Nurse Utilization Review jobs in Pittsburgh, PA

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Registered Nurse Telephonic - Utilization Review
Maxim Healthcare Services 836 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
Telephonic Care Advocate. Work from Home.
UnitedHealth Group 2,053 reviews - Pittsburgh, PA
· Managed care or utilization review experience. · Conduct focused utilization reviews effectively and efficiently; Or registered psychiatric nurse....
Sponsored by UnitedHealth Group
Assistant Director of Nursing, RN, MSN, Hershey, PA (Nurse,...
Milton Hershey School 15 reviews - Pittsburgh, PA
Career, Compensation, Employment, Full Time, Job Board, Job Description, job Search, Job Search, Jobs, Occupation, Opening, Part Time, Salary, Schedule, Shift,...
Sponsored by Milton Hershey School
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Manager, Care Management

UPMC 290 reviews - Pittsburgh, PA
Reviews performance against Health Plan goals and completes staff evaluations; Utilize evidence based practice to support improvement in care / health /...

Clinical Care Manager

UPMC 290 reviews - Pittsburgh, PA
Review member¿s current medication profile; Present or contribute to complex case reviews by the interdisciplinary team summarizing clinical and social history,...

Retrospective Appeals Nurse

UPMC 290 reviews - Pittsburgh, PA
Maintain collaborative relationships with utilization management and appeal departments at payor organizations....

CRNP, Senior

UPMC 290 reviews - Pittsburgh, PA
The successful completion of an approved Nurse Practitioner program is required. In conjunction with Unit Director and/or Nurse Clinician mentors staff in...

CDI Specialist

UPMC 290 reviews - Pittsburgh, PA
OR Registered Nurse. OR Cert Reg Nurse Pract. Knowledge of computer technology, quality assurance activities, DRG, Quality Insights/Utilization review...

Patient Access Representative

UPMC 290 reviews - Pittsburgh, PA
Notifies Utilization Review nurses for necessary clinical follow-up with insurance companies. UPMC Home Nursing Agency is hiring a full-time Patient Access...

Registered Nurse Telephonic - Utilization Review

Maxim Healthcare Services 836 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...

Case Manager II - Per Diem

HealthSouth Corporation 178 reviews - Pittsburgh, PA
The CM II performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team....

Senior Analyst, Value Analysis

UPMC 290 reviews - Pittsburgh, PA
The Senior Analysis, Value Analyst supports UPMC's best practices and established processes, policies and procedures for product introduction, review, analysis...

Nurse Manager, OP

UPMC 290 reviews - Pittsburgh, PA
Registered Nurse (PA License). Evaluates clinical space utilization and makes recommendations for improvement....
Manager, Provider Concierge Center
UPMC 290 reviews - Pittsburgh, PA
Five (5) years experience in utilization review preferred. Registered Nurse license. Understanding of clinical and authorization/utilization review processes....
Sponsored by UPMC
RN Hospice Case Manager-1 Year RN Exp
Bethany Hospice - Pittsburgh, PA
REGISTERED NURSE CASE MANAGER. Demonstrates expertise in utilization of team members including volunteers and community resources....
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Sponsored by Bethany Hospice

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Fulfilling Careers. Making a Difference...