Utilization Review Manager jobs in Pittsburgh, PA

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Care Manager - Utilization Management RN
Highmark Health 7 reviews - Pittsburgh, PA
1 year of Utilization Management experience. Certification in Utilization Management or a related field....
Sponsored by Highmark Health  - 4 days ago
RN Hospice Case Manager-1 Year RN Exp
Bethany Hospice - Pittsburgh, PA
REGISTERED NURSE CASE MANAGER. RN needed for full time hospice case manager field position. Demonstrates expertise in utilization of team members including...
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Sponsored by Bethany Hospice  - 3 days ago
Telephonic Care Advocate. Work from Home.
UnitedHealth Group 2,058 reviews - Pittsburgh, PA
· Managed care or utilization review experience. · Conduct focused utilization reviews effectively and efficiently;...
Sponsored by UnitedHealth Group  - 30 days ago

Manager, Care Management

UPMC 290 reviews - Pittsburgh, PA
The Manager is responsible for the operational functions of a care, health, or utilization management team including the direct supervision, coaching and...

Sr. Practice Manager

UPMC 290 reviews - Pittsburgh, PA
Review and evaluate the effectiveness of current procedures and plans with Office/Practice Manager and Physician to develop and implement new, more efficient...

Title Review Attorney

Novus Group - Canonsburg, PA
TITLE REVIEW ATTORNEY. Respond to legal inquiries from various departments while assisting Senior Title Managers in meeting deadlines....

Care Manager - Post Acute

Highmark Health 7 reviews - Pittsburgh, PA
Certification in Utilization Management or a related field. Responsible for the implementation of effective utilization management strategies including:....

UM Care Manager

UPMC 290 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 Manager, IT

Highmark Health 7 reviews - Pittsburgh, PA
Conducts performance reviews and assesses, manages performance. Assigns, monitors, and reviews progress and accuracy of work....

Clinical Care Manager

UPMC 290 reviews - Pittsburgh, PA
Review member¿s current medication profile; Present or contribute to complex case reviews by the interdisciplinary team summarizing clinical and social history,...

Service Manager

Cummins Bridgeway - Pittsburgh, PA
Review reports and direct service staff to achieve profitability and maintain corporate measures, as needed....

SHIFT MANAGER - CAGE

The Rivers Casino 12 reviews - Pittsburgh, PA
Oversees weekly team member schedules to ensure adequate staffing during peak volume periods and less staffing during low utilization periods....

Physician Advisor

Allegheny Clinic - Pittsburgh, PA
Serves as a member of the Utilization Review Committee and other leadership committees as requested by the CMO or CEO....
Nurse, RN, Cardiovasular Operating Room, Relocation to Orlan...
Nemours 53 reviews - Pittsburgh, PA
Career, Employment, Jobs, Opening, Occupation, Compensation, Salary, Hospital, Health Care, Healthcare, Medical, Clinical, Pediatrics, Pediatric, Children,...
Sponsored by Nemours  - 9 days ago
Experienced Nurse Manager, Emergency Dept, Hershey, PA (RN,...
Penn State Hershey Medical Center 31 reviews - Pittsburgh, PA
Career, Employment, Jobs, Opening, Shift, Schedule, Staff, Department, Unit, Office, Occupation, Compensation, Salary, Benefits, Description, Days, Evenings,...
Sponsored by Penn State Milton S. Hershey Medical Center  - 2 days ago

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