Medical Review Nurse jobs in Pittsburgh, PA

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Clinical Review Nurse
Novitas Solutions, Inc. - Pittsburgh, PA 15206
Surfacing potential fraud and abuse or practice concerns o May develop recommendations for further corrective action based on medical review findings o May...
Registered Nurse (RN) Clinical Nurse Consultant
Registered Nurse (RN). A Registered Nurse (RN) with at least 1 year of experience. The position will support these Users through regular case reviews and direct...
Easily apply
Licensed Practical Nurse
UPMC - 466 reviews - Verona, PA 15147
Licensed Practical Nurse. Assist with review and update of monthly MAR's. Requests opportunities to learn safe, accountable and autonomous practice from more...

RN- Clinical Revenue Cycle Trainer- HM/Medical Records

Allegheny Health Network (Corporate) - 13 reviews - Pittsburgh, PA
Review results of audits an dimplement a plan that targets educational needs for providers and CDI staff. Collaborate with UR and CDI to assist with peer to...

Authorization and Appeals Nurse

Kindred Healthcare - 1,618 reviews - Oakdale, PA
Cute care, registered nurse, RN, R.N., nurse, nurse jobs, RN jobs, Registered Nurse jobs, nursing, hospital nurse, hospital RN, hospital Registered Nurse, LPN,...

Clinical Trial Contract Analyst

Allegheny Singer Research Institute - 4 reviews - Pittsburgh, PA 15212
Knowledge of medical terminology is required. Reviews protocols, informed consent forms, contracts, Notices of Grant Award, FDA letters in the Conduct of an MCA...

Quality Nurse Coordinator

UPMC - 466 reviews - Pittsburgh, PA 15213 (North Oakland area)
Oversees the ongoing medical record reviews, including reviews of documentation required for UNOS, CMS, PA DOH....

Telephone RN Case Manager

Keystone Peer Review - Washington, PA
Also coordinates beneficiary needs related to community resources, financial assistance programs, and long-term activity of daily living needs outside the...

Data Analyst - Quality & Safety - Allegheny General Hospital

Allegheny General Hospital - 130 reviews - Pittsburgh, PA
May assists with clinical chart reviews. We continue this tradition by using the latest medical innovations to treat our patients, gaining knowledge through...

Sub-Acute Transitional Care Unit: MDS Coordinator - PRN

LifeCare Health Partners - Pittsburgh, PA 15202
Current Registered Nurse license in the state where practicing is required. Saves and reviews the state validation reports and ensures that appropriate follow...

Case Management Nurse

PANTHERx Specialty Pharmacy - Pittsburgh, PA
Case Management Nurse. The Case Management Nurse reviews, authorizes, coordinates, and responds to requests for services for patients....
Easily apply

Public Health Nurse Supervisor (Tuberculosis Control Program...

Allegheny County Health Department - 11 reviews - Pittsburgh, PA
Possession of a license as a registered nurse as issued by the Pennsylvania State Board of Nurse Examiners....

CDI Specialist - Nurse

LifeCare Health Partners - Pittsburgh, PA 15221 (Oakland area)
Refers information resulting from pattern analysis to the hospital administrator, president of the medical staff or Medical Executive Committee for review...
RN / LPN - MDS Nurse
CommuniCare Health Services - 92 reviews - Pittsburgh, PA 15227
RN / LPN MDS Nurse. The successful candidate for the MDS Nurse position will have a current RN or LPN license....
Authorization and Appeals Nurse
Kindred Healthcare - 1,618 reviews - Oakdale, PA 15071
Authorization & appeals management nurse, appeals management nurse, appeals management, appeals coordinator, authorization, appeals, managed care, pre-admission...

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