Utilization Review Manager jobs in Pittsburgh, PA

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RNAC Manager
Lutheran SeniorLife 5 reviews - Mars, PA
Oversees implementation and ongoing review of Restorative Nursing Program. Monitors all skilled services to ensure accurate and efficient benefit utilization....
Sponsored by Lutheran SeniorLife
Statistical Programming Manager - Princeton, NJ
Covance 131 reviews - Pennsylvania
Tasks include, but are not limited to protocol review, CRF input, Statistical Analysis Plan review, responsibility for Statistical Programming deliverables,...
Sponsored by Covance
Practice Manager - US
Aasonn - United States
Reviews actual and/or potential project risks and provides direction to the Project Managers and Consultants on potential/mitigating strategies....
Sponsored by Aasonn

UM Care Manager (Discharge Planning) - UPMC Health Plan

UPMC 302 reviews - Pittsburgh, PA
The Utilization Management (UM) Care Manager is responsible for utilization review of health plan services and assessment of member's barriers to care, as well...

Team Leader

UPMC 302 reviews - Pittsburgh, PA
Collaborate with Clinical Supervisor on employee performance reviews. Ensures that orders for services and treatment are obtained by the Case Manager prior to...

Care Manager

Highmark Health 8 reviews - Pittsburgh, PA
Certification in Utilization Management or a related field. Responsible for the implementation of effective utilization management strategies including:....

RNAC Manager

Lutheran SeniorLife 5 reviews - Mars, PA
Oversees implementation and ongoing review of Restorative Nursing Program. Monitors all skilled services to ensure accurate and efficient benefit utilization....

Professional Care Manager - Magee-Womens Hospital

UPMC 302 reviews - Pittsburgh, PA
The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management, resource management, discharge planning...

Claims Coordinator

Veterans Sourcing Group - Pittsburgh, PA
Provide primary processing of incoming Utilization Review referrals. Coordinating with requesting providers, adjusters and case managers to ensure all...
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Team Manager, IT

Highmark Health 8 reviews - Pittsburgh, PA
Conducts performance reviews and assesses, manages performance. Assigns, monitors, and reviews progress and accuracy of work....

Professional Care Manager, Supervisor - UPMC Health Plan

UPMC 302 reviews - Pittsburgh, PA
Contributes or completes performance reviews for staff. Assists care managers with problem solving with complicated member cases....

Coordinator, Care Management - Moosic, PA

UPMC 302 reviews - Pittsburgh, PA
Attends case conferences, interagency and provider treatment planning meetings for members when the assigned care manager is unavailable or when the assigned...

Real Estate Manager

CBRE 292 reviews - Pittsburgh, PA
Provides lease analysis for client's review and approval. Reviews and reconciles tenant rent and Common Area Maintenance (CAM) recovery charges....
Nurse Supervisor - Cranberry Twnship, PA
RestorixHealth - Township of Cranberry, PA
Regularly reviews the Charge Description Master and Superbill to ensure appropriate reimbursement. Reviews retrospectively monthly outcome report(s) and...
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Sponsored by RestorixHealth
Staffing Consultant
Wexford Health 60 reviews - Pittsburgh, PA
Annual review with performance increase. Maintain communication between human resource department, candidates, contract administration, site managers, and...
Sponsored by Wexford Health Sources, Inc.

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Company with Utilization Review Manager jobs
Covance provides drug development services, primarily to the pharmaceutical, biotechnology and medical industries