RN Utilization Review jobs in Pittsburgh, PA

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Clinical Director
Presbyterian SeniorCare 5 reviews - Oakmont, PA
Determines staffing patterns that will accomplish objectives and promote maximum utilization of personnel....
Sponsored by Presbyterian SeniorCare - 30+ days ago
Professional Care Manager
UPMC 222 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 - 15 days ago

Telephonic Care Manager - UPMC Health Plan

UPMC 222 reviews - Pittsburgh, PA
Review member's current medication profile; Refers member for Comprehensive Medication Review as appropriate....
3 days ago - save job - email - more...

Profess Care Manager, Supervisor - UPMC Health Plan

UPMC 222 reviews - Pittsburgh, PA
Contributes or completes performance reviews for staff. Utilize evidence based practice to support improvement in care / health / utilization management....
2 days ago - save job - email - more...

UM Care Manager - UPMC Health Plan

UPMC 222 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...
13 days ago - save job - email - more...

Lead Care Manager - UPMC St. Margaret

UPMC 222 reviews - Pittsburgh, PA
Audits and evaluates the daily activates of Care management staff including utilization review, discharge planning, documentation, and interdisciplinary rounds....
2 days ago - save job - email - more...

Manager, Care Management - UPMC Health Plan

UPMC 222 reviews - Pittsburgh, PA
Reviews performance against Health Plan goals and completes staff evaluations; Utilize evidence based practice to support improvement in care / health /...
8 days ago - save job - email - more...

Service Coordinator, Operating Room-AGH

Allegheny General Hospital 63 reviews - Pittsburgh, PA
Acts in the capacity of a charge RN when necessary. Reviews surgical schedule in advance to anticipate needed supplies, equipment and prosthesis....
3 hours ago - save job - email - more...

Professional Care Manager

UPMC 222 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...
15 days ago - save job - email - more...

RN Hospice Case Manager-1 Year RN Exp

Bethany Hospice - Pittsburgh, PA 15220
RN licensed in the state. RN needed for full time hospice case manager field position. Demonstrates expertise in utilization of team members including...
Easily apply
1 day ago - save job - email - more...

Utilization Review Coordinator - Wilkinsburg

Pyramid Healthcare 17 reviews - Wilkinsburg, PA
Perform Act 106 reviews and follow up appeals. Attend clinical staffing to obtain information for client reviews....
10 days ago - save job - email - more...

Nurse Clinician RN (Cross Functional)

Express Scripts 742 reviews - Warrendale, PA
Previous clinical criteria review experience preferred; The Nurse Clinician RN is responsible for reviewing escalated clinical criteria reviews for providers,...
7 days ago - save job - email - more...
Healthcare Provider - (RN) Hospital Case Management - Manage...
Deloitte 1,222 reviews - Pittsburgh, PA
Must be an RN. Facilitate use of technology-based tools or methodologies to review, design and/or implement products and services....
Sponsored by 6FigureJobs - 15 days ago
RN Hospice Case Manager-1 Year RN Exp
Bethany Hospice - Pittsburgh, PA
RN licensed in the state. RN needed for full time hospice case manager field position. Demonstrates expertise in utilization of team members including...
Easily apply
Sponsored by Bethany Hospice - 1 day ago
RN NURSE DIRECTOR OF CASE MANAGEMENT / RESOURCE MANAGEMENT
Apple Connections, LLC - Pittsburgh, PA
$120,000 a year
Nurse, Director, Supervisor, Manager, Resource Management, Utilzation Review, reimbursement, MSDRGs, DRG, RN. Were looking for a dynamic leader that will mentor...
Sponsored by NurseJobsNationwide.com - 7 days ago

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Company with RN Utilization Review jobs
5 reviews
Presbyterian SeniorCare believes that those who have spent a lifetime providing for others deserve the best from us.