Nurse Utilization Review jobs in Pittsburgh, PA

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Healthcare Provider - (RN) Hospital Case Management - Manage...
Deloitte 1,197 reviews - Pittsburgh, PA
program by helping organizations coordinate the utilization of people, process and technology to improve... or methodologies to review, design and/or implement...
Sponsored by 6FigureJobs - 5 days ago
NICU Telephonic Utilization and Case Management, RN ~ NE Reg...
UnitedHealth Group 1,514 reviews - Pittsburgh, PA
SM NICU Telephonic Utilization and Case Management... discharge planning Experience in utilization review, concurrent review and/or risk management Strong...
Sponsored by CareerBuilder - 14 days ago

Associate Care Management Coordinator - Precertification Tec...

Highmark Health - Pittsburgh, PA
Document, process and route requests for services to the nurse reviewer and other departments based on documentation procedures, including review type, clinical...
Highmark Inc. - 6 days ago - save job - block - email - more...

Nurse Manager- Medicine (Cardiology/ Gastroenterology)

Department of Veterans Affairs 721 reviews - Pittsburgh, PA
The Cardiology / Gastroenterology Nurse Manger in Medicine Service directly reports to the Associate Chief Nurse for Medicine....
6 days ago - save job - block - email - more...

Full Time Professional Care Manager

UPMC 217 reviews - Pittsburgh, PA
Performs overall utilization management, resource management, discharge planning and post-acute care referrals and authorizations....
2 days ago - save job - block - email - more...

Nurse Clinician RN (Cross Functional)

Express Scripts 708 reviews - Warrendale, PA
The Nurse Clinician RN is responsible for reviewing escalated clinical criteria reviews for providers, members and patient client advocates within the Prior...
4 days ago - save job - block - email - more...

Care Coordinator

Jefferson Hospital 15 reviews - Pittsburgh, PA
Registered nurse who is proficient in the coordination of care and manages coordination of care in accordance with recognized standards of practice for Care...
Jefferson Regional Medical Center - 13 hours ago - save job - block - email - more...

Sr Professional Care Manager - UPMC Presbyterian ED

UPMC 217 reviews - Pittsburgh, PA
Performs overall utilization management, resource management, discharge planning and post-acute care referrals and authorizations....
1 day ago - save job - block - email - more...

Case Manager-Med Review/UM - Health Plan

UPMC 217 reviews - Pittsburgh, PA
UPMC Health Plan is hiring a Full-Time Case Manager-Med Review/UM to help support the MED MGMT UM Department for its downtown location....
8 days ago - save job - block - email - more...

Manager Clinical Operations (Telecommute)

UnitedHealth Group 1,514 reviews - Pittsburgh, PA
Monitoring of utilization and quality trends, auditing files for appropriate documentation, conducting clinical case reviews and involvement in committees and...
15 days ago - save job - block - email - more...

UM RN Reviewer

UPMC 217 reviews - Pittsburgh, PA
Fayette Home Care & Hospice is hiring a full-time UM RN Reviewer to help support the NWVNA-FHC HH Administration Department for its Fayette Home Care & Hospice...
15 days ago - save job - block - email - more...

RN-Review and Evaluation of Medical Care and Services-TRAVEL

InGenesis - Pittsburgh, PA 15222 (Strip District area)
RN-Review and Evaluation of Medical Care and Services-Non Direct Care- TRAVEL. HIRING IMMEDIATELY to provide services for the Commonwealth of Pennsylvania Great...
19 days ago - save job - block - email - more...
Registered Nurse - RN
Maxim Staffing Solutions - Nurse Staffing 526 reviews - Belle Vernon, PA
Nurse License for the state in which the nurse... clinic, r.n., rn, registered nurse, nursing, nurse, er, emergency, practical nurse, medical, surgical...
Sponsored by Miracle Workers - 11 days ago
Associate Care Management Coordinator - Precertification Tec...
Highmark Health - Pittsburgh, PA
to the nurse reviewer and other departments based on documentation procedures, including review type... effectively with Utilization Management Staff...
Sponsored by Highmark Health - 5 days ago
Med Documentation Spec - Pool
Mercy Health 42 reviews - United States
the medical staff, utilization review/case management... Completes initial review, follow up reviews, mortality reviews, and secondary reviews of patient records...
Sponsored by TweetMyJobs.com - 4 days ago

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