Nurse Utilization Review jobs in Pittsburgh, PA

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Nurse Clinician RN (Cross Functional)
Express Scripts 689 reviews - Warrendale, PA
The Nurse Clinician RN is responsible for reviewing... reviews for providers, members and patient client advocates within the Prior Authorization/Utilization...
Sponsored by Express Scripts - 10 days ago
Supervisor Utilization Management
Healthfirst 69 reviews - United States
provision of Utilization Management functions which include: Pre-Certification, Concurrent Review, as well... Nurse (RN) License , Licensed Practical Nurse (LPN...
Sponsored by TweetMyJobs.com - 28 days ago

Nurse, Registered-Spec Rx

Giant Eagle 533 reviews - Pittsburgh, PA
The Nurse utilizes clinical skills in a collaborative process to identify and coordinate services to facilitate appropriate healthcare outcomes for Specialty...
9 days ago - save job - email - more...

Nurse Clinician RN (Cross Functional)

Express Scripts 689 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...
10 days ago - save job - email - more...

Onsite Transition Coordinator - Job Share

UPMC 207 reviews - Pittsburgh, PA
Complete an overall review of medical record to determine admission diagnoses, barriers, start discharge plan, assess educational needs....
5 days ago - save job - email - more...

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

InGenesis 7 reviews - 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...
1 day ago - save job - email - more...

(RN) Mercer Health Advantage Nurse Case Manager (Pittsburgh,...

Cigna 678 reviews - Pittsburgh, PA
Delivers utilization review services when member is in active case management as appropriate. Participates in Mercer Health product and corporate training...
1 day ago - save job - email - more...

Retrospective Appeals Nurse

UPMC 207 reviews - Pittsburgh, PA
UPMC Corporate Services is hiring a Full-Time Retrospective Appeals Nurse to help support the Care Management Department for its UPMC Corporate Services South...
17 days ago - save job - email - more...

Utilization Review Nurse

Tri Rivers Consulting Services - Wexford, PA 15090
Record review division of a musculoskeletal practice in Wexford is in need of RNs with orthopedic, utilization review and/or medical-legal experience....
Easily apply
6 days ago - save job - email - more...

Clinical Liaison

Concordia Visiting Nurses 10 reviews - Monroeville, PA 15146
Registered professional nurse with a current valid Pennsylvania license and any state within which we operate, BSN preferred ....
Monster - 10 days ago - save job - email - more...

RN Case Manager Hospice

Bethany Hospice - Pittsburgh, PA 15220
A professional Registered Nurse with advanced skills is employed by the Hospice for the purpose of enhancing the quality of life for terminally ill patients....
Easily apply
11 days ago - save job - email - more...

Onsite Transition Coordinator - St Margaret

UPMC 207 reviews - Pittsburgh, PA
Complete an overall review of medical record to determine admission diagnoses, barriers, start discharge plan, assess educational needs....
27 days ago - save job - email - more...
Med Documentation Spec - Pool
Mercy Health 41 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 - 17 days ago
Resource Director Case Management - Central Region Kindred H...
Kindred Healthcare 758 reviews - Oakdale, PA
management and utilization review activities in a... Review and other appropriate individuals. Discuss denial of coverage related to Utilization Review with...
Sponsored by Kindred Healthcare - 22 days ago
Healthcare Provider - (RN) Hospital Case Management - Manage...
Deloitte 1,158 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 - 6 days ago

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Company with Nurse Utilization Review jobs
689 reviews
Express Scripts is a Fortune 25 company and is the largest pharmacy benefit manager in the U.S.
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