U.S. Census estimates, the population of the city is 246,709.
Glendale is located at 33°32′19″N 112°11′11″W / 33.53861°N 112.18639°W / 33.53861; -112.18639 (33.538654, −112.186261)....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$75,505 to $96,256
Glendale, Arizona area prices
were up 2.2% from a year ago
were up 2.2% from a year ago