RN Utilization Review jobs in Pittsburgh, PA

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Nurse Case Manager
Aegis Rehabilitation Consulting Services, Inc. - Pittsburgh, PA
integrating and functions of case management, utilization review and management, vocational assessment and... into the workforce. * Active RN License is required
Easily apply
Sponsored by Aegis Rehabilitation Consulting Services, Inc. - 2 days ago
Clinical Program Consultant - Leading Projects
UnitedHealth Group 1,158 reviews - Pittsburgh, PA
functional leads Identify clinical, quality, utilization and system requirements identified in the RFP... outcomes. Requirements: RN Current and unrestricted...
Sponsored by UnitedHealth Group - 27 days ago

Sr Care Manager - Behavioral Health Utilization Management

Highmark 51 reviews - Pittsburgh, PA
Monitors and analyzes the delivery of health care services;. educates providers and members on a proactive basis;....
Highmark Inc. - 16 days ago - save job - block - email - more...

Case Manager-Medical Review/UM

UPMC 165 reviews - Pittsburgh, PA
Three years of experience in a managed care environment preferred. Ability to interact with physicians and other health care professionals in a professional...
20 days ago - save job - block - email - more...

Intake RN Home Health

UPMC 165 reviews - Pittsburgh, PA
Knowledge of ICD 9 coding required. Identify, investigate and recommend solutions to organization issues. Proven ability to facilitate change....
10 hours ago - save job - block - email - more...

Registered Nurse (RN) - Remote Clinical Nurse Educator

Aetna 275 reviews - Pittsburgh, PA 15222 (Strip District area)
The highest level of education desired for candidates in this position is a Master''s degree or equivalent experience....
16 hours ago - save job - block - email - more...

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

UPMC 165 reviews - Pittsburgh, PA
Patient assessment skills and knowledge of patient acuity levels. Assist in the design and implementation of a program that elicits desired outcomes on an...
10 hours ago - save job - block - email - more...

Medical Review Clinical Reviewer

Novitas RPO - Pittsburgh, PA 15219 (Middle Hill area)
3-5 years experience in clinical decision making, relative to Medicare patients. Leadership skills on a professional level in some combination of medical...
30+ days ago - save job - block - email - more...

Director of Nursing SL (RN) - Canterbury Place

UPMC 165 reviews - Pittsburgh, PA
BSN or Advanced Degree in Related field preferred. The primary focus of the DON is to plan, direct, delegate, monitor and evaluate the delivery of care to...
15 days ago - save job - block - email - more...

Utilization Review - Managed Care Nurse - (UL RN)

Nursefinders 74 reviews - Carnegie, PA
As a critical member of the hospital staff, the utilization review nurse is also responsible for:. Researching and identifying utilization trends or practices....
Easily apply
30+ days ago - save job - block - email - more...

Nurse Clinician RN (Cross Functional)

Express Scripts 518 reviews - Warrendale, PA
Join the company that Fortune magazine ranked as one of the "Most Admired Companies" in the pharmacy category....
15 days ago - save job - block - email - more...

Nurse Clinician RN (Cross Functional)

Accredo Health Group, Inc - Warrendale, PA
Identify and track trends for analytics reporting to ensure clinical criteria program integrity. Makes recommendations regarding escalation of issues, and...
CareersInPharmaceutical.com - 8 days ago - save job - block - email - more...
Case Manager RN or LCSW Kindred Hospital Pittsburgh-North Sh...
Kindred Healthcare 622 reviews - Pittsburgh, PA
management, utilization review and management and... in Case Management, Quality Management, Utilization Review, or discharge planning. If you are a current...
Sponsored by Kindred Healthcare - 30+ days ago
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Company with RN Utilization Review jobs
1,158 reviews
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