Nurse Utilization Review jobs in Pittsburgh, PA

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Telephonic Care Advocate. Work from Home.
UnitedHealth Group 1,723 reviews - Pittsburgh, PA
· Managed care or utilization review experience. · Conduct focused utilization reviews effectively and efficiently; Or registered psychiatric nurse....
Sponsored by UnitedHealth Group - 6 days ago
Utilization Managment Nurse - Work from Home
UnitedHealth Group 1,723 reviews - Pittsburgh, PA
As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
Sponsored by UnitedHealth Group - 18 days ago

Authorization Nurse - UPMC Corporate Services

UPMC 238 reviews - Pittsburgh, PA
Qual criteria appropriately Prior utilization review experience Knowledge of payor reimbursement structure....
4 days ago - save job - email - more...

Care Coordinator

Jefferson Hospital 18 reviews - Pittsburgh, PA
Care facilitation and utilization review experience is preferred. Professional role model utilizing expertise in care management to promote a collaborative...
Jefferson Regional Medical Center - 9 days ago - save job - email - more...

Manager Quality Improvement

Highmark Health 4 reviews - Pittsburgh, PA
Conduct performance reviews and ongoing staff development. Conduction of on-site visits and medical record reviews via nurse reviewers to assess the care...
16 days ago - save job - email - more...

UM Nurse Consultant

Aetna 416 reviews - Pittsburgh, PA
You will conduct Utilization Review and Discharge Planning for members admitted to an acute facility. Nursing/Registered Nurse is required....
11 days ago - save job - email - more...

Manager, Care Management - Magee

UPMC 238 reviews - Pittsburgh, PA
Conducts employee performance reviews. Magee-Womens Hospital of UPMC is hiring a Full-Time Manager, Care Management to help support the Case Management...
22 days ago - save job - email - more...

Utilization Managment Nurse - Work from Home

UnitedHealth Group 1,723 reviews - Pittsburgh, PA
As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
30+ days ago - save job - email - more...

Full Time Precertification UR RN -- CHP

UPMC 238 reviews - Pittsburgh, PA
Experience in utilization review activities. Provide patient information to third party payers and their review agents to obtain approval for reimbursement....
25 days ago - save job - email - more...

Team Leader JV

UPMC 238 reviews - Pittsburgh, PA
Collaborates with Clinical Supervisor on employee performance reviews. Facilitates accurate documentation and ensures optimal patient care and utilization of...
3 days ago - save job - email - more...

Team Leader

UPMC 238 reviews - Pittsburgh, PA
Collaborate with Clinical Supervisor on employee performance reviews. Serve as liaison and consult between referral source, nurse liaison and infusion company....
3 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 - 30+ days ago - save job - email - more...
Utilization Managment Nurse - Work from Home
United Health Group 1,723 reviews - Pittsburgh, PA
As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
Sponsored by NurseJobsNationwide.com - 29 days ago
Team Leader, Seven Fields, PA
UPMC 238 reviews - Pittsburgh, PA
Collaborates with Clinical Supervisor on employee performance reviews. Facilitates accurate documentation and ensures optimal patient care and utilization of...
Sponsored by UPMC - 30+ days ago
Registered Nurse (RN)
Cigna 781 reviews - United States
Partners with utilization team to facilitate appropriate review of requested services. (RN) Onsite Nurse Case Manager (Billings, MT)....
Sponsored by HospitalRecruiting.com - 7 days ago

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Company with Nurse Utilization Review jobs
1,723 reviews
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