RN Utilization Review jobs in Pittsburgh, PA

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Orthopedic Nurse Reviewer
Tri Rivers Assessment Services Inc - Wexford, PA
WComp, Disability or Utilization Review work:. Experience in Workers’ Compensation, Disability Insurance, or Utilization Review a must....
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Sponsored by Tri Rivers Assessment Services Inc - 10 hours ago
Manager, Provider Concierge Center (RN) - UPMC Corporate Ser...
UPMC 279 reviews - Pittsburgh, PA
Five (5) years experience in utilization review preferred. Understanding of clinical and authorization/utilization review processes....
Sponsored by UPMC - 21 days ago
Nurse, RN, Ambulatory - Hematology / Oncology, RELOCATION AS...
Nemours 53 reviews - Pittsburgh, PA
Current and valid RN license in the state of Florida required. Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care,...
Sponsored by Nemours - 13 days ago

Care Coordinator

Jefferson Hospital 21 reviews - Pittsburgh, PA
Care facilitation and utilization review experience is preferred. Current PA RN license required. Minimum 2+ years of recent clinical RN acute care experience...

Orthopedic Nurse Reviewer

Tri Rivers Assessment Services Inc - Wexford, PA 15090
WComp, Disability or Utilization Review work:. Experience in Workers’ Compensation, Disability Insurance, or Utilization Review a must....
Easily apply

Authorization Nurse - UPMC Corporate Services

UPMC 279 reviews - Pittsburgh, PA
Qual criteria appropriately Prior utilization review experience Knowledge of payor reimbursement structure....

Authorization Nurse - Casual - UPMC Corporate Services

UPMC 279 reviews - Pittsburgh, PA
Qual criteria appropriately Prior utilization review experience Knowledge of payor reimbursement structure....

Clinical Appeals Coordinator - UPMC Health Plan

UPMC 279 reviews - Pittsburgh, PA
Create correspondence for review prior to finalizing ¿ outreach to members and/or providers as needed to obtain and review additional clinical documentation....

CASE MANAGER

Geo Group 213 reviews - Pittsburgh, PA
Attends and acts as advocate or liaison to all client court hearings, school meetings, and reviews. Coordinates and develops appropriate service plans through...

Care Manager

Value Options 142 reviews - Trafford, PA
Applies utilization management policies and procedures for determination of initial, concurrent and retrospective review....

Utilization Reviewer- FH

Forbes Hospital - Monroeville, PA
Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as...

Care Manager- AGH

Allegheny General Hospital 79 reviews - Pittsburgh, PA
Completes and documents admission, concurrent, and discharge reviews of all inpatients and selected outpatients....

Triage Nurse

CorVel 25 reviews - Pittsburgh, PA
Strong cost containment background, such as utilization review or managed care also useful. Review Claim Files and provide assessment....
Nurse, RN, Med/Surg, Hershey, PA, 7p-7:30a w/ e/o Wknd (Nigh...
Penn State Hershey Medical Center 28 reviews - Pittsburgh, PA
At least one year RN experience. Career, Employment, Jobs, Opening, Shift, Schedule, Staff, Department, Unit, Office, Occupation, Compensation, Salary, Benefits...
Sponsored by Penn State Milton S. Hershey Medical Center - 21 days ago
Triage Nurse
CorVel 25 reviews - Pittsburgh, PA
Strong cost containment background, such as utilization review or managed care also useful. Review Claim Files and provide assessment....
Sponsored by CorVel - 30 days ago

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Company with RN Utilization Review jobs
279 reviews
UPMC develops and delivers Life Changing Medicine through the power of technology, science, and innovation.