Utilization Review Supervisor (RN) – Hybrid Leader

Blue Cross Blue Shield of Arizona; Phoenix (AZ); Hybrid; USD 75,000 - 90,000; Full time

Job summary

Blue Cross Blue Shield of Arizona is seeking a Utilization Review Supervisor in Phoenix, AZ. This hybrid role requires coordination of medical necessity reviews and supervision of the UR team to ensure compliance with standards.

Qualified candidates must have 2 years of clinical experience and an active RN license in Arizona. The position entails evaluating department performance and overseeing staff activities to meet business requirements.

Qualifications

• 2 years of direct clinical experience.
• 1 year of experience in utilization review.
• Active, current, and unrestricted license to practice in AZ as an RN.

Responsibilities

• Coordinate activities of the UR department for medical necessity reviews.
• Monitor authorization processes for timeliness and cost effectiveness.
• Manage day-to-day activity of assigned team and supervise staff.

Skills

InterQual

Computer skills including MS Word, Excel spreadsheets

Communication skills: oral and written

Education

Associate’s Degree in general field of study

Bachelor’s Degree in Nursing or related field of study

Job description

Blue Cross Blue Shield of Arizona is seeking a Utilization Review Supervisor in Phoenix, AZ. This hybrid role requires coordination of medical necessity reviews and supervision of the UR team to ensure compliance with standards.

Qualified candidates must have 2 years of clinical experience and an active RN license in Arizona. The position entails evaluating department performance and overseeing staff activities to meet business requirements.