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Utilization Review Nurse

Job in Goodyear, Maricopa County, Arizona, 85338, USA
Listing for: Medix™
Full Time position
Listed on 2026-09-04
Job specializations:
  • Nursing
    Healthcare Nursing
Salary/Wage Range or Industry Benchmark: 85000 - 110000 USD Yearly USD 85000.00 110000.00 YEAR
Job Description & How to Apply Below
Position: Utilization Review Nurse - 249106

You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions.

Required Skills
  • Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC)
  • Associate Degree or Bachelors Degree - Nursing or Graduate of Accredited School of Nursing
  • MCG or Inter Qual tooling experience
  • Ability to obtain additional state licenses to meet business needs
  • 1+ year of utilization review experience in a managed care setting
  • 1+ years of clinical experience (including at least 1+ year clinical practice in an acute care setting, i.e., ER or hospital)
Preferred Skills
  • BSN
  • Previous experience conducting concurrent or inpatient reviews for a managed care plan
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