RN Utilization Review jobs in Pittsburgh, PA

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Nurse, RN, Operating Room, Relocation to Orlando, FL, Varied...
Nemours 53 reviews - Pittsburgh, PA
Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children,...
Sponsored by Nemours
Nurse, RN, Cardiovasular Operating Room, Relocation to Orlan...
Nemours 53 reviews - Pittsburgh, PA
Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children,...
Sponsored by Nemours
Sub-Acute Transitional Care Unit: Director of Nursing
LifeCare Hospitals - Pittsburgh, PA
Monitoring and controlling resource utilization and expenditures, while ensuring adherence to operating budget and budgeted hours (HPPD)....
Sponsored by Nurse.com

Clinical Billing Specialist

UPMC 290 reviews - Pittsburgh, PA
Retrieve, review and release medical records in accordance with the defined functional area. Understanding of utilization management as it relates to the...

Clinical Care Manager

UPMC 290 reviews - Pittsburgh, PA
Review member¿s current medication profile; Present or contribute to complex case reviews by the interdisciplinary team summarizing clinical and social history,...

Medical Review Clinical Reviewer - Medicare

Novitas Solutions Inc. - Pittsburgh, PA
RN, Medical Review, clinical decision making. Certified Professional Coder/Certified Professional Utilization Reviewer....

Manager, Care Management

UPMC 290 reviews - Pittsburgh, PA
Reviews performance against Health Plan goals and completes staff evaluations; Utilize evidence based practice to support improvement in care / health /...

UM Care Manager

UPMC 290 reviews - Pittsburgh, PA
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...

Retrospective Appeals Nurse

UPMC 290 reviews - Pittsburgh, PA
Maintain collaborative relationships with utilization management and appeal departments at payor organizations....

Case Manager II - Per Diem

HealthSouth Corporation 178 reviews - Pittsburgh, PA
The CM II performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team....

Care Manager - Utilization Management - Behavioral Health

Highmark Health 7 reviews - Pittsburgh, PA
Responsible for the implementation of effective utilization management strategies including:. Review of appropriateness of health care services, application of...

Hospice Quality Education Specialist

UPMC 290 reviews - Pittsburgh, PA
Conduct clinical records review to evaluate adherence to standards of care. Work in conjunction with the program directors to determine specific focus(es) of...

Nurse Manager, OP

UPMC 290 reviews - Pittsburgh, PA
Evaluates clinical space utilization and makes recommendations for improvement. Reviews abnormal laboratory values and consults with physicians as needed....
Utilization Review/Case Manager Registered Nurse (RN) Job
Yoh 82 reviews - Pennsylvania
Utilization Review Registered Nurse (RN) needed for a contract opportunity with Yoh's client located in Lansdale, PA.The Big Picture - Top Skills Should You...
Sponsored by Jobomas
REGISTERED NURSE - OPEN CONTINUOUS ANNOUNCEMENT
Federal Government Jobs - Pennsylvania
Practice, ethics and resource utilization; As the RN at Lebanon VA Medical Center, you will. Applying online will allow you to review and track the status of...
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