Date Posted: 02/16/2026
Hiring Organization: Rose International
Position Number: 497097
Industry: Pharmaceutical/Healthcare
Job Title: Utilization Management Clinical Consultant (RN)
Job Location: Phoenix, AZ, USA, 85040
Work Model: Onsite
Shift: M to F 08 AM to 05 AZ time
Employment Type: Temporary
FT/PT: Full-Time
Estimated Duration (In months): 6
Min Hourly Rate($): 36.00
Max Hourly Rate($): 38.00
Must Have Skills/Attributes: Behavioral Health, Utilization Management
Experience Desired: Behavioral Health Utilization Management (1 yrs); Crisis & Urgent Intervention Awareness (1 yrs)
Required Minimum Education: Master’s Degree
Preferred Education: Associate’s Degree
Required Certifications/Licenses: Active AZ behavioral health license: LCSW, LPC, LMFT
Preferred Certifications/Licenses: RNs: Active compact license focused in behavioral health
**C2C is not available**
Job Description
Required Education:
• Master’s degree for behavioral health clinicians (LCSW, LPC, LMFT)
• Associate’s Degree for AZ RN applicants
Required License/Certification:
• Active, unrestricted professional AZ license consistent with degree (LCSW, LPC, LMFT, or RN as applicable)
Required Qualifications/Skills/Experience:
• Working knowledge of behavioral health terminology, clinical documentation, and utilization management principles
• Strong critical thinking, analytical, and decision-making skills
• Ability to evaluate clinical needs while balancing quality, cost, and member-centered care
• Effective communication skills with diverse clinical staff, members, and community partners
• Ability to handle sensitive and confidential information ethically and responsibly
• Digital literacy and ability to function effectively in a virtual, desk-based work environment
Preferred Qualifications/Skills/Experience:
• Crisis & Urgent Intervention Awareness.
Utilization Management Clinical Consultant (UMCC) Overview:
• Applies clinical expertise and evidence-based criteria to assess medical necessity, appropriateness, and quality of behavioral health services for adult and child/adolescent members
• Supports appropriate utilization of benefits across the continuum of care
• Collaborates with providers, internal teams, and external stakeholders to ensure timely authorization and continuity of care
• Balances quality, cost-effectiveness, and member-centered outcomes in utilization review decisions
• Conducts clinical reviews, facilitates discharge planning, and promotes evidence-based treatment standards.
Job Duties:
• Review clinical information and apply medical necessity criteria, clinical guidelines, policies, and professional judgment to render coverage determinations and discharge planning decisions
• Analyze medical records and clinical data to ensure services align with evidence-based standards and quality benchmarks
• Coordinate and communicate with healthcare providers, internal teams, and external stakeholders to facilitate timely and appropriate care authorization decisions
• Conduct concurrent reviews to monitor ongoing inpatient or outpatient treatment and support continuity of care
• Identify members who may benefit from care management programs and facilitate appropriate referrals
• Provide urgent or emergent clinical interventions when required, including triage and crisis support
• Identify opportunities to optimize resource utilization, reduce unnecessary services, and promote cost-effective, high-quality care
• Educate providers, under appropriate supervision, on utilization management processes, documentation requirements, and applicable guidelines
• Develop and support initiatives that enhance quality effectiveness and benefit utilization
• Prepare clinical reports and documentation to communicate findings, monitor key performance indicators, and track utilization management outcomes.
- **Only those lawfully authorized to work in the designated country associated with the position will be considered.**
- **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
Rose is an assembly of people grounded in honesty, truth and dignity for all of its employees and contractors.
Samba, Consultant
It is a great pleasure being a part of the Rose International Team.
Toni, Consultant
Working for Rose International was the most pleasant assignment I have ever had. They were always on top of situations when necessary, and very helpful. I was very proud to be an employee of Rose International, and would recommend anyone to try to work with them.
Melvon, Consultant
Rose International maintained good communication during assignments and are very informative through email and phone calls.
Sade, Consultant
Any time I did have a question and called, the phone was always answered, and my question/concern was immediately resolved.
Sally, Consultant
EMPLOYEE COMMENTS