Nurse Utilization Review jobs in Pittsburgh, PA

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Occupational Therapist Full Time/ PRN
Western Pennsylvania Home Health Association - Pittsburgh, PA
includes appropriate utilization of treatment plans... in staff meetings, in-service programs and Utilization reviews. 14. Participate in the agency’s quality...
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Sponsored by Western Pennsylvania Home Health Association - 30+ days ago
Physical Therapist PRN/Full Time
Western Pennsylvania Home Health Association - Pittsburgh, PA
Including, appropriate utilization of treatment plans... in staff meetings, in-service programs and Utilization reviews. * The above list reflects the essential...
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Sponsored by Western Pennsylvania Home Health Association - 30+ days ago

Full Time Professional Care Manager

UPMC 213 reviews - Pittsburgh, PA
Performs overall utilization management, resource management, discharge planning and post-acute care referrals and authorizations....
1 day ago - save job - email - more...

UM RN Reviewer

UPMC 213 reviews - Pittsburgh, PA
Fayette Home Care & Hospice is hiring a full-time UM RN Reviewer to help support the NWVNA-FHC HH Administration Department for its Fayette Home Care & Hospice...
13 days ago - save job - email - more...

Nurse Clinician RN (Cross Functional)

Express Scripts 707 reviews - Warrendale, PA
The Nurse Clinician RN is responsible for reviewing escalated clinical criteria reviews for providers, members and patient client advocates within the Prior...
2 days ago - save job - email - more...

Utilization Review Nurse

Tri Rivers Consulting Services - Wexford, PA 15090
Record review division of a musculoskeletal practice in Wexford is in need of RNs with orthopedic, utilization review and/or medical-legal experience....
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22 days ago - save job - email - more...

Case Manager-Med Review/UM - Health Plan

UPMC 213 reviews - Pittsburgh, PA
UPMC Health Plan is hiring a Full-Time Case Manager-Med Review/UM to help support the MED MGMT UM Department for its downtown location....
7 days ago - save job - email - more...

Care Coordinator

Jefferson Hospital 15 reviews - Pittsburgh, PA
Registered nurse who is proficient in the coordination of care and manages coordination of care in accordance with recognized standards of practice for Care...
Jefferson Regional Medical Center - 10 days ago - save job - email - more...

Utilization Management Nurse

Wexford Health Sources, Inc. - Pittsburgh, PA
Provides reports and recommendations to medical and facility staff for improved utilization of resources while maintaining quality care....
10 days ago - save job - email - more...

Manager Clinical Operations (Telecommute)

UnitedHealth Group 1,508 reviews - Pittsburgh, PA
Monitoring of utilization and quality trends, auditing files for appropriate documentation, conducting clinical case reviews and involvement in committees and...
14 days ago - save job - email - more...

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

InGenesis - Pittsburgh, PA 15222 (Strip District area)
RN-Review and Evaluation of Medical Care and Services-Non Direct Care- TRAVEL. HIRING IMMEDIATELY to provide services for the Commonwealth of Pennsylvania Great...
17 days ago - save job - email - more...

Manager, Medical Management - Health Plan

UPMC 213 reviews - Pittsburgh, PA
The Manager is responsible for the day-to-day care coordination functions through the management of staff and activity which may include behavioral health,...
8 days ago - save job - email - more...
NICU Telephonic Utilization and Case Management, RN ~ NE Reg...
UnitedHealth Group 1,508 reviews - Pittsburgh, PA
SM NICU Telephonic Utilization and Case Management... discharge planning Experience in utilization review, concurrent review and/or risk management Strong...
Sponsored by CareerBuilder - 13 days ago
RN Hospice Team Supervisor - Irwin
Medi Home Hospice 6 reviews - Irwin, PA
review, and revision of the patient/family plan of care, including exchanges of information, review of... maintain nurse assignments. Promotes the utilization...
Sponsored by CareerBuilder - 8 days ago
Registered Nurse - RN
Maxim Staffing Solutions - Nurse Staffing 523 reviews - Belle Vernon, PA
Nurse License for the state in which the nurse... clinic, r.n., rn, registered nurse, nursing, nurse, er, emergency, practical nurse, medical, surgical...
Sponsored by CareerBuilder - 8 days ago

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