Nurse Manager - Utilization Management

Mayo Clinic · Phoenix, Arizona, United States

Location
Phoenix
Job Type
Full time
Posted
June 14, 2026

Job Description

The RN Manager, Care Management provides leadership, direction, and resource management for case managers and social workers in the inpatient and ambulatory settings. The RN Manager effectively resolves utilization review and denial management issues, provides leadership in resolving psychosocial issues, and removes barriers and complexities for case managers and social workers to effectively facilitate safe discharge planning. The RN Manager collaborates internally and externally to maximize patient flow and mitigate reimbursement issues. 

  • Collaborates internally with pre-certification staff, admitting and billing office personnel, contracting staff, house supervisors, risk management, physicians, and specialty departments that impact needs during the inpatient stay and through the provision of an effective, safe discharge. 
  • External collaboration includes but is not limited to health plans, providers, and vendors that impact needs during the inpatient stay and throu...
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