Utilization Review Manager jobs in Pittsburgh, PA

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Benefits & Wellness Manager
Pressley Ridge - Pittsburgh, PA
Analyzes results of surveys and develops specific recommendations for review by management. Maintains contact with insurance companies, employees, and...
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RN Hospice Case Manager-1 Year RN Exp
Bethany Hospice 2 reviews - 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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Clinical Lead Manager - Individual Contributor
Quintiles 266 reviews - United States
Manage Site Network utilization. Collaborates with the Site Network Manager and the CRA Resource Manager on CRA development....
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Care Manager - Utilization Management RN

Highmark Health 15 reviews - Pittsburgh, PA
1 year of Utilization Management experience. Certification in Utilization Management or a related field....

Clinical Care Manager - North Hills/Cranberry

UPMC 341 reviews - Pittsburgh, PA 15219 (Middle Hill area)
Review member's current medication profile; Present or contribute to complex case reviews by the interdisciplinary team summarizing clinical and social history,...

UM Care Manager - Medical Management

UPMC 341 reviews - Pittsburgh, PA 15219 (Middle Hill area)
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...

Care Manager- Full-time

Allegheny General Hospital 90 reviews - Pittsburgh, PA
Completes and documents admission, concurrent, and discharge reviews of all inpatients and selected outpatients....

Nurse, RN, Med / Surg Intermediate Care, Washington, DC (Med...

Medstar Georgetown University Hospital 129 reviews - Pittsburgh, PA 15251 (North Oakland area)
Career, Employment, Jobs, Opening, Shift, Schedule, Staff, Department, Unit, Office, Occupation, Compensation, Salary, Benefits, Description, Days, Evenings,...

Care Manager

Highmark Health 15 reviews - Pittsburgh, PA
Certification in Utilization Management or a related field. Responsible for the implementation of effective utilization management strategies including:....

Operations Mgr Spoke

O'Neal Metals Pennsylvania - Pittsburgh, PA
O’Neal Steel is currently seeking an Operations Manager. Conduct annual performance and wage/salary reviews with subordinate personnel....

Sr. Practice Manager

UPMC 341 reviews - Pittsburgh, PA 15213 (North Oakland area)
Practice Manager to help support the Administration Department for its Wexford location. Review and evaluate the effectiveness of current procedures and plans...

Professional Care Manager

UPMC 341 reviews - Pittsburgh, PA 15219 (Middle Hill area)
The Care Manager (CM) coordinates the clinical and financial plan for patients. Performs overall utilization management, resource management, discharge planning...

Team Manager, IT - Java/Pega

Highmark Health 15 reviews - Pittsburgh, PA
Conducts performance reviews and assesses, manages performance. Assigns, monitors, and reviews progress and accuracy of work....
Behavioral Care Advocate
UnitedHealth Group 2,437 reviews - Pittsburgh, PA
Managed care or utilization review experience. Conduct focused utilization reviews effectively and efficiently;...
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Delivery Manager - Philadelphia, PA
NTT DATA 324 reviews - Pennsylvania
Optimal deployment and utilization of resources for Managed Engagements. A group company within NTT DATA currently seeks a Delivery Manager to join our team in...
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NTT DATA is your Innovation Partner anywhere around the world, with operations in more than 40 countries.