RN Utilization Review jobs in Pittsburgh, PA

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Utilization Review / Case Manager RN
Maxim Healthcare Services - 1,163 reviews - Pittsburgh, PA
$18 - $28 an hour
Seeking RN Case Managers and LPNs with Utilization Review experience. Participate in Quality Assurance and Utilization review activities, as directed....
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Associate Relationship Manager - Customer Care Center Busine...
PNC Bank - 2,326 reviews - Pittsburgh, PA
Effectively executes on contact management strategy through utilization of available tools and resources. Regularly meets with internal business partners to...
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Registered Nurse - RN
The RN Supervisor. At RiverWoods, we are currently looking for Registered Nurse / RN Supervisors . Analyzes nursing services to obtain maximum utilization of...
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UM (Utilization Management) Care Manager - Ancillary

UPMC - 379 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...

UM (Utilization Management) Care Manager

UPMC - 379 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...

Telephonic Care Manager (RN) - Special Needs Plan

UPMC - 379 reviews - Pittsburgh, PA 15219 (Middle Hill area)
Present complex members for review by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization, case management...

RN Case Manager Utilization Review

Logix Guru, LLC. - Pittsburgh, PA
This is an exceptional opportunity for a skilled RN to utilize your experience in a unique way! RN (Full-Time) /Care Management PositionExperienced Med Surg...
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UM RN Reviewer

UPMC - 379 reviews - Seven Fields, PA 16046
2 years utilization review experience preferred. Review OASIS and 485 Plan of Care for accuracy and completeness and ensure correct coding assignment....

Utilzation Reviewer, Resource Center

Allegheny Health Network (Corporate) - 4 reviews - Pittsburgh, PA
Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as...

Clinical Pharmacy Specialist, Anticoagulation Clinic- Full-t...

Allegheny General Hospital - 99 reviews - Pittsburgh, PA
Conducts drug therapy monitoring and drug formulary reviews, implements drug therapy interventions to reduce adverse events....

Registered Nurse Assesment Coordinator (RNAC)

UPMC - 379 reviews - Pittsburgh, PA 15217 (Squirrel Hill South area)
Participate in Department of Health surveys, utilization management review process, communicating effectively with regulatory and field operation...

Utilzation Reviewer, Resource Center, Casual

Allegheny Health Network (Corporate) - 4 reviews - Pittsburgh, PA
Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as...

Manager, Care Management (RN) - Special Needs Plan

UPMC - 379 reviews - Pittsburgh, PA 15219 (Middle Hill area)
Reviews performance against Health Plan goals and completes staff evaluations; Utilize evidence based practice to support improvement in care / health /...
Registered Nurse (RN) / Licensed Practical Nurse (LPN)
A-Line Staffing Solutions LLC - Pittsburgh, PA
$30 an hour
Case Management/Utilization Review (non-clinical). Active PA State RN / LPN License. REGISTERED NURSE / RN / LICENSED PRACTICAL NURSE / LPN....
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Registered Nurse (RN) / Licensed Practical Nurse (LPN)
Maxim Healthcare Services - 1,163 reviews - Pittsburgh, PA
$18 - $40 an hour
New Registered Nurse (RN) and Licensed Practical Nurse (LPN) openings in Pittsburgh, PA and the surrounding area. Seeking RNs and LPNs for a variety of
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Company with RN Utilization Review jobs
PNC Bank operates around 2,600 banking branches in the mid-Atlantic, the Midwest, and Florida and owns around one-quarter of BlackRock, one of the largest publicly-traded investment management firms in the country.