Risevoic
Hospital RN
Company : Catholic Health Initiatives
Location : San Tan Valley, AZ, 85140
Job Type : Full Time / Part Time
Date Posted : 23 December 2025
Job Summary and Responsibilities
Under the general direction of the Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the efficient and effective use of resources; promote quality patient care; assist with patient care management; comply with applicable standards and regulations and provide information and education to clinical care providers in order to achieve optimal clinical, financial, operational and patient satisfaction outcomes.
Skills needed:
Knowledge of federal, state and managed care rules and regulations including CMS and AHCCCS. Working knowledge with INTERQUAL or Milliman preferred. Excellent written and verbal communication skills with the ability to interact with patients/family, clinical staff, insurance providers and post-acute care providers.
Responsibilities:
- Conducts admission and continued stay reviews per the Care Coordination Utilization Review guidelines to ensure that the hospitalization is warranted based on established criteria and critical thinking. Reviews include admission, concurrent and post discharge for appropriate status determination.
- Ensures compliance with principles of utilization review, hospital policies and external regulatory agencies, Peer Review Organization (PRO), Joint Commission, and payer defined criteria for eligibility.
- Reviews the records for the presence of accurate patient status orders and addresses deficiencies with providers.
- Ensures timely communication and follow up with physicians, payers, Care Coordinators and other stakeholders regarding review outcomes.
- Collaborates with facility RN Care Coordinators to ensure progression of care.
- Engages the second level physician reviewer, internal or external, as indicated to support the appropriate status.
Minimum:
- Graduate of an accredited school of nursing
- Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience
- RN: AZ or Compact License
- Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used
Preferred:
- Bachelor's Degree in Nursing (BSN) or related healthcare field
- At least five (5) years of nursing experience
- Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification
- Utilization Review experience
Hello humankindness
Located conveniently in the heart of Phoenix, Arizona, St. Joseph's Hospital and Medical Center is a 571-bed, not-for-profit hospital that provides a wide range of health, social and support services. Founded in 1895 by the Sisters of Mercy, St. Joseph's was the first hospital in the Phoenix area. More than 125 years later, St. Joseph's remains dedicated to its mission of caring for the poor and underserved.
We are extremely proud to be a nationally recognized center for quality quaternary care, medical education and research. St. Joseph's includes the internationally renowned Barrow Neurological Institute, Norton Thoracic Institute, Cancer Center at St. Joseph's, Ivy Brain Tumor Center, and St. Joseph's Level I Trauma Center (which is verified by the American College of Surgeons). The hospital is also a respected center for high-risk obstetrics, neuro-rehabilitation, orthopedics, and other medical services. St. Joseph’s is considered a sought-after destination hospital for treating the most complex cases from throughout the world. Every day, approximately 20 percent of the hospital’s patients have traveled from outside of Arizona and the United States to seek treatment at St. Joseph’s.
U.S News & World Report routinely ranks St. Joseph's among the top hospitals in the United States for neurology and neurosurgery. In addition, St. Joseph's boasts the Creighton University School of Medicine at St. Joseph's, and a strategic alliance with Phoenix Children's Hospital.
St. Joseph's is consistently named an outstanding place to work and one of Arizona's healthiest employers. Come grow your career with one of Arizona's Most Admired Companies
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For the health of our community ... we are proud to be a tobacco-free campus.
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Frequently asked questions
Hospital RNs in San Tan Valley focus on acute patient care, often managing complex cases within fast-paced environments like St. Joseph's Hospital. Unlike outpatient nursing, they handle critical admissions, utilization reviews, and coordinate with multidisciplinary teams to ensure efficient inpatient care and compliance with regulatory standards.
Candidates with an Arizona or compact RN license, plus acute hospital experience, stand out. Advanced certifications like Certified Case Manager (CCM) or Utilization Management credentials enhance candidacy, reflecting the role’s focus on clinical review, patient care coordination, and regulatory compliance within Catholic Health Initiatives.
Hospital RNs at St. Joseph’s engage in utilization reviews, admission status evaluations, and collaborate with physicians and care coordinators. They ensure patient records meet compliance standards and communicate outcomes effectively, supporting high-quality care across neurology, trauma, and other specialized services.
San Tan Valley and greater Phoenix are experiencing steady growth in healthcare roles, with Hospital RN positions in demand due to expanding medical facilities like St. Joseph's. This demand reflects ongoing regional population increases and specialized care needs, making it a favorable market for nursing professionals.
Hospital RNs in San Tan Valley typically earn between $70,000 and $90,000 annually, depending on experience and certifications. Given the specialized nature of roles at Catholic Health Initiatives and associated hospitals, higher compensation aligns with advanced skills in utilization review and case management.
Yes, certifications like Certified Case Manager (CCM) or Accredited Case Manager (ACM-RN) are highly regarded. Familiarity with utilization review tools such as InterQual or Milliman further aligns with Catholic Health Initiatives’ clinical and compliance expectations within Arizona’s regulatory framework.
Catholic Health Initiatives offers opportunities for Hospital RNs to deepen expertise in case management and utilization review. Access to advanced training, collaborations with specialty centers like Barrow Neurological Institute, and emphasis on certifications foster professional growth within a mission-driven healthcare environment.
This position uniquely blends clinical nursing with utilization review responsibilities, requiring critical assessment of patient care appropriateness. The focus on regulatory compliance, payer coordination, and interdisciplinary communication at Catholic Health Initiatives sets it apart from more traditional bedside nursing roles.
Proximity to Phoenix’s healthcare hubs like St. Joseph’s means manageable commutes for many San Tan Valley RNs. Local work culture emphasizes teamwork, patient-centered care, and adherence to high standards, reflecting the region’s reputation for quality medical services and supportive nursing environments.
Catholic Health Initiatives integrates faith-based values with cutting-edge medical care, offering Hospital RNs roles that combine clinical expertise with compassionate patient advocacy. Their focus on underserved populations and specialized centers provides a distinctive workplace culture and meaningful professional experience.