Utilization Review Nurse

Hello Human kindness, Chandler, Arizona, has a stable suburban population with an economy anchored by many large financial and high-tech companies. Located southeast of Phoenix, Chandler is a skillfully developed community of friendly, diverse neighborhoods with expansive parks, great schools, convenient shopping, and excellent career opportunities.

For more than 50 years, Dignity Health’s Chandler Regional Medical Center has focused on quality patient care and service to the community. As the longest established hospital in the southeast valley, Chandler Regional has provided care for the Chandler community since 1961. The hospital recently added a new five-story tower with 96 patient beds, increasing the acute-care bed count to 338.

This expansion increased emergency and trauma services, as well as the surgical unit and intensive care offerings.

The word “dignity” perfectly defines what our organization stands for: showing respect for all people by providing excellent care. At Chandler Regional, our employees are the heart and soul of our organization. They are the reason we are able to live out our healing ministry within the communities we serve. Our doctors, nurses, and allied health professionals are a regular self-contained support system for each other.

This unique working culture is one of the reasons why a career with us is so rewarding. Now is the perfect time to come grow your career with one of Arizona's Most Admired Companies.

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Under the general direction of the Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the efficient and effective use of resources; promote quality patient care; assist with patient care management; comply with applicable standards and regulations and provide information and education to clinical care providers in order to achieve optimal clinical, financial, operational, and patient satisfaction outcomes.

Skills needed:

Knowledge of federal, state, and managed care rules and regulations including CMS and AHCCCS. Working knowledge with INTERQUAL or Milliman preferred. Excellent written and verbal communication skills with the ability to interact with patients/family, clinical staff, insurance providers, and post-acute care providers.

Responsibilities:

Dignity Health now offers an Education Benefit program for benefit-eligible employees after 180 days. This program provides debt relief and student loan assistance to help you achieve your goals. Full-time employees can receive up to $18,000 over five years, while part-time employees can receive up to $9,000.

Minimum:

Preferred: