607 Results for

Review Nurse Jobs in Arizona

Jobs

New!

Yuma, AZ1 day ago

This role involves conducting focused, in-person physical exams and reviewing medical records electronically to complete the required documentation for the VA. We are seeking a dedicated Nurse Practitioner (NP) or Physician Assistant (PA) to join our team in performing medical assessments for U.S. Veterans as part of the VA's disability benefits process.

Phoenix, AZ9 days ago

As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders.

Flagstaff, AZ9 days ago

New!

Chandler, AZ3 days ago

$45–$48

Must be able to serve as the educational resource for ensuring the facility is able to properly educate; residents, families, associates, consultants, contractors, and volunteers on information regarding: COVID-19, infectious diseases, outbreaks, and. Must be able to plan, develop, organize, implement, and evaluate facility-wide systems for the prevention, identification, investigation and control of infections of residents, staff, and visitors.

New!

Mesa, AZ3 days ago

$35–$37

Promotes quality care using a collaborative process that coordinates, monitors, and evaluates services according to the needs of and interpersonal contact with patients. Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours.

New!

Mesa, AZ3 days ago

$41–$46

Promotes quality care using a collaborative process that coordinates, monitors, and evaluates services according to the needs of patients. Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours.

New!

Yuma, AZ3 days ago

Remote

$2,500–$4,000

You will be provided a pre-populated, patient-specific form for each evaluation and do not prescribe medicine, order lab tests, or alter people’s current treatment regimen. We’re hiring board-certified nurse practitioner contractors to conduct In-home Health Evaluations for Medicare Advantage, Medicaid, and certain commercial plan members.

New!

Luke Air Force Base, AZToday

Remote

$72,800–$130,000 Per Year

Perform clinical documentation review of inpatient and outpatient care delivered to adults and children with Medicaid, Medicare health care benefits through Arizona United Health Care Community Plans for peer review and internal investigations of Quality of Care concerns. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Scottsdale, AZ10 days ago

Provide clinical care through the direct application of the nursing process; perform and document resident assessments and progress notes, evaluate changes in care needs, complete Individualized Service Plans (ISP), provide or delegate hands-on clinical care as indicated by the plan of care, and evaluate resident outcomes. Provide strategic leadership for resident care in the community by managing, directing, and monitoring the medication care managers, as applicable by State/Provincial law, to promote the health and wellness of the resident population.

New!

Phoenix, AZ3 days ago

$87,035–$187,460 Per Year

Oak Street Health is on a mission to “rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and living life to the fullest. During the program, fellows spend time building their own patient panel, learning from a multitude of preceptors, and engaging in didactic content that aims to build on, not repeat, graduate training.

New!

Cottonwood, AZToday

$85,196–$127,794 Per Year

Coordinates and supervises an interdisciplinary team of staff to assure the continuity of high quality care to home health patients assigned to the team's area in accordance with physician prescribed plan of care, and all applicable state and federal laws and regulations. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve.

New!

Cashion, AZ2 days ago

$72,800–$130,000 Per Year

Clinical Quality Consultant RN will drive consistency, efficient processes and share best practices, in a collaborative effort with the provider and large or complex groups, designed to facilitate a minimum 4 STAR quality performance. Analyze and evaluate provider structure and characteristics, including EMR utilization, office operations, and personnel to identify the most effective approaches and strategies to improve STARS measure performance.

New!

PHOENIX, AZ1 day ago

$72,800–$130,000 Per Year

Arizona, AZ22 days ago

REQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.

Phoenix, AZ9 days ago

$41–$44

This role focuses on reviewing clinical cases, identifying potential quality or safety concerns, and supporting quality improvement initiatives across a complex healthcare delivery network. This is an excellent opportunity for a licensed clinical professional with experience in clinical review, utilization management, or healthcare quality within health plans, hospital systems, or government-supported programs.

New!

Phoenix, AZ2 days ago

Remote

$42–$43.50

SCOTTSDALE, AZ7 days ago

Our modern 120-bed facility offers specialized mental health services and substance use treatment for teens, adults, and older adults experiencing issues such as depression, anxiety, personality disorders and co-occurring addictions. Notice At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skill-set and experience with the best possible career at UHS and our subsidiaries.

Phoenix, AZ30+ days ago

Remote

Full-time

The team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.

New!

