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About the role

HonorHealth is seeking an RN Utilization Review Specialist to review and monitor health care service utilization, ensuring appropriate levels of care and medical necessity across admissions and payer types. You will coordinate medical necessity reviews for Medicare, AHCCCS, self-pay, and other payers from admission through discharge. You will work with the Care Management team to ensure documentation supports services, collaborate with physicians, payers, and care teams to address denials and

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JOB OVERVIEW

Experience level

Senior

Location

Phoenix, AZ

Occupation

Registered Nurses

Industry

Home Health Care Services

Posted

9 days ago

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