Nurse Utilization Review jobs in Pittsburgh, PA

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Healthcare Provider - (RN) Hospital Case Management - Manage...
Deloitte 1,120 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 - 1 day ago
Registered Nurse - Nurse Manager Primary Care
Veterans Affairs, Veterans Health Administration 690 reviews - Pittsburgh, PA
Certification (ANCC Nurse Executive or similar... Determinations: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, no experience. Nurse I...
Sponsored by Diversitynursing.com - 7 days ago

Case Manager - Health Plan

UPMC 200 reviews - Pittsburgh, PA
Review UPMC Health Plan data for services the member has received and identify gaps in care based on clinical standards of care....
8 days ago - save job - block - email - more...

REGISTERED NURSE (Transfer Office/Care Management Center)

Department of Veterans Affairs 690 reviews - Pittsburgh, PA
Two vacancies exist for Registered Nurses in the Transfer Office located in the Care Management Center under the Health Administration Service Line at the HJ...
6 days ago - save job - block - email - more...

R.N. Nursing Supervisor/ Clincial Supervisor- Director of Ha...

Nurse Next Door Pittsburgh - Wexford, PA
Nurse Next Door - North Hills. This is will start out as a part-time position and then move into a more full time position depending upon the candidate....
7 days ago - save job - block - email - more...

Case Manager-Med Review/UM - Health Plan

UPMC 200 reviews - Pittsburgh, PA
UPMC Health Plan is hiring a Full-Time Case Manager-Med Review/UM to help support the HPLAN-MED MGMT UM Department for its location....
20 days ago - save job - block - email - more...

RN Utilization Management - FH

Forbes Hospital - Monroeville, PA
Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as...
19 days ago - save job - block - email - more...

Registered Nurse - Nurse Manager Primary Care

Department of Veterans Affairs 690 reviews - Pittsburgh, PA
The Nurse Manger manages the patient care environment including budgeting, supplies, equipment and patients;....
8 days ago - save job - block - email - more...

Care Manager, Case Management-AGH

Allegheny General Hospital 61 reviews - Pittsburgh, PA
• Completes and documents admission, concurrent, and discharge reviews of all inpatient and selected outpatients....
14 days ago - save job - block - email - more...

Onsite Transition Coordinator - St Margaret

UPMC 200 reviews - Pittsburgh, PA
Complete an overall review of medical record to determine admission diagnoses, barriers, start discharge plan, assess educational needs....
9 days ago - save job - block - email - more...

Claim Supervisor, Commercial Workers' Compensation

UPMC 200 reviews - Pittsburgh, PA
- Provide supervision, guidance, technical and educational support to a staff of workers' compensation adjusters handling lost-time and medical only claims,...
20 days ago - save job - block - email - more...

RN Utilization Management - AHN

Allegheny Health Network – Corporate - Pittsburgh, PA
Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as...
30+ days ago - save job - block - email - more...
REGISTERED NURSE (Transfer Office/Care Management Center)
Veterans Affairs, Veterans Health Administration 690 reviews - Pittsburgh, PA
a graduate professional nurse in a State, Territory... Requirements: * Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, no experience. * Nurse...
Sponsored by Diversitynursing.com - 4 days ago
REGISTERED NURSE (Transfer Office/Care Management Center)
Department of Veterans Affairs 690 reviews - Pittsburgh, PA
a graduate professional nurse in a State, Territory... Requirements: * Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, no experience. * Nurse...
Sponsored by Nurse.com - 4 days ago
Registered Nurse Assessment Coordinator (RNAC)
Baptist Homes 3 reviews - Pittsburgh, PA
Nurse Assessment Coordinator (RNAC). Job Summary: Responsible for assuring that the MD’s and PPS Reviews... Completes the Utilization Review forms required for...
Sponsored by Miracle Workers - 12 days ago

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