Nurse Utilization Review jobs in Pittsburgh, PA

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Telephonic Care Advocate. Work from Home.
UnitedHealth Group 1,663 reviews - Pittsburgh, PA
· Managed care or utilization review experience. · Conduct focused utilization reviews effectively and efficiently; Or registered psychiatric nurse....
Sponsored by UnitedHealth Group - 5 days ago
Utilization Managment Nurse - Work from Home
UnitedHealth Group 1,663 reviews - Pittsburgh, PA
As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
Sponsored by UnitedHealth Group - 24 days ago

DRG Specialist II

UPMC 231 reviews - Pittsburgh, PA
OR Registered Nurse. OR Certified Registered Nurse Practitioner. The DRG Specialist II reviews clinical documentation within the medical record to ensure that...
2 days ago - save job - email - more...

UM Nurse Consultant

Aetna 397 reviews - Pittsburgh, PA
You will conduct Utilization Review and Discharge Planning for members admitted to an acute facility. Nursing/Registered Nurse is required....
10 days ago - save job - email - more...

Resident Assessment Coordinator- RN

Department of Veterans Affairs 805 reviews - Allegheny County, PA
The Resident Assessment Coordinator is responsible for accessing the Austin Web site and reviewing the QMs (Quality Measures) and The RUG (Resource Utilization...
11 days ago - save job - email - more...

Utilization Managment Nurse - Work from Home

UnitedHealth Group 1,663 reviews - Pittsburgh, PA
As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
24 days ago - save job - email - more...

Care Coordinator/Palliative Care

Jefferson Physician Specialty Group Practice - Pittsburgh, PA
Care facilitation and utilization review experience is preferred. Current and valid PA Registered Nurse license required....
Jefferson Regional Medical Center - 4 days ago - save job - email - more...

Nurse Clinician RN (Cross Functional)

Express Scripts 787 reviews - Warrendale, PA
Previous clinical criteria review experience preferred; The Nurse Clinician RN is responsible for reviewing escalated clinical criteria reviews for providers,...
15 days ago - save job - email - more...

Assoc Care Management Coord

Highmark Health 4 reviews - Pittsburgh, PA
Document, process and route requests for services to the nurse reviewer and other departments based on documentation procedures, including review type, clinical...
30+ days ago - save job - email - more...

Registered Nurse (RN)- UM Nurse Consultant

Aetna 397 reviews - Pittsburgh, PA 15210
As a Registered Nurse (RN) Utilization Management Nurse Consultant, you will be responsible for the management of members at assigned facilities throughout the...
18 days ago - save job - email - more...

Nurse Liaison (RN) - Radiation Oncology - (Pittsburgh, PA)

UPMC 231 reviews - Pittsburgh, PA
Registered Nurse (PA License). 3-5 years of progressive nursing in an acute care setting with at least 1 year of experience in utilization review or managed...
16 days ago - save job - email - more...

Care Coordinator/Palliative Care

Jefferson Hospital 17 reviews - Pittsburgh, PA
Care facilitation and utilization review experience is preferred. Current and valid PA Registered Nurse license required....
Jefferson Regional Medical Center - 17 days ago - save job - email - more...
Behavioral Health Care Advocate - PA or DE - Telecommute
UnitedHealth Group 1,663 reviews - Pittsburgh, PA
Managed care or utilization review experience. Conduct focused utilization reviews effectively and efficiently; Or registered psychiatric nurse....
Sponsored by UnitedHealth Group - 3 days ago
Registered Nurse, Clinical Documentation, Relocate-Duke Heal...
Duke University Health System 268 reviews - Pittsburgh, PA
Clinical Documentation Improvement, CDI, CCDS , CDIP, CCS Certification Certified Nurse RN, BSN, MSN, Nurse, Nursing, Registered Nurse, Practitioner, Physician...
Sponsored by TooBusyWorking.com - 1 day ago
RN Hospice Case Manager-1 Year RN Exp
Bethany Hospice - Pittsburgh, PA
REGISTERED NURSE CASE MANAGER. Demonstrates expertise in utilization of team members including volunteers and community resources....
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Sponsored by Bethany Hospice - 30+ days ago

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Company with Nurse Utilization Review jobs
1,663 reviews
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