Utilization Review Manager jobs in Pittsburgh, PA

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Team Leader, Seven Fields, PA
UPMC 240 reviews - Pittsburgh, PA
Collaborates with Clinical Supervisor on employee performance reviews. Ensures that orders for services and treatment are obtained by the Case Manager prior to...
Sponsored by UPMC - 30+ days ago
Telephonic Care Advocate. Work from Home.
UnitedHealth Group 1,739 reviews - Pittsburgh, PA
· Managed care or utilization review experience. · Conduct focused utilization reviews effectively and efficiently;...
Sponsored by UnitedHealth Group - 10 days ago

HEA NCLEX RN Faculty PT - Pittsburgh, PA

Kaplan 557 reviews - Pittsburgh, PA
Ability to teach classes and conduct tutoring as assigned by manager. Understanding & application of Kaplan methodology with appropriate utilization of the...
14 hours ago - save job - email - more...

Team Manager, IT

Highmark Health 4 reviews - Pittsburgh, PA
Conducts performance reviews and assesses, manages performance. Assigns, monitors, and reviews progress and accuracy of work....
1 day ago - save job - email - more...

CARE MANAGER

Value Options 133 reviews - Trafford, PA
Applies utilization management policies and procedures for determination of initial, concurrent and retrospective review....
13 days ago - save job - email - more...

Manager, Financial Investigation and Provider Review

Highmark Health 4 reviews - Pittsburgh, PA
3 years of experience in fraud related investigations, utilization review payment or hospital reimbursement. Presenting provider/network appeal cases to Medical...
2 days ago - save job - email - more...

Care Manager - Utilization Management RN

Highmark Health 4 reviews - Pittsburgh, PA
Certification in Utilization Management or a related field. Responsible for the implementation of effective utilization management strategies including:....
2 days ago - save job - email - more...

Sr Professional Care Manager - UPMC Shadyside

UPMC 240 reviews - Pittsburgh, PA
Performs clinical review on admission and/or continued stay using Inter. The Senior Care Manager (CM) coordinates the clinical and financial plan for patients....
9 days ago - save job - email - more...

Supply Chain Specialist

MSA Safety Inc. - Murrysville, PA
This position reports to the Materials Manager. Goal is to maintain on time delivery to the customer and efficient utilization of....
16 days ago - save job - email - more...

Roving Fleet Manager

Waste Management 1,163 reviews - Township of Moon, PA
Manages effective utilization of vehicle assets. Reviews capital equipment requisitions in line with Corporate guidelines and objectives....
1 day ago - save job - email - more...

Professional Care Manager - UPMC Presbyterian

UPMC 240 reviews - Pittsburgh, PA
Performs clinical review on admission and/or continued stay using Inter. The Care Manager (CM) coordinates the clinical and financial plan for patients....
27 days ago - save job - email - more...

Professional Care Manager - UPMC Hamot

UPMC 240 reviews - Pittsburgh, PA
Performs clinical review on admission and/or continued stay using Inter. The Care Manager (CM) coordinates the clinical and financial plan for patients....
9 days ago - save job - email - more...
TRAVELERS NURSE OPEN HOUSE
Travelers 59 reviews - Pittsburgh, PA
Perform Utilization Review according to established guidelines. We are looking to fill two similar roles, Nurse Medical Case Managers, both responsible for the...
Sponsored by Miracle Workers - 13 days ago
Sr Professional Care Manager - Shadyside
UPMC 240 reviews - Pittsburgh, PA
Performs clinical review on admission and/or continued stay using Inter. The Senior Care Manager (CM) coordinates the clinical and financial plan for patients....
Sponsored by UPMC - 9 days ago
Senior Marketing Campaign Manager
UPMC 240 reviews - Pittsburgh, PA
Plans and reviews campaign budgets. The Senior Manager, Campaign Management is responsible for leading a team of campaign managers whose core duties are to...
Sponsored by UPMC - 30+ days ago

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Company with Utilization Review Manager jobs
240 reviews
UPMC develops and delivers Life Changing Medicine through the power of technology, science, and innovation.