Phoenix, AZ5 days ago

AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. The Utilization Review Supervisor coordinates the activities of the UR department as they relate to medical necessity reviews, authorizations of inpatient, observation and sub-acute medical levels of care for Medicaid Business Segment members.

Tempe, Arizona30+ days ago

Prepares for and attends Claim Review Conference with TPA to evaluate individual cases; reviews, and adjusts financial reserves of claims; negotiates with TPA the settlement of claims within established authority and work together to develop detailed and doable Plans of Actions. Reporting to the Workers Compensation Compliance Supervisor and Workers Compensation Compliance Manager, the Claims Review Specialist will assist in the monitoring and administering of Aerotek's workers compensation program to ensure the maximum cost containment.

Chandler, AZ14 days ago

LICENSES/DESIGNATIONS/CERTIFICATIONS: Preferred Licensure: LPN, RN, LMSW, LCSW, LPC, LPC-I within the state where the facility provides services; or current clinical professional license or certification, as required, within the state where the facility provides services. Gather and develop statistical and narrative information to report on utilization, non-certified days (including identified causes and appeal information), discharges and quality of services, as required by the facility leadership or corporate office.

Phoenix, AZ22 days ago

$25.60–$35.20 Per Hour

The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE).

Phoenix, AZ30+ days ago

Conducts charge capture reviews as requested by payers, Patient Financial Services, and other TMCH departments to determine opportunities and provide education aimed at improving accuracy of charging practices at Tucson Medical Center (TMC). ESSENTIAL FUNCTIONS: Investigates and analyzes clinical denials and medical records using medical investigative skills to determine if there is support for an appeal based on clinical evidence in the medical record, medical literature and or coding references utilizing TMC's internal policies and procedures.

Florence, AZ30+ days ago

$80–$81 Per Hour

This role includes assessing, diagnosing, and treating patients; executing physician orders; prescribing medications within the scope of licensure; and coordinating patient care plans. The Advanced Registered Nurse Practitioner (ARNP) is responsible for providing comprehensive healthcare services to inmate/resident populations within a correctional healthcare environment.

New!

Peoria, AZ1 day ago

$59.36–$59.36

TYPE OF SUPERVISORY RESPONSIBILITIES N/A SCOPE AND COMPLEXITY Interacts with all levels of staff in a variety of departments, physicians, patients, families and external contacts, such as employees of other health care institutions, community providers and agencies, concerning the health care of the patient. SUPERVISORY RESPONSIBILITIES DIRECTLY REPORTING None MATRIX OR INDIRECT REPORTING Provides peer direction and support to licensed and non-licensed personnel in the activities necessary to provide quality care and services.

New!

Peoria, AZ1 day ago

New!

Tuba City, AZ6 days ago

$84–$84

NECESSARY QUALIFICATIONS Education: Associate s or Bachelor s Degree in Nursing Certifications/License: A valid, current, full and unrestricted Professional Nursing License to practice nursing in any state of the United States of America, The Commonwealth of Puerto Rico, or a territory of the United States Must have and maintain current Basic Life Support (BLS) certification by the American Heart Association throughout employment Experience: Three (3) years of clinical nursing experience with (1) year in an Outpatient/Inpatient setting Demonstrated knowledge of the case management, contract health, and utilization review processes. POSITION SUMMARY Incumbent serves as an Outpatient/Inpatient Nurse Case Manager for TCRHCC and at Sacred Peaks Healthcare Center (SPHC) as the supportive contact for specified groups of identified high risk patients; will specifically focus on specialty clinics that need specific Case Management attention.

New!

Tuba City, AZ6 days ago

$20–$20

Scottsdale, AZ7 days ago

Part-time

Keywords: Registered Nurse, RN, Women’s Health Nurse, Hormone Replacement Therapy, HRT, Medical Weight Loss, GLP-1, Wellness Clinic, IV Therapy, Phlebotomy, Injections, Concierge Medicine, Preventive Health, Pap Smear, Lab Work, Blood Testing, Birth Control, Common Illness Management, STD Testing, UTI Testing, Primary Care, Patient Care, Health and Wellness, Nursing Careers. Providing care within our concierge medicine offerings, including Pap smears, birth control management, lab work and blood testing, preventive health screenings, common illness management, STD/STI testing, and UTI testing.

