Utilization Management Nurse – Behavioral Health Focus (remote) Category Location Phoenix, Az

Morgan Stephens

Phoenix, AZ, US
Hourly: $40 ph; type: temporary to permanent; bene...
Remote
Behavioral health services experience
Managed care organization background
Prior authorization review skills
The role involves reviewing provider submissions for prior service authorizations with a primary focus on behavioral health

Job Summary

  • The role involves reviewing provider submissions for prior service authorizations with a primary focus on behavioral health.
  • Candidates will evaluate requests for medical necessity and determine appropriate benefits and length of stay.
  • The position requires collaboration with internal departments to ensure continuity of care and referral to medical directors as needed.

Matching Summary

The role involves reviewing provider submissions for prior service authorizations with a primary focus on behavioral health.

Salary

Hourly: $40 per hour; Type: Temporary to Permanent; Benefits: Not specified

Skills & Requirements

Must-have

  • Behavioral Health services experience
  • Managed Care Organization background
  • Prior authorization review skills
  • Concurrent review capabilities
  • Medical necessity evaluation

Nice-to-have

  • InterQual and NCQA standards knowledge
  • Strong organizational skills
  • Team-oriented collaboration
  • HIPAA compliance commitment

Key Requirements

  • Active RN, LPN, LCSW, or LPC license
  • 2 years clinical experience in hospital nursing or case management
  • Completion of accredited Registered Nursing program

Work Rights

Not specified

Tailored Resume

Cover Letter