Nurse Utilization Review jobs in Pittsburgh, PA

Sort by: relevance - date
Salary Estimate
Title
Company
Location
Job Type
Employer/Recruiter
Jobs 1 to 10 of 59
Upload your resume - Let employers find you
Registered Nurse Telephonic Triage - Utilization Review
Maxim Healthcare Services 771 reviews - Pittsburgh, PA
2-4 years of recent working RN utilization review or case management experience is required. Current Registered Nurse License for the state in which the nurse...
Sponsored by Maxim Healthcare Services - 30+ days ago
Telephonic Care Advocate. Work from Home.
UnitedHealth Group 1,941 reviews - Pittsburgh, PA
· Managed care or utilization review experience. · Conduct focused utilization reviews effectively and efficiently; Or registered psychiatric nurse....
Sponsored by UnitedHealth Group - 30+ days ago
Registered Nurse - RN - Telephonic
Maxim Healthcare Services 771 reviews - Pittsburgh, PA
Participate in Quality Assurance and Utilization review activities, as directed. Follow State/Country mandated guidelines for the nurse case management programs...
Sponsored by Maxim Healthcare Services - 30+ days ago

Registered Nurse (RN) Utilization Management Nurse Consultan...

Aetna 466 reviews - Pittsburgh, PA
This role will conduct Utilization Review and Discharge Planning for members admitted to an acute facility. Nursing/Registered Nurse is required (RN)....

Registerd Nurse - RN Utilization Management Nurse Consultant

Aetna 466 reviews - Pittsburgh, PA
Conduct Utilization Review and Discharge Planning for members admitted to an acute facility. Nursing/Registered Nurse is required....

Triage Nurse

CorVel 23 reviews - Pittsburgh, PA
Triage Nurse (80%). Strong cost containment background, such as utilization review or managed care also useful....

Lead Care Manager - UPMC St. Margaret

UPMC 274 reviews - Pittsburgh, PA
Audits and evaluates the daily activates of Care management staff including utilization review, discharge planning, documentation, and interdisciplinary rounds....

Clinical Appeals Coordinator

UPMC 274 reviews - Pittsburgh, PA
Two years of Health Insurance experience as a Registered Nurse in a Utilization Management/Medical Management role strongly preferred....

Behavioral Health Care Advocate - Multiple locations

UnitedHealth Group 1,941 reviews - Pittsburgh, PA
Managed care or utilization review experience. Conduct focused utilization reviews effectively and efficiently; Or registered psychiatric nurse....

Registered Nurse -RN- UM Nurse Consultant

Aetna 466 reviews - Pittsburgh, PA
Utilization management preferred. You will conduct Utilization Review and Discharge Planning for members admitted to an acute facility....

Field Medical Case Management Nurse

CorVel 23 reviews - Pittsburgh, PA
Strong cost containment background, such as utilization review or managed care also useful. Vel generally does not review all applications submitted in response...

Compliance Auditor

Epic Health Services 79 reviews - Pittsburgh, PA
The Compliance Auditor is accountable for a designated review caseload and plans effectively in order to meet review deadlines, and coordination of second level...
Easily apply

Nurse Clinician RN (Cross Functional)

Accredo Health Group, Inc - Warrendale, PA
Previous clinical criteria review experience preferred; The Nurse Clinician – RN is responsible for reviewing escalated clinical criteria reviews for providers,...
RN Case Manager
Community LIFE 13 reviews - Pittsburgh, PA
Working knowledge of utilization review, quality assurance and managed health care concepts. Community LIFE is recruiting an experienced RN who is interested in...
Sponsored by Community LIFE - 9 days ago
Registered Nurse Telephonic Triage
Maxim Healthcare Services 771 reviews - Pittsburgh, PA
Maxim Healthcare seeking energetic RN’s for new Telephonic, Utilization Review positions with competitive pay. Current Registered Nurse License for the state in...
Sponsored by Maxim Healthcare Services - 30+ days ago

Never miss a job. Get new jobs emailed to you daily.

Get email updates for the latest Nurse Utilization Review jobs in Pittsburgh, PA
You can cancel email alerts at any time.
Get new jobs for this search by email
You can cancel email alerts at any time.
Company with Nurse Utilization Review jobs
1,941 reviews
UnitedHealth Group is on a mission to help people live healthier lives. Join us and begin doing your life's best work.(SM)