Nurse Utilization Review jobs in Pittsburgh, PA

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Registered Nurse, Clinical Consultant - Virtual
Prudential 526 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 - 29 days ago
Nurse Case Manager
Aegis Rehabilitation Consulting Services, Inc. - Pittsburgh, PA
effectiveness through the integrating and functions of case management, utilization review and management, vocational assessment and discharge planning from the...
Easily apply
Sponsored by Aegis Rehabilitation Consulting Services, Inc. - 30+ days ago

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

Cigna 635 reviews - Pittsburgh, PA
Manages a caseload of specialty oncology cases, evaluating the need for alternative services and as appropriate;....
6 days ago - save job - block - email - more...

RN Utilization Management - AHN

Allegheny Health Network – Corporate - Pittsburgh, PA
CPR required. Obtains or facilitates acquisitions of urgent/emergent authorizations, continued stay authorizations, and authorizations for post-acute services...
1 day ago - save job - block - email - more...

Nurse, Lic Practical-Spec Rx

Giant Eagle 505 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)....
13 days ago - save job - block - email - more...

Case Manager - Medical Mgmt SNP

UPMC 188 reviews - Pittsburgh, PA
Three years of experience in a managed care environment preferred. Ability to interact with physicians and other health care professionals in a professional...
6 days ago - save job - block - email - more...

Case Manager-Med Review/UM

UPMC 188 reviews - Pittsburgh, PA
Three years of experience in nursing. Work experience of 1 year discharge planning preferred. Computer proficiency with Microsoft Office products (knowledge and...
9 days ago - save job - block - email - more...

Precertification UR RN--Flex Full Time

UPMC 188 reviews - Pittsburgh, PA
Familiarity wit Interqual is a plus. Ensures compliance with all HIPPA and appropriate regulatory guidelines....
20 days ago - save job - block - email - more...

Intake Case Manager/Inpatient Rehabilitation

Jefferson Hospital 15 reviews - Pittsburgh, PA
Inpatient Rehabilitation, utilization review and care coordination required. Current and valid PA Registered Nurse license required....
Jefferson Regional Medical Center - 7 days ago - save job - block - email - more...

Director of Resident Care - Senior Living (Washington, PA)

UPMC 188 reviews - Pittsburgh, PA
Provides management oversight of nursing staff. Assess equipment and supply needs and makes recommendations to Administrator....
20 days ago - save job - block - email - more...

Registered Nurse Assessment Coordinator (RNAC)

Baptist Homes 3 reviews - Pittsburgh, PA
Coordinates the RAI with the various other departments that are assigned for documentation of this instrument....
Miracle Workers - 20 days ago - save job - block - email - more...

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

InGenesis 6 reviews - Pittsburgh, PA 15222 (Strip District area)
Assure appropriate and quality medical care that the Medical Assistance Program is properly billed, and that provider and/or recipient fraud, abuse and waste of...
30+ days ago - save job - block - email - more...
RN Case Manager Hospice
Bethany Hospice - Pittsburgh, PA
professional Registered Nurse with advanced skills is... implement the medical and nursing plan of care. 6. Review the plan of care with the interdisciplinary team...
Easily apply
Sponsored by Bethany Hospice - 30+ days ago
Preservice Review Nurse RN, Telecommute M-F Day Schedule
UnitedHealth Group 1,371 reviews - Pittsburgh, PA
UM_Nurse.pdf *** This Preservice Review Nurse is a... The Pre-Service Review Nurse primary responsibilities: Perform utilization and pre-service review using...
Sponsored by CareerBuilder - 3 days ago
Field Case Manager/Pittsburgh, PA
ExamWorks Clinical Solutins (Ability Services Network) - Pittsburgh, PA
determination of appropriate level of care and utilization of services, concurrent review, retrospective review, development of discharge plans and assurance of...
Sponsored by NurseJobsNationwide.com - 1 day ago
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