Nurse Utilization Review jobs in Pittsburgh, PA

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Case Manager / Utilization Review RN
Maxim Healthcare Services 1,106 reviews - Pittsburgh, PA
$24 - $27 an hour
New Registered Nurse Case Manager / Utilization Review openings in Pittsburgh, PA. Participate in Quality Assurance and Utilization review activities, as...
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RN Office Utilization Review
Staffmark 1,824 reviews - Pittsburgh, PA
Certification in Utilization management or a related field. Responsible for the implementation of effective utilization management strategies including:....
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Case Manager / Utilization Review RN - Facility
Maxim Healthcare 1,106 reviews - Pittsburgh, PA
$24 - $27 an hour
New Registered Nurse Case Manager / Utilization Review openings in Pittsburgh, PA.Seeking RN Case Managers with Case Management and/or Utilization Review...
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RN Utilization Review

Medix - Pittsburgh, PA
Utilization Review Nurse is responsible for conducting admission and concurrent utilization review for members....

Accredo - Nurse Clinician RN Per Diem - Warrendale, PA

Express Scripts - Warrendale, PA
Previous clinical criteria review experience preferred. The Nurse Clinician – RN is responsible for reviewing escalated clinical criteria reviews for providers,...

Telephonic Case Manager

Aetna - Pittsburgh, PA 15222 (Strip District area)
Previous workers compensation, case management, utilization review or managed care experience preferred....

RN Office Utilization Review

Staffmark - Pittsburgh, PA
Certification in Utilization management or a related field. Responsible for the implementation of effective utilization management strategies including:....
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Authorization Nurse

UPMC - Pittsburgh, PA 15203 (Southside Slopes area)
Prior utilization review experience. Are you an experienced nurse? Maintain collaborative relationships with utilization management and departments at payor...

Care Coordinator

naviHealth - Pittsburgh, PA 15219 (Middle Hill area)
Complete Utilization Management functions for authorizations. The health care team includes physicians, health plan UM/CM Nurse, hospital discharge planners,...

Care Manager RN

Highmark Health - Pittsburgh, PA
RN (Registered Nurse) license. Certification in utilization management or a related field. Responsible for the implementation of effective utilization...

UM (Utilization Management) Care Manager

UPMC - Pittsburgh, PA 15219 (Middle Hill area)
The Utilization Management (UM) Care Manager is responsible for utilization review of health plan services and assessment of member's barriers to care, as well...

Case Management / Utilization Review RN

A-Line Staffing Solutions - Pittsburgh, PA 15203 (Southside Slopes area)
Authorization Nurse / Appeals / Utilization Review*. Case Management / Utilization Review / Registered Nurse*. Case Management or Utilization Review:....
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Utilization Management (UM) Care Manager

UPMC - Pittsburgh, PA 15219 (Middle Hill area)
The Utilization Management (UM) Care Manager is responsible for utilization review of health plan services and assessment of member's barriers to care, as well...
RN Utilization Review
Staffmark 1,824 reviews - Pittsburgh, PA
Utilization Review experience required. RN with Utilization Review exp. RN (Registered Nurse) license. Certification in utilization management or a related...
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Utilization Review Nurse (Traveler)
Alaska Native Tribal Health Consortium 23 reviews - Pittsburgh, PA
$5.50 an hour
Performs utilization review in accordance with all state mandated regulations. Obtains and reviews necessary medical reports and subsequent treatment plan...
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