Prescott, AZ30+ days ago

$140,000–$160,000

Whether you are an experienced clinician or newer in your practice, you bring strong clinical judgment, clear communication skills, and a dedication to delivering evidence-based medicine in a collaborative environment. We are seeking a Nurse Practitioner or Physician Assistant to provide full-spectrum outpatient primary care to patients across all ages.

Kingman, AZ30+ days ago

$100,000–$140,000

This is a community-focused position that allows you to build and maintain your own patient panel, foster long-term relationships, and provide comprehensive primary care to a diverse and underserved population. This full-time role offers a predictable weekday schedule with no after-hours responsibilities, making it ideal for providers seeking professional fulfillment and a balanced lifestyle.

Casa Grande, AZ30+ days ago

$100,000–$140,000

We focus on accessibility, wellness, and long-term health outcomes, providing our providers with a supportive, team-driven environment and opportunities for professional growth. You’ll provide full-spectrum outpatient care for patients of all ages, with an emphasis on prevention, chronic disease management, and patient education.

Mesa, AZ30+ days ago

$130,000–$180,000

Benefits: Medical, dental, and vision coverage; 3 weeks PTO/sick time with 1 additional week added each year up to 6 weeks total; CME support; UpToDate subscription; discounted and free clinic services. Providers are able to adjust appointment length based on patient needs, allowing for more personalized care and better clinical judgment rather than a rigid, one-size-fits-all model.

Mesa, AZ30+ days ago

$130,000–$160,000

The role focuses on evaluating patients with chronic and acute pain conditions, developing individualized treatment plans, and performing or assisting with minimally invasive interventional procedures. Perform or assist with interventional procedures including epidural steroid injections, medial branch blocks, radiofrequency ablation (RFA), spinal cord stimulator trials, vertebral augmentation, MILD, and Vertiflex procedures.

Tempe, AZ30+ days ago

Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. Under the direction of the Clinical Program Director, the Referral Management RN plays a vital role in managing electronic referrals, coordinating care with sending facilities, patients, and families, and conducting thorough clinical reviews of medical records.

Phoenix, AZ30+ days ago

This involves effective communication and collaboration with providers and other healthcare entities, such as managed care coordinators, insurance providers, and external healthcare partners responsible for coordinating resources and supplies pertinent to resident needs. Works closely with primary and specialty care providers to formulate resident-specific care plans, ensuring that the delivery of medically necessary services aligns with established care plans.

Goodyear, AZ30+ days ago

Physical demands: While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use hands to handle or feel objects, tools or controls; reach with hands and arms; climb steps/stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions. The Family Nurse Practitioner is primarily responsible for providing comprehensive primary health care services through the identification, management and/or referral of the health problems and the maintenance of the client's health by means of preventive care and health promotion.

Mesa, AZ7 days ago

Physical demands: While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use hands to handle or feel objects, tools or controls; reach with hands and arms; climb steps/stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions. Quality Methodologies: Maintain knowledge of current and future methodologies for instance: Plan, Do, Study, Act (PDSA); Desire, Measure, Analyze, Improve, Control (DMAIC); Awareness, Desire, Knowledge, Ability, Reinforcement (ADKAR); Specific, Measurable, Attainable, Relevant, Time-bound (SMART) models.

TEMPE, AZ30+ days ago

Sells, AZ30+ days ago

Current and unrestricted license as a Registered Nurse (RN) in a state of the United States is required and must have passed the National Council Licensure Examination (NCLEX). Provide clinical supervision and leadership to emergency department nursing staff, including registered nurses, licensed practical nurses, medical assistant and unit clerks.

Sells, AZ30+ days ago

Knowledge of and skill in using personal computers, various software, RPMS database, and related computer equipment to maintain databases, prepare reports, and track program activities. Responsible for general managerial duties with planning, organizing, directing, and evaluating a comprehensive inpatient care nursing program, staff development, and performance improvement program for the inpatient nursing department.

Casa Grande, AZ30+ days ago

Must possess certification by the American Academy of Nurse Practitioners (AANP), American Association of Critical-Care Nurses, American Midwifery Certification Board, American Nurses Credentialing Center, National Certification Corporation, or the Pediatric Nursing Certification Board. Routine duties include, even if rarely required, providing medical care and public health services to individuals eligible for services provided by TONHC in homes, schools, clinics, job sites, and other community locations within the TONHC service area.

