Job Description

Support Services
Phoenix and Scottsdale locations, AZ

Nursing

Case Mgmt

On-Call

Days

Sunday-Sat varies days

.8

71980

POSITION SUMMARY

Reviews and monitors utilization of health care services with the goal of maintaining high quality cost-effective care. Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient observation, and inpatient stays and the utilization of ancillary services. Responsible for coordinating and conducting medical necessity reviews for all Medicare, AHCCCS, Self-pay, and all other payers, upon admission and concurrently throughout the admission.

POSITION QUALIFICATIONS

EDUCATION: Bachelor's degree in Nursing from an accredited NLN/CCNE institution.

EXPERIENCE: 3 years as a Registered Nurse in an acute care setting.

CERTIFICATION/LICENSURE: RN Licensure

Application Instructions

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