Utilization Management Nurse jobs in Pittsburgh, PA

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Nurse Clinician RN (Cross Functional)
Express Scripts 690 reviews - Warrendale, PA
The Nurse Clinician RN is responsible for reviewing... advocates within the Prior Authorization/Utilization Management department. Identify and track trends for...
Sponsored by Express Scripts - 11 days ago
Supervisor Utilization Management
Healthfirst 69 reviews - United States
Utilization Management or Quality Management experience. Experience working in a clinical and managed care environment. Knowledge of Utilization Management...
Sponsored by TweetMyJobs.com - 30 days ago

Utilization Review Nurse

Tri Rivers Consulting Services - Wexford, PA 15090
Record review division of a musculoskeletal practice in Wexford is in need of RNs with orthopedic, utilization review and/or medical-legal experience....
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7 days ago - save job - block - email - more...

Manager, Care Management - UPMC St. Margaret

UPMC 207 reviews - Pittsburgh, PA
Margaret is hiring a Full-Time Manager, Care Management to help support the Case Management Department for its UPMC St. Margaret location....
10 days ago - save job - block - email - more...

RN-Review and Evaluation of Medical Care and Services-TRAVEL

InGenesis 7 reviews - Pittsburgh, PA 15222 (Strip District area)
Communicate effectively (verbally and in writing) with coworkers, management, Office of General Counsel, and other agencies and facility staff and other medical...
3 days ago - save job - block - email - more...

Clinical Liaison

Concordia Visiting Nurses 10 reviews - Monroeville, PA 15146
The Clinical Liaison is a licensed health care professional that is responsible for the management , supervision , org aniz ation and directing the home care...
Monster - 11 days ago - save job - block - email - more...

RN Case Manager Hospice

Bethany Hospice - Pittsburgh, PA 15220
Hospice, home health, skilled nursing facility or medical, surgical, or critical care experience and experience with pain and symptom management interventions...
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12 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. - 30+ days ago - save job - block - email - more...

Onsite Transition Coordinator - Job Share

UPMC 207 reviews - Pittsburgh, PA
UPMC Health Plan is hiring a Job Share Onsite Transition Coordinator to help support the Care Management Department for its UPMC Corporate Services location....
7 days ago - save job - block - email - more...

(RN) Mercer Health Advantage Nurse Case Manager (Pittsburgh,...

Cigna 680 reviews - Pittsburgh, PA
with customers to improve their overall health care experience and provide direct assistance with all aspects of the coordination and management of their...
2 days ago - save job - block - email - more...

Nurse, Registered-Spec Rx

Giant Eagle 533 reviews - Pittsburgh, PA
The Nurse utilizes clinical skills in a collaborative process to identify and coordinate services to facilitate appropriate healthcare outcomes for Specialty...
10 days ago - save job - block - email - more...

Case Manager - Delaware Valley

UPMC 207 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....
30+ days ago - save job - block - email - more...
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...
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Sponsored by Bethany Hospice - 12 days ago
Nurse Case Manager
Heritage Valley Health System 14 reviews - Sewickley, PA
This position is responsible for coordination and management of health care resource utilization across the continuum of care with a keen focus on promoting...
Sponsored by Miracle Workers - 3 days ago
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

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Company with Utilization Management Nurse jobs
690 reviews
Express Scripts is a Fortune 25 company and is the largest pharmacy benefit manager in the U.S.
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