RN Utilization Review jobs in Pittsburgh, PA

Sort by: relevance - date
Salary Estimate
Job Type
Jobs 1 to 10 of 63
Upload your resume - Let employers find you
REGISTERED NURSE (Bed Management)
Incumbent will coordinate with Utilization Management and participate in the Prospective Admission Review (PAR) process....
Sponsored
Registered Nurse (RN), Utilization Review -- Relocation to A...
Lovelace Medical Center - United States
RN. Valid NM RN License or valid multi-state compact license. Responsible for applying professional clinical skills and expertise in the utilization review of...
Easily apply
Sponsored
RN Hospice Case Manager-1 Year RN Exp
Bethany Hospice - 2 reviews - Pittsburgh, PA
RN licensed in the state. RN License, Drivers License. RN needed for full time hospice case manager field position....
Easily apply
Sponsored

Care Manager - Clinical Appeal Review

Highmark Health - 16 reviews - Pittsburgh, PA
Current, valid, unrestricted RN license. Responsible for the clinical review of appeals, acute care readmissions, retrospective authorization requests, and...

Senior Care Manager -Clinical Appeal Review

Highmark Health - 16 reviews - Pittsburgh, PA
Current, valid, unrestricted RN license. Responsible for the clinical review of appeals, acute care readmissions, retrospective authorization requests, and...

UM Nurse Consultant

Aetna - 625 reviews - Pittsburgh, PA 15220
Conduct Utilization Review and Discharge Planning for members admitted to an acute facility. Click here to review the benefits associated with this position....

RN-Review and Evaluation of Medical Care and Services-Non Di...

IG Javier - Pittsburgh, PA
Work may include serving as a team leader on reviews requiring more than one staff member organizing and coordinating the review process....
Easily apply

Medical Review Clinical Reviewer - Medicare

Novitas Solutions Inc. - Pittsburgh, PA
Certified Professional Coder/Certified Professional Utilization Reviewer. Review and analyze pre and post pay complex health care claims from a medical...

Utilization Management (UM) Care Manager

UPMC - 343 reviews - Pittsburgh, PA 15219 (Middle Hill area)
The Utilization Management (UM) Care Manager is responsible for utilization review of health plan services and assessment of member's barriers to care, as well...

Care Coordinator

Allegheny Health Network (Corporate) - 2 reviews - Pittsburgh, PA
Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory...

Care Coordinator

naviHealth - 18 reviews - Pittsburgh, PA 15219 (Middle Hill area)
Complete Utilization Management functions for authorizations. Review monthly readmission reports, quarterly and other reports as needed to assist with the...

Care Manager - Utilization Management RN

Highmark Health - 16 reviews - Pittsburgh, PA
Current, valid, unrestricted RN license. 1 year of Utilization Management experience. Certification in Utilization Management or a related field....

Authorization Nurse

UPMC - 343 reviews - Pittsburgh, PA 15203 (Southside Slopes area)
Prior utilization review experience. Maintain collaborative relationships with utilization management and departments at payor organizations....
Nurse Manager - Ambulatory Care
RestorixHealth - 12 reviews - Pittsburgh, PA
Supervisory expience, acute care experience, RN or BSN preferred:. RN or BSN preferred, acute care experience, supervisory experience:....
Easily apply
Sponsored
Nurse Manager /Program Director, PA
RestorixHealth - 12 reviews - McKeesport, PA
Supervisory expience, acute care experience, RN or BSN preferred:. Review retrospectively monthly outcome report(s) and collaborates with RXH/Hospital Partner...
Easily apply
Sponsored

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

Get email updates for the latest RN Utilization Review jobs in Pittsburgh, PA
You can cancel email alerts at any time.
Get new jobs for this search by email
You can cancel email alerts at any time.
Company with RN Utilization Review jobs
RestorixHealth specializes in developing and managing comprehensive wound care centers of excellence in conjunction with our partners.