Nurse Utilization Review jobs in Pittsburgh, PA

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Registered Nurse, Clinical Consultant - Virtual
Prudential 519 reviews - Pittsburgh, PA
pursuant to developmental goals and business needs. This is not a Utilization Review position. For candidates with Disability Industry RN, Clinical...
Sponsored by Prudential - 19 days ago
Nurse, Lic Practical-Spec Rx
Giant Eagle 494 reviews - Pittsburgh, PA
for Specialty patinets. The nurse conducts initial... with tasks to ensure department runs efficiently Review all appropriate service and business metrics and...
Sponsored by Giant Eagle - 29 days ago

Clinical Quality Specialist (FT-Infinity-Westlake, OH)

UPMC 187 reviews - Pittsburgh, PA
Demonstrate an understanding of the Medicare Conditions of Participation and CHAP standards for Home Health. Ensure documentation validates the utilization of...
5 days ago - save job - block - email - more...

Onsite Transition Coordinator - Magee

UPMC 187 reviews - Pittsburgh, PA
Computer proficiency required. Collaborates with Health Plan Pharmacist for medication review when appropriate....
15 days ago - save job - block - email - more...

Precertification UR RN--Flex Full Time

UPMC 187 reviews - Pittsburgh, PA
Familiarity wit Interqual is a plus. Ensures compliance with all HIPPA and appropriate regulatory guidelines....
9 days ago - save job - block - email - more...

Mobile Case Manager - Fayette County

UPMC 187 reviews - Pittsburgh, PA
High level of oral and written communication skills. Proficiency with Microsoft Office Products and ability to learn new computer-based documentation skills....
4 days ago - save job - block - email - more...

REGISTERED NURSE (Care Management Center)

Department of Veterans Affairs 645 reviews - Pittsburgh, PA
Staff will be cross-trained to work all areas of Care Management including;. Non-VA Care Coordination, Transfer Office, Consult Office, and TriCare....
15 days ago - save job - block - email - more...

Onsite Transition Coordinator--CHP

UPMC 187 reviews - Pittsburgh, PA
Bachelors degree in nursing preferred. Five years of experience in clinical, case management, home care, discharge planning, and/or disease management required....
29 days ago - save job - block - email - more...

(RN) Oncology Nurse Case Manager (Phoenix, AZ or Pittsburgh,...

Cigna 627 reviews - Pittsburgh, PA
Manages a caseload of specialty oncology cases, evaluating the need for alternative services and as appropriate;....
2 days ago - save job - block - email - more...

Clinician - Presby, Radiology

UPMC 187 reviews - Pittsburgh, PA
BSN required/MSN or CNL preferred. The Clinician demonstrates a commitment to the community and to the nursing profession....
9 days ago - save job - block - email - more...

Nurse, Lic Practical-Spec Rx

Giant Eagle 494 reviews - Township of Moon, PA - +1 location
Perform individualized clinical screening assessments of patient¿s disease and therapy. Perform injection training with patients (in-person and over the phone)....
2 days ago - save job - block - email - more...

Case Manager, (Casual) - WPH

West Penn Hospital 16 reviews - Pittsburgh, PA
Three years recent acute nursing experience required. Proficiency in PC skills, preferably in windows environment....
10 days ago - save job - block - email - more...
RN NURSE DIRECTOR OF CASE MANAGEMENT / RESOURCE MANAGEMENT
Apple Connections, LLC - Pittsburgh, PA
Managers and Utilization Review Nurses. The hospital... not required Nurse, Director, Supervisor, Manager, Resource Management, Utilzation Review, reimbursement... $120,000 a year
Sponsored by NurseJobsNationwide.com - 24 days ago
Allied - Registered Nurse
TCMP - United States
Nurse Case Manager will have extended clinical experience and training in TBI. The Registered Nurse Care... with regard to Utilization Review and Quality...
Sponsored by NicheMedicalJobs.com - 19 days ago
Clinical Director
Presbyterian SeniorCare 2 reviews - Oakmont, PA
of the clinical record review and chart audits and... will accomplish objectives and promote maximum utilization of personnel. 3. Identifies staff development...
Sponsored by Presbyterian SeniorCare - 26 days ago
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Company with Nurse Utilization Review jobs
2 reviews
Presbyterian SeniorCare believes that those who have spent a lifetime providing for others deserve the best from us.
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