RN Utilization Management Care Reviewer

United StatesRemotemid

OperationsManagement

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Quick Summary

Overview

Department Name: Utilization Mgmt Work Shift: Day Job Category:Clinical Care Nursing careers are better at Banner Health. We’ve built smarter processes to help nurses focus on what really matters.

Technical Tools

OperationsManagement

Utilization Mgmt

Day

Clinical Care

Nursing careers are better at Banner Health. We’ve built smarter processes to help nurses focus on what really matters. If you want to make a difference in people’s lives - this could be the opportunity you’ve been waiting for.

As a Remote RN Utilization Management Care Reviewer, you’ll play a critical role in ensuring our Medicare Advantage and AHCCCS members receive the right care at the right time while supporting safe, successful transitions after hospitalization. Collaborating with post-acute facilities and interdisciplinary care teams, you’ll apply your clinical expertise to review medical necessity, optimize length of stay, and help improve member outcomes. If you have a passion for utilization management, care coordination, or case management—and experience with MCG or InterQual is a plus—we’d love to hear from you!

Responsibilities

~1 min read

$37.14 - $61.90 / hour Banner Health is committed to pay equity and transparency. The posted compensation range is a reasonable estimate that extends from the lowest to the highest pay Banner Health in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. This range is based on possible base salaries and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.

EEO/Disabled/Veterans

Our organization supports a drug-free work environment.