Utilization Management Nurse jobs in Pittsburgh, PA

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Manager, Accountable Care Team
Lumeris - Pennsylvania
nurses, administrative staff and management. This position will drive awareness, adoption and utilization... nurses, administrative staff and management...
Sponsored by Essence Group Holdings Corporation - 30+ days ago
Utilization Management Clinician
CAMBIA Health Solutions - United States
UTILIZATION MANAGEMENT CLINICIANREMOTE WORKER; ID, WA, OR OR UT ONLY * Provides utilization management... of case management, utilization management, disease...
Sponsored by America's Job Exchange - 20 days ago

R.N. Nursing Supervisor/ Clincial Supervisor- Director of Ha...

Nurse Next Door Pittsburgh - Wexford, PA
Nurse Next Door - North Hills. This is will start out as a part-time position and then move into a more full time position depending upon the candidate....
7 days ago - save job - block - email - more...

Manager Utilization Management

Highmark Health - Pittsburgh, PA
Manage utilization management daily operations to ensure medically necessary services are provided in a timely, cost effective and quality manner, and at the...
Highmark Inc. - 16 days ago - save job - block - email - more...

Case Manager-Med Review/UM - Health Plan

UPMC 200 reviews - Pittsburgh, PA
The Case Manager-Medical Review is responsible for utilization review of health plan services and assessment of member's barriers to care, as well as actively...
20 days ago - save job - block - email - more...

REGISTERED NURSE (Transfer Office/Care Management Center)

Department of Veterans Affairs 690 reviews - Pittsburgh, PA
Two vacancies exist for Registered Nurses in the Transfer Office located in the Care Management Center under the Health Administration Service Line at the HJ...
7 days ago - save job - block - email - more...

Case Manager - Delaware Valley

UPMC 200 reviews - Pittsburgh, PA
The Case Manager ensures continuity and coordination of care for Health Plan members with care coordination, health care education, and self management needs....
13 days ago - save job - block - email - more...

Professional Care Manager - Magee

UPMC 200 reviews - Pittsburgh, PA
Magee-Womens Hospital of UPMC is hiring a Full-Time Professional Care Manager to help support the Case Management Department for its Magee-Womens Hospital of...
27 days ago - save job - block - email - more...

Onsite Transition Coordinator - St Margaret

UPMC 200 reviews - Pittsburgh, PA
UPMC Health Plan is hiring a Full-Time Onsite Transition Coordinator to help support the Care Management Department for its UPMC Corporate Services St....
9 days ago - save job - block - email - more...

Registered Nurse - Nurse Manager Primary Care

Department of Veterans Affairs 690 reviews - Pittsburgh, PA
The Nurse Manger manages the patient care environment including budgeting, supplies, equipment and patients;....
9 days ago - save job - block - email - more...

Case Manager - Health Plan

UPMC 200 reviews - Pittsburgh, PA
UPMC Health Plan is hiring a Full-Time Case Manager to help support the Case Management/Health Management Department for its UPMC Corporate Services location....
8 days ago - save job - block - email - more...

Clinic Manager - Cleveland Area

Javery International Executive Search - Pittsburgh, PA
Controls time management, patient experience and wait time reporting. Designs and implements efficient patient flow in the clinical area as well as the...
Easily apply
6 days ago - save job - block - email - more...
Call Center Nurse (RN PREFERRED) Tampa 92723
WellPoint 429 reviews - United States
throughout the medical management process. Educates... utilization review experience. 1 year of managed care experience and knowledge of the medical management...
Sponsored by HireDiversity.com - 20 hours ago
RN Case Manager Hospice
Bethany Hospice - Pittsburgh, PA
EOE TITLE: REGISTERED NURSE CASE MANAGER SUPERVISOR... experience and experience with pain and symptom management interventions preferred. 4. Understanding of...
Easily apply
Sponsored by Bethany Hospice - 30+ days ago
Registered Nurse Assessment Coordinator (RNAC)
Baptist Homes 3 reviews - Pittsburgh, PA
full time Registered Nurse Assessment Coordinator... actual MD’s and PPS Reviews. Responsible for case management functions in coordinating the various health...
Sponsored by Miracle Workers - 13 days ago

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Company with Utilization Management Nurse jobs
Lumeris’ technology-enabled solutions support health systems, payers and providers in their journey to value-based care.
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