Nurse Utilization Review jobs in Pittsburgh, PA

Filter results by:
Sort by: relevance - date
Salary Estimate
Job Type
Experience Level
Jobs 1 to 10 of 75
Upload your resume - Let employers find you
Quality /Utilization Management Reviewer - Mars/Warrendale,...
Home Health Quality/UM Reviewers perform home health utilization review activities as assigned:. Review charts for appropriate content, accuracy, completion of...
RN Case Manager
Community LIFE - 20 reviews - Pittsburgh, PA
Working knowledge of utilization review, quality assurance and managed health care concepts. Licensed Registered Nurse in Pennsylvania....
RN, Case Manager, Case Mgmt, PRN, Days, RSWH
Current utilization review experience handling commercial insurance cases using Navinet software required. Registered Nurse license, BSN preferred....

Utilization Management/Medical Policy Analyst

Novus Group - Pittsburgh, PA
Utilization Management/Medical Policy AnalystOnePittsburgh’spremierecompanies seeksaUtilization Management/Medical PolicyAnalystfor atemporary-to-hireposition...

Clinical Auditor/Analyst (RN) - Quality Assurance & Operatio...

UPMC - 486 reviews - Pittsburgh, PA 15219 (Middle Hill area)
Registered Nurse (RN). Responsibilities may involve multiple line of business focused reviews, or ad hoc reviews as needed;...

UM RN Reviewer

UPMC - 486 reviews - Seven Fields, PA 16046
2 years utilization review experience preferred. Clinical expertise, teacher, specialized resource nurse, and/or evidence based practice....

CDI Specialist - Nurse

PA - LifeCare Hospitals of Pittsburgh - Main Campu... - Pittsburgh, PA 15221 (Oakland area)
Must be currently licensed as a Registered Nurse. This position provides integration of the patient’s condition with the medical record documentation,...

Telephone RN Case Manager

Keystone Peer Review - Washington, PA
Minimum 3 years clinical experience in acute care, home health care or combination - AND - 3 years case/utilization management or discharge planning experience...

Quality /Utilization Management Reviewer - Mars/Warrendale,...

Celtic Healthcare - 30 reviews - Mars, PA
Home Health Quality/UM Reviewers perform home health utilization review activities as assigned:. Review charts for appropriate content, accuracy, completion of...

Care Manager Medicare Appeals

Highmark Inc - 60 reviews - Pittsburgh, PA 15222 (Strip District area)
RN (Registered Nurse) license. This job implements effective utilization management strategies including:. Review of appropriateness of health care services,...

Clinical Documentation Specialist

Ovation, LLC - Pittsburgh, PA
Knowledge of computer technology, quality assurance activities, DRG, Utilization review highly preferred. May perform retrospective reviews to determine trends...

Utilzation Reviewer - Resource Center

Allegheny Health Network (Corporate) - 13 reviews - Pittsburgh, PA
Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as...

Quality Nurse Coordinator

UPMC - 486 reviews - Pittsburgh, PA 15213 (North Oakland area)
Oversees the ongoing medical record reviews, including reviews of documentation required for UNOS, CMS, PA DOH. Participates with the peer review process....
Outpatient RN Supervisor
TCV Community Service - Homestead, PA
Responsible for utilization review and supports MD/CRNP productivity. The Psychiatric Outpatient Nurse Supervisor functions as a Team Leader and Supervisor of...
Registered Nurse - RN - Utilization Management
Participate in Quality Assurance and Utilization review activities, as directed. Active Registered Nurse (RN) licensure in the state in which the Registered...
Easily apply

Never miss a job. Get new jobs emailed to you daily.

Be the first to see new Nurse Utilization Review jobs in Pittsburgh, PA
You can cancel email alerts at any time.