Utilization Review Nurse

Location

Tuba City, Arizona

Assignment Duration

This is a 13-week contract position.

Schedule

Monday - Friday from 8am - 5pm. Callback on weekends/holidays.

Job Description

The Utilization Review (UR) Nurse ensures that patients receive appropriate care by verifying medical necessity, confirming the correct patient status, and monitoring the ongoing need for services while working to reduce unnecessary length of stay and prevent delays. They support accurate clinical documentation for proper reimbursement, coordinate with providers and the care team on discharge planning and transitions, manage resource use to control costs, communicate with payers to prevent denials, and ensure compliance with CMS and Joint Commission requirements while contributing to reporting and quality improvement efforts.

Responsibilities

• Verify medical necessity and patient status.
• Monitor ongoing need for services.
• Reduce the unnecessary length of stay.
• Support accurate clinical documentation for reimbursement.
• Coordinate discharge planning and transitions with care teams.
• Manage resource use to control costs.
• Communicate with payers to prevent denials.
• Ensure compliance with healthcare regulations.

Required Experience / Certifications / Licensure

• Bachelor’s Degree in Nursing.
• A valid, current, full and unrestricted Professional Nursing License to practice as a Registered Nurse (RN) in any U.S. state or territory.
• Current Basic Life Support (BLS) certification by the American Heart Association (AHA).
• Three (3) years of clinical nursing experience with at least 2 years in an Inpatient setting.
• Knowledge of case management, purchased referred care, and utilization review processes.
• Knowledge of electronic health record systems.

Why ARMStaffing?

At ARMStaffing, we take care of our employees! We offer:

• Health Benefits: Medical, Dental, Vision, Life, and more
• Onboarding Made Easy: We handle physicals, titers, and more so you can focus on care
• Clinical Support: In-house clinical team available to assist and advocate
• 401k Retirement Plan: Eligible after waiting period; 4% match with 5% contribution
• Recruiter Matching: Get paired with a recruiter based on your location and specialty
• Extras: Travel reimbursement, housing allowance, meals, referral bonuses, and more

We're not the only ones who think ARMStaffing should be your first choice. Here’s why:

• SIA’s Top-50 Fastest Growing Healthcare Staffing Firms – 2019
• SIA’s Largest Healthcare Staffing Agencies in the U.S. – 2023
• Top Workplace in the Lehigh Valley – 2022, 2023
• Perfect scores for 'Name, Not a Number' and 'Recruiters' Personalities' on Highway Hypodermics
• We've earned The Joint Commission’s Gold Seal of Approval for healthcare staffing 15 years strong and counting!

Contract & local rates