Medical Review Nurse jobs in Pittsburgh, PA

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Resident Care Coordinator
Asbury Heights - Pittsburgh, PA
Current licensed practical nurse license in the State of Pennsylvania. Participates in the evaluations of new employees and yearly performance review....
Sponsored by Asbury Heights
Registered Nurse Telephonic - Utilization Review
Maxim Healthcare Services 836 reviews - Pittsburgh, PA
Current Registered Nurse License for the state in which the nurse practices. Medical, Dental, Vision, and Life Insurance....
Sponsored by Maxim Healthcare Services
RN Case Manager (Nonexempt) - 29336
AseraCare 59 reviews - Pittsburgh, PA
Must be a registered nurse with a current state license.Must have current certification for CPR.Must have a minimum of 1-year general nursing experience with...
Sponsored by Aseracare

Patient Care Coordinator - 26480

AseraCare 59 reviews - Pittsburgh, PA
Participates in quality improvement reviews especially related to the evaluation of nursing and contracted services....

OP Nurse Coordinator I

UPMC 290 reviews - Pittsburgh, PA
The Professional Nurse Coordinator is a Registered Nurse is a member of the care delivery team. Requires review of all clinical information on patient:....

Director, Clinical Programs Medicaid and CHiP

UPMC 290 reviews - Pittsburgh, PA
Currently licensed Registered Nurse preferred. Adjusts interventions based on review of outcomes. Reviews staff performance to ensure protocols and methods are...

RN Case Manager (Nonexempt) - 29334

AseraCare 59 reviews - Pittsburgh, PA
Must be a registered nurse with a current state license.Must have current certification for CPR.Must have a minimum of 1-year general nursing experience with...

Field Case Manager Nurse RN - Pittsburgh Metro and Erie Coun...

UnitedHealth Group 2,053 reviews - Pittsburgh, PA
Experience with EMR (electronic medical records). Pittsburgh, Pennsylvania, PA, Allegheny, Erie, Star, HEDIS, case manager, care coordinator, RN, registered...

Clinical Research Coordinator

The University of Pittsburgh 6 reviews - Pittsburgh, PA
Registered Nurse or Respiratory Therapist, preferred. In addition, the applicant may work with study sponsors, investigational drug services, and Internal...

Community Nurse Liaison

UPMC 290 reviews - Pittsburgh, PA
Review patient records and obtain any relevant patient information assessing for patient appropriateness and medical stability to facilitate a timely admission...

Manager, Care Management

UPMC 290 reviews - Pittsburgh, PA
Reviews performance against Health Plan goals and completes staff evaluations; Facilitate detailed case reviews with appropriate Health Plan team members...

CDI Specialist

UPMC 290 reviews - Pittsburgh, PA
OR Medical Doctor. OR Cert Reg Nurse Pract. OR specific knowledge as a consultant in Medical Record coding and DRG assignment required....

Retrospective Appeals Nurse

UPMC 290 reviews - Pittsburgh, PA
Medical criteria, state regulations, etc). Knowledge of medical necessity criteria (InterQual) preferred....
Staff Nurse, LPN
Asbury Heights - Pittsburgh, PA
Graduate Practical Nurses*. Informing charge nurse of residents’ medical needs for follow-up by phone or during physician rounds....
Sponsored by Asbury Heights
Telephonic Care Advocate. Work from Home.
UnitedHealth Group 2,053 reviews - Pittsburgh, PA
Or registered psychiatric nurse. · Appropriately identify need for higher level of review such as staffing, peer review or MD consultation;...
Sponsored by UnitedHealth Group

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