RN Utilization Review jobs in Pittsburgh, PA

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Utilization Review Nurse
Walgreens 8,718 reviews - Carnegie, PA
Utilization Review Nurse (Job Number:. Provides day-to-day guidance to the Utilization Review Specialists. Applies utilization management to review requests for...
Sponsored by Walgreens
Preservice Review Nurse, RN - Pittsburgh, PA
UnitedHealth Group 2,190 reviews - Pittsburgh, PA
Utilization review, utilization management, pre-service review, acute setting, registered nurse, Pittsburgh, Pennsylvania, PA....
Sponsored by UnitedHealth Group
Director of Case Management Operations for York/Adams County
WellSpan Health Services 72 reviews - Pennsylvania
Pennsylvania RN license required. 2 Conducts analysis of Utilization Review trends and works with hospital leadership to address and solve problems....
Sponsored by WellSpan Health Services

UM RN Reviewer

UPMC 302 reviews - Pittsburgh, PA
2 years utilization review experience preferred. UPMC/Jefferson Regional Home Health is hiring a full-time UM RN Reviewer to help support the NWVNA-Utilization...

Registered Nurse - (Acute Medicine)

U.S. Department of State 144 reviews - Pittsburgh, PA
$48,443 - $100,786 a year
2-3 Years of RN experience. Practice, ethics and resource utilization, Professional Development:. Applying online will allow you to review and track the status...

Licensed Care Manager - CCBH

UPMC 302 reviews - Pittsburgh, PA
Pennsylvania Licensure in health or human services field and master's degree OR licensed RN (BSN preferred)....

Authorization Nurse - UPMC Corporate Services

UPMC 302 reviews - Pittsburgh, PA
Prior utilization review experience. Maintain collaborative relationships with utilization management and departments at payor organizations....

Preservice Review Nurse, RN - Pittsburgh, PA

UnitedHealth Group 2,190 reviews - Pittsburgh, PA
Utilization review, utilization management, pre-service review, acute setting, registered nurse, Pittsburgh, Pennsylvania, PA....

Telephonic Care Manager - Adult Case Management - UPMC Healt...

UPMC 302 reviews - Pittsburgh, PA
Review members current medication profile; Refers member for Comprehensive Medication Review as appropriate....

Nurse Liaison (RN) - Medical Oncology - (Hillman Cancer Cent...

UPMC 302 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...

Nurse Case Manager Specialist/Utilization Management - Liais...

Cigna 968 reviews - Pittsburgh, PA
Utilization Management - Liaison Nurse. Expedite the review of facility transfer requests to avoid delays in service....

CDI Specialist - Nurse

LifeCare Hospitals of Pittsburgh - Monroeville Cam... - Monroeville, PA
RN with bachelor’s degree in a related field. This position provides integration of the patient’s condition with the medical record documentation, facilitates...

Utilization Review Nurse

Walgreens 8,718 reviews - Carnegie, PA
Utilization Review Nurse (Job Number:. Provides day-to-day guidance to the Utilization Review Specialists. Applies utilization management to review requests for...
Registered Nurse Telephonic Triage with Utilization Review
Maxim Healthcare Services 896 reviews - Pittsburgh, PA
Must have a minimum of 2 years’ experience within utilization review, good computer skills and Interqual experience is preferred....
Sponsored by Maxim Healthcare Services
Registered Nurse Telephonic - Utilization Review Pittsburgh
Maxim Healthcare Services 896 reviews - Pittsburgh, PA
Must have a minimum of 2 years experience with utilization review, good computer skills, case manager knowledge and telephonic experience....
Sponsored by Maxim Healthcare Services

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Company with RN Utilization Review jobs
Walgreens is a large retail chain that provides access to consumer goods and services, plus pharmacy, health and wellness services.