Sells, AZ30+ days ago

Perform nursing procedures such as nasal-pharyngeal and gastric suction, the insertion of an NG tube, urinary catheterization, chest physical therapy, non-stress test, fetal monitoring, Ensure patient data collection and documentation, including temperature, pulse, respiration, blood pressure, intake and output, medication effects, and subjective and objective symptoms. Utilizes diversified professional concepts and practices while performing procedures, treatments, and tasks related to specialty areas, such as orthopedics, neurosurgery, pediatrics, urology, neurology, hematology, oncology, Ensure consults and referrals follow through a system for approval and appointments are scheduled in a timely manner.

Sierra Vista, Arizona30+ days ago

$135,000–$150,000

About Heart and Vascular Associates:Heart and Vascular Associates LLC is a premier healthcare provider located in Sierra Vista, Arizona, specializing in interventional cardiovascular care. This role involves a combination of hospital-based care and outpatientclinical responsibilities, with a strong emphasis on patient follow-up, test result management, and interdisciplinary communication.

Phoenix, AZ30+ days ago

Full-time

Phoenix, AZ30+ days ago

Full-time

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Review Nurse Jobs in Arizona

Nurse Practitioner or Physician Assistant - Yuma AZ MRG Exams

Dialysis Registered Nurse - Full-time U.S. Renal Care

Dialysis Registered Nurse U.S. Renal Care

Staff Development Coordinator (Registered Nurse/RN) Desert Cove Nursing Center

Care Manager Assistant - LPN Mi Casa Nursing Center

Case Manager (Registered Nurse/RN) Mi Casa Nursing Center

Nurse Practitioner for In-home Visits Signify Health

Senior Clinical Long Term Care Quality of Care RN - Remote in Arizona UHC

Resident Care Director- LPN Sunrise Senior Living

Oak Street Health New Graduate Nurse Practitioner Fellowship (Spanish Required) Oak Street Health

Patient Care Manager RN Cottonwood Optum

Senior Clinical Quality RN - Hybrid East Valley Optum

Senior Clinical Quality RN - Hybrid West Valley Optum

Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare Inc

Clinical Quality Review Nurse Teema Group

REMOTE RN - Quality Review Teema Group

Utilization Review Coordinator University Health Services Inc

Clinical Quality Review Team Lead TriWest Healthcare Alliance

Supervisor, Utilization Review (TOC) - Hybrid Blue Cross and Blue Shield Association

Claims Reviews Specialist (Workers Compensation) Aerotek

Utilization Review Coordinator Acadia Healthcare Co Inc

Licensed Nurse, LPN or LVN Biolife Plasma Services

RN Clinical Denial Auditor Tucson Medical Center

Nurse Practitioner Equiliem

RN OR Circulator- Day Shift Lamb Company

RN OR Circulator- Day Shift Bestica

RN Case Manager Lamb Company

RN Case Manager Bestica

Registered Nurse (RN), per diem - Women's Health Ageless Mens Health

Nurse Practitioner / Physician Assistant - Prescott, AZ HealthOp Solutions

Nurse Practitioner / Physician Assistant - Kingman, AZ HealthOp Solutions

Nurse Practitioner / Physician Assistant (Primary Care) - Casa Grande, AZ HealthOp Solutions

Nurse Practitioner - Wellness Clinic - Mesa, AZ HealthOp Solutions

Nurse Practitioner / Physician Assistant (Pain Management) - Mesa, AZ HealthOp Solutions

RN Referral Management Full Time Back End Nights University Health Services Inc

LPN Care Coordinator Brookdale Senior Living Inc

Family Nurse Practitioner Mobile Float - Goodyear ADELANTE HEALTHCARE, INC.

Registered Nurse ADELANTE HEALTHCARE, INC.

RN Referral Management PRN Nights University Health Services Inc

Emergency Nurse Supervisor Tohono O'odham Nation Healthcare

Supervisory Clinical Nurse (Inpatient) Tohono O'odham Nation Healthcare

Nurse Practitioner Tohono O'odham Nation Healthcare

Clinical Nurse (Inpatient) Tohono O'odham Nation Healthcare

Nurse Practitioner Heart and Vascular Associates

Dialysis Registered Nurse U.S. Renal Care, Inc.

Dialysis Registered Nurse - Full-time U.S. Renal Care, Inc.

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