Utilization Management Nurse jobs in Pittsburgh, PA

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ADVANCED PRACTICE CLIN NON RVU
Sentara 134 reviews - United States
Participates in quality assurance and utilization management activities; And assists with risk management functions....
Sponsored by Sentara - 12 days ago
Clinical Director
Presbyterian SeniorCare 5 reviews - Oakmont, PA
Conducts case management conferences. Minimum 1 year in a supervisory or management position. Determines staffing patterns that will accomplish objectives and...
Sponsored by Presbyterian SeniorCare - 30+ days ago

Telephonic Care Manager - UPMC Health Plan

UPMC 221 reviews - Pittsburgh, PA
Refer members to appropriate case management, health management, or lifestyle programs based on assessment data....
1 day ago - save job - block - email - more...

Profess Care Manager, Supervisor - UPMC Health Plan

UPMC 221 reviews - Pittsburgh, PA
Utilize evidence based practice to support improvement in care / health / utilization management. The Supervisor is responsible for oversight and day-to -day...
4 hours ago - save job - block - email - more...

Clinical Care Manager - UPMC Health Plan

UPMC 221 reviews - Pittsburgh, PA
1 year of experience in clinical, utilization management, home care, discharge planning, and/or case management preferred....
4 hours ago - save job - block - email - more...

Case Manager, Home Health (FT - Blair County)

UPMC 221 reviews - Pittsburgh, PA
Establish a physician-directed, individualized treatment plan in conjunction with Utilization Management staff....
6 days ago - save job - block - email - more...

Nurse Clinician RN (Cross Functional)

Express Scripts 738 reviews - Warrendale, PA
The Nurse Clinician RN is responsible for reviewing escalated clinical criteria reviews for providers, members and patient client advocates within the Prior...
5 days ago - save job - block - email - more...

Program Manager - FT Wilkinsburg

Pyramid Healthcare 17 reviews - Wilkinsburg, PA
Manages the day-to-day operations of the program and carries out the personnel management activities associated with direct staff supervision, including...
7 days ago - save job - block - email - more...

Clinical Care Manager - UPMC Health Plan Butler

UPMC 221 reviews - Pittsburgh, PA
1 year of experience in clinical, utilization management, home care, discharge planning, and/or case management preferred....
6 days ago - save job - block - email - more...

Clinical Care Manager - UPMC Health Plan Heritage Valley

UPMC 221 reviews - Pittsburgh, PA
1 year of experience in clinical, utilization management, home care, discharge planning, and/or case management preferred....
6 days ago - save job - block - email - more...

Clinical Care Manager - UPMC Health Plan Magee

UPMC 221 reviews - Pittsburgh, PA
1 year of experience in clinical, utilization management, home care, discharge planning, and/or case management preferred....
6 days ago - save job - block - email - more...

HEA NCLEX RN Faculty PT - Pittsburgh, PA

Kaplan 518 reviews - Pittsburgh, PA
Current, unencumbered license as a Registered Nurse. Understanding & application of Kaplan methodology with appropriate utilization of the Faculty Manual....
22 days ago - save job - block - email - more...
RN NURSE DIRECTOR OF CASE MANAGEMENT / RESOURCE MANAGEMENT
Apple Connections, LLC - Pittsburgh, PA
$120,000 a year
RN NURSE DIRECTOR OF CASE MANAGEMENT. Nurse, Director, Supervisor, Manager, Resource Management, Utilzation Review, reimbursement, MSDRGs, DRG, RN....
Sponsored by NurseJobsNationwide.com - 5 days ago
Nurse Manager - RN Job
HCR ManorCare 566 reviews - Monroeville, PA
Nurse Manager - RN Description:. The Nurse Manager - RN coordinates resource utilization, timely and appropriate care interventions, and interdisciplinary...
Sponsored by HCR ManorCare - 1 day ago
RN Case Manager Hospice
Bethany Hospice - Pittsburgh, PA
REGISTERED NURSE CASE MANAGER. Demonstrates expertise in utilization of team members including volunteers and community resources....
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Sponsored by Bethany Hospice - 30+ days ago

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