Remote Utilization Review Nurse Job at TriWest Healthcare Alliance, Phoenix, AZ

  • TriWest Healthcare Alliance
  • Phoenix, AZ

Job Description

TriWest Healthcare Alliance seeks a Utilization Management Clinical Review nurse to evaluate and authorize beneficiary care, focusing on cost-effective, appropriate utilization of Behavioral Health and Medical/Surgical services. Responsibilities include preauthorization, inpatient and continued stay reviews, and presenting complex cases for Medical Director review, while staying compliant with InterQual and TriWest policies. #J-18808-Ljbffr

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