RN Utilization Review jobs in Pittsburgh, PA

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Utilization Review Coordinator
Pyramid Healthcare 17 reviews - Wilkinsburg, PA
Utilization Review Coordinator Knowledge/Professional/Experience:. Utilization Review Coordinator Job Scope:....
Easily apply
Sponsored by Pyramid Healthcare - 13 days ago
Preservice Review Nurse RN - Pittsburgh, PA
UnitedHealth Group 1,626 reviews - Pittsburgh, PA
Preservice Review RN- Pittsburgh, PA. Perform utilization and concurrent review using Milliman criteria. RN, registered nurse, utilization, case management,...
Sponsored by UnitedHealth Group - 14 days ago

Utilization Reviewer - 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...
2 days ago - save job - email - more...

Preservice Review Nurse RN - Pittsburgh, PA

UnitedHealth Group 1,626 reviews - Pittsburgh, PA
Preservice Review RN- Pittsburgh, PA. Perform utilization and concurrent review using Milliman criteria. RN, registered nurse, utilization, case management,...
14 days ago - save job - email - more...

Utilization Review Coordinator

Pyramid Healthcare 17 reviews - Wilkinsburg, PA
Utilization Review Coordinator Knowledge/Professional/Experience:. Utilization Review Coordinator Job Scope:....
Easily apply
13 days ago - save job - email - more...

Nurse Clinician RN (Cross Functional)

Express Scripts 765 reviews - Warrendale, PA
Previous clinical criteria review experience preferred; The Nurse Clinician RN is responsible for reviewing escalated clinical criteria reviews for providers,...
1 day ago - save job - email - more...

Nurse Liaison (RN) - Corporate Svcs - (Provider Concierge Ct...

UPMC 227 reviews - Pittsburgh, PA
Knowledge of 3rd party payer review criteria. 3-5 years of progressive nursing in an acute care setting with at least one year of experience in utilization...
13 days ago - save job - email - more...

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...
27 days ago - save job - email - more...

Care Coordinator, Case Management - WPH

West Penn Hospital 19 reviews - Pittsburgh, PA
Care facilitation and utilization review experience preferred. Maintains a working knowledge of care management, care coordination changes, utilization review...
3 days ago - save job - email - more...

Care Management Coordinator - Pre-Certification

Highmark Health 2 reviews - Pittsburgh, PA
Communicate effectively with Utilization Management Staff, providers, other internal and external customers and management....
6 days ago - save job - email - more...

Student FNP Clinical Rotation – Pittsburgh – Summer 2015

Take Care Health Systems 88 reviews - Pittsburgh, PA
Participates in ongoing Quality Assurance audits to include Peer Review, CP Review, Medication Administration review, and continuing education....
Take Care Health - 15 days ago - save job - email - more...

Professional Care Manager - UPMC Mercy Psych

UPMC 227 reviews - Pittsburgh, PA
Performs clinical review on admission and/or continued stay using Inter. Performs overall utilization management, resource management, discharge planning and...
23 hours ago - save job - email - more...
Professional Care Manager - UPMC Presbyterian
UPMC 227 reviews - Pittsburgh, PA
Performs clinical review on admission and/or continued stay using Inter. Reviews medical record daily to ensure patient continues to meet LOC requirements and...
Sponsored by UPMC - 30+ days ago
Utilization Review Coordinator
Southwood Psychiatric Hospital 6 reviews - Upper Saint Clair, PA
The Utilization Review Nurse/Coordinator is responsible for managing the utilization review for patients within the hospital....
Sponsored by Miracle Workers - 21 days ago
CASE MANAGER- HAMPTON
Optima Health 9 reviews - United States
RN with a BSN for Hospital Review Case Management team is required. Assigned cases may include components of medical, behavioral health, disease management,...
Sponsored by Optima Health - 8 days ago

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Company with RN Utilization Review jobs
1,626 reviews
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