Registered Nurse – Utilization Review, Per Diem

🔥 4 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏱ Part Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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HonorHealth

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2013

🏥 Healthcare

📚 Education

Healthcare • Education

HonorHealth is an integrated healthcare organization that offers hospital and outpatient medical services, primary care, urgent care, telehealth (E-Visits), and patient-facing digital tools like MyChart. The organization also operates a research institute, offers academic programs (residencies, fellowships, CME, medical student resources), maintains a foundation and volunteer/community programs, and provides patient resources such as billing, price transparency, and online appointment scheduling. HonorHealth positions itself as a community-focused health system delivering clinical care, education, and research.

📋 Description

• Review and monitor utilization of health care services to maintain high-quality, cost-effective care • Ensure the appropriate level of care through comprehensive medical-necessity reviews of extended stays, outpatient observation, inpatient stays, and ancillary services • Coordinate and conduct medical-necessity reviews for Medicare, AHCCCS, self-pay, and other payers upon admission and concurrently throughout admission • Review clinical documentation and facilitate modifications to accurately reflect level of service and severity of illness • Perform initial and concurrent reviews for patients entering the health care continuum • Facilitate service delivery through effective utilization of available resources • Perform medical-record reviews as required by payers • Provide Care Management with quality-outcome information • Collaborate with physicians, case managers, payers, medical records, finance, and physician groups on denials, contract guidelines, documentation, and data reporting • Initiate chart reviews, conduct follow-up reviews, and round on patients for continuity of utilization-review reviews • Identify admissions with specific diagnoses, DRG classifications, or other categories • Notify physicians and staff about documentation issues requiring clarification • Determine qualifications for hospital-level care based on established criteria • Perform other duties as assigned

🎯 Requirements

• Seeking applicants who can work at least 8 shifts per month • Associate's in Nursing from an accredited NLN/CCNE institution required, or Bachelor's in Nursing from an accredited NLN/CCNE institution preferred • 1 year of experience in UR/UM or Case Management required • 3 years as a Registered Nurse in an acute care setting required • Registered Nurse (RN) license in the state and/or compact state licensure required • Certified Case Manager certification (ACM) preferred

🏖️ Benefits

• Per diem employment • Day shift • Career development opportunities