Utilization Management Nurse jobs in Pittsburgh, PA

Sort by: relevance - date
Salary Estimate
Title
Company
Location
Job Type
Employer/Recruiter
Jobs 1 to 10 of 74
Upload your resume - Let employers find you
Registered Nurse Telephonic Triage - Utilization Review
Maxim Healthcare Services 762 reviews - Pittsburgh, PA
We have immediate openings for Utilization Management RN’s in the Pittsburgh area. 2-4 years of recent working RN utilization review or case management...
Sponsored by Maxim Healthcare Services - 30+ days ago
Nurse Clinician RN (Cross Functional)
Express Scripts 961 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...
Sponsored by Express Scripts - 30+ days ago
Registered Nurse - RN - Telephonic
Maxim Healthcare Services 762 reviews - Pittsburgh, PA
Follow State/Country mandated guidelines for the nurse case management programs. Prefer at least one year of Case Management experience....
Sponsored by Maxim Healthcare Services - 30+ days ago

Clinical Appeals Coordinator

UPMC 272 reviews - Pittsburgh, PA
Two years of Health Insurance experience as a Registered Nurse in a Utilization Management/Medical Management role strongly preferred....

Field Medical Case Management Nurse

CorVel 23 reviews - Pittsburgh, PA
Strong cost containment background, such as utilization review or managed care also useful. Provides medical case management to individuals through...

Compliance Auditor

Epic Health Services - Pittsburgh, PA
An Licensed Vocational Nurse or Licensed Practical Nurse with solid clinical experience. Three years experience in home health care preferred or Compliance...
Easily apply

Nurse Supervisor - Cranberry Twnship, PA

RestorixHealth 7 reviews - Township of Cranberry, PA
Registered Nurse, Physician Assistant or Nurse Practitioner experience preferred. He or she is responsible for staff management, team-building, budgeting,...
Easily apply

Case Manager, Home Health

UPMC 272 reviews - Pittsburgh, PA
Establish a physician-directed, individualized treatment plan in conjunction with Utilization Management staff....

Registered Nurse (Home Health)

Gallagher Home Health Services - Pittsburgh, PA
Registered Nurse Qualifications:. Professional nurse in home health care :. Will also educate the patient/caregiver in the management of their illness and...
Easily apply

Telephonic Care Manager - UPMC Health Plan

UPMC 272 reviews - Pittsburgh, PA
Refer members to appropriate case management, health management, or lifestyle programs based on assessment data....

DRG Specialist II

UPMC 272 reviews - Pittsburgh, PA
OR Registered Nurse. OR Certified Registered Nurse Practitioner. Identify and report issues and trends to the coding management....

QUALITY CARE NURSE

The Washington Hospital 19 reviews - Washington, PA
Functions as liaison care manager for patients in Family Medicine and WPG practices, specifically on Chronic care management, and transitional care management....
Easily apply

Triage Nurse

CorVel 23 reviews - Pittsburgh, PA
Triage Nurse (80%). The Triage nurse in this position may or may not be required to travel on case management appointments....
Registered Nurse
Celtic Healthcare - Mount Lebanon, PA
Will also educate the patient/caregiver in the management of their illness and promote the home health support systems to decrease re-hospitalization and...
Sponsored by Celtic Healthcare - 30+ days ago
Assistant Director of Nursing Job
HCR ManorCare 698 reviews - Pittsburgh, PA
The position conducts the nursing process – assessment, planning, implementation and evaluation – under the scope of the State's Nurse Practice Act of...
Sponsored by HCR ManorCare - 16 days ago

Never miss a job. Get new jobs emailed to you daily.

Get email updates for the latest Utilization Management Nurse jobs in Pittsburgh, PA
You can cancel email alerts at any time.
Get new jobs for this search by email
You can cancel email alerts at any time.
Company with Utilization Management Nurse jobs
961 reviews
Express Scripts is a Fortune 25 company and is the largest pharmacy benefit manager in the U.S.