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Utilization Management Nurse jobs in Pittsburgh, PA

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Registered Nurse - Nurse Informatics Coordinator (Patient Ca...
Registered Nurse Functional Statement. The incumbent will work under the Associate Chief Nurse for Acute Care but will provide support to Nurses in various...
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Utilization Review / Case Manager RN
Maxim Healthcare Services - 1,163 reviews - Pittsburgh, PA
$18 - $28 an hour
New Registered Nurse and Licensed Practical Nurse Utilization Review openings in Pittsburgh, PA. Follow State/Country mandated guidelines for the nurse case...
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Registered Nurse (RN) / Licensed Practical Nurse (LPN)
Maxim Healthcare Services - 1,163 reviews - Pittsburgh, PA
$18 - $40 an hour
Current Registered Nurse (RN) or Licensed Practical Nurse (LPN) License for the state in which the nurse practices....
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UM (Utilization Management) Care Manager - Ancillary

UPMC - 379 reviews - Pittsburgh, PA 15219 (Middle Hill area)
Minimum of 1 year work related experience in Utilization Management required. UPMC Health Plan is looking to a hire a fill-time Utilization Management (UM) Care...

UM (Utilization Management) Care Manager

UPMC - 379 reviews - Pittsburgh, PA 15219 (Middle Hill area)
Minimum of 1 year work related experience in Utilization Management required. UPMC Health Plan is hiring a full-time Utilization Management (UM) Care Manager to...

Call Center Agent - Associate Care Management Coord - Pre-Ce...

Highmark Health - Pittsburgh, PA 15222 (Strip District area)
Communicate effectively with Utilization Management Staff, providers, other internal and external customers and management....

Accredo - Nurse Supervisor

Express Scripts - 1,718 reviews - Warrendale, PA
Understanding or ability to implement utilization management principles. Monitor the daily administration of clinical programs, including application of medical...

Case Manager

Aetna - 1,626 reviews - Township of Moon, PA
Nursing/Registered Nurse is desired. Enables appropriate utilization of services and integration with available internal/external programs....

Registered Nurse - Nurse Informatics Coordinator (Patient Ca...

Department of Veterans Affairs - 2,152 reviews - Pittsburgh, PA
Registered Nurse Functional Statement. The incumbent will work under the Associate Chief Nurse for Acute Care but will provide support to Nurses in various...

Clinical Care Manager - Excela Health - Greensburg / Latrobe...

UPMC - 379 reviews - Pittsburgh, PA 15219 (Middle Hill area)
1 year of experience in clinical, utilization management, home care, discharge planning, and/or case management preferred....

Telephonic Care Manager (RN) - Special Needs Plan

UPMC - 379 reviews - Pittsburgh, PA 15219 (Middle Hill area)
Refer members to appropriate case management, health management, or lifestyle programs based on assessment data....

Clinical Informatics Nurse - EHR Deployment

Allegheny Health Network (Corporate) - 4 reviews - Pittsburgh, PA
Clinical Informatics Nurse. Current PA licensure as a professional Registered Nurse. Self -directed, with excellent organizational, analytical, writing,...

Statewide UM Director- RN

Wexford Health Sources, Inc. - 87 reviews - Pittsburgh, PA
The Director of Utilization Management is responsible for the oversight, direction, and budget management of the Utilization Management (UM) Department;...
Unit Director-PACU
UPMC - 379 reviews - Pittsburgh, PA
Current Pennsylvania licensure as a Registered Professional Nurse. Analyzes nurse and patient satisfaction outcome data and develops action plan to address as...
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Regional Director, Pharmacy
UPMC - 379 reviews - Pittsburgh, PA
PharmD or Masters degree in Pharmacy Administration or Management and a minimum of 7 years experience in hospital pharmacy administration or management....
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