Utilization Review Manager jobs in Pittsburgh, PA

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Quality /Utilization Management Reviewer - Mars/Warrendale,...
Home Health Quality/UM Reviewers perform home health utilization review activities as assigned:. Review charts for appropriate content, accuracy, completion of...
RN Case Manager
Community LIFE - 20 reviews - Pittsburgh, PA
Working knowledge of utilization review, quality assurance and managed health care concepts. Please select location you are interested in:....
Outpatient RN Supervisor
TCV Community Service - Homestead, PA
Responsible for utilization review and supports MD/CRNP productivity. The Psychiatric Outpatient Nurse Supervisor functions as a Team Leader and Supervisor of...

Team Manager - Salesforce

HM Health Solutions Inc. - Pittsburgh, PA
Conducts performance reviews and assesses, manages performance. Assigns, monitors, and reviews progress and accuracy of work....

Care Manager-Behavioral Health

Gateway Health Plan - 32 reviews - Pittsburgh, PA
Certification in utilization management or a related field. This job implements the effective utilization management strategies including:....

Portfolio Manager III

PNC - 3,264 reviews - Pittsburgh, PA 15289 (Central Business District area)
Manages the development and review of analysis and reporting information related to key strategic portfolio milestones....

Manager of Quality

Beacon Health Options - 327 reviews - Seven Fields, PA
Familiarity with utilization management, preferably in a managed care setting, required. Basic computer skills required, including Word, PowerPoint, Access and...

Associate Manager, Promotion Review

Mylan - 504 reviews - Canonsburg, PA 15317
Associate Manager, Promotion Review. Manage the execution of operational support and guidance to multiple internal departments to facilitate the submission,...

PA or CRNP, Program Manager, PEDS Children's Hospital

UPMC - 500 reviews - Pittsburgh, PA 15224 (Central Lawrenceville area)
Coordination of APP Peer Review. Peer reviewer with practice managers of Annual Reviews 4. Coordinate and peer review coding QA and audits with Compliance...

Supervisor, Credentialing and Enrollment-Revenue Cycle

UPMC - 500 reviews - Pittsburgh, PA 15203 (Southside Slopes area)
Ensure site reviews are completed appropriately. Proficient in utilization of Microsoft software products....

Manufacturing Manager

FS-Elliott - 6 reviews - Export, PA
Utilization of people, materials and machines. Is seeking a Manufacturing Manager responsible for directing the manufacturing....

Manager Technical Services

Williams - 173 reviews - Pittsburgh, PA 15201 (Central Lawrenceville area)
Assess achievement of team goals through metrics, scorecards, and periodic performance reviews. This position will also be drive attention to the optimization...

SUPERVISOR - CAGE

Rivers Casino - 144 reviews - Pittsburgh, PA
Prepares weekly team member schedules, ensures adequate staffing during peak volume periods and less staffing during low utilization periods....
Supply Chain Coordinator
ARMADA - 49 reviews - Pittsburgh, PA
Escalate chronic issues to the appropriate manager for review. Manager the Pending Orders for your assigned region/suppliers and handle the carrier rate reviews...
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Hospice Quality/Utilization Management Reviewer-FT-Warrendal...
Celtic Healthcare - 31 reviews - Pittsburgh, PA
Expected productivity for hospice reviews is the management and timely review of a 400-500 patient caseload....

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