Utilization Review Nurse jobs in Pittsburgh, PA

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REGISTERED NURSE (Transfer Office/Care Management Center)
Department of Veterans Affairs 691 reviews - Pittsburgh, PA
Requirements: * Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, no experience. * Nurse... 2850a - Application for Nurses and Nurse Anesthetists...
Sponsored by Nurse.com - 6 days ago
Resource Director Case Management - Central Region Kindred H...
Kindred Healthcare 742 reviews - Oakdale, PA
management and utilization review activities in a... Review and other appropriate individuals. Discuss denial of coverage related to Utilization Review with...
Sponsored by Kindred Healthcare - 6 days ago
Show:  all jobs - only 'Easy Apply' jobs

Retrospective Appeals Nurse

UPMC 201 reviews - Pittsburgh, PA
UPMC Corporate Services is hiring a Full-Time Retrospective Appeals Nurse to help support the Care Management Department for its UPMC Corporate Services South...
22 hours ago - save job - email - more...

Case Manager - Health Plan

UPMC 201 reviews - Pittsburgh, PA
Review UPMC Health Plan data for services the member has received and identify gaps in care based on clinical standards of care....
10 days ago - save job - email - more...

REGISTERED NURSE (Transfer Office/Care Management Center)

Department of Veterans Affairs 691 reviews - Pittsburgh, PA
Two vacancies exist for Registered Nurses in the Transfer Office located in the Care Management Center under the Health Administration Service Line at the HJ...
8 days ago - save job - email - more...

Onsite Transition Coordinator - St Margaret

UPMC 201 reviews - Pittsburgh, PA
Complete an overall review of medical record to determine admission diagnoses, barriers, start discharge plan, assess educational needs....
10 days ago - save job - email - more...

Registered Nurse SL

UPMC 201 reviews - Pittsburgh, PA
Northwest Sugarcreek Station is hiring a Casual Registered Nurse SL to help support the NWSCR-Nursing Department for its location....
14 days ago - save job - email - more...

Care Manager - East Part-time

UPMC 201 reviews - Pittsburgh, PA
Performs overall utilization management, resource management, discharge planning and post-acute care referrals and authorizations....
17 days ago - save job - email - more...

Sr Professional Care Manager - Presbyterian

UPMC 201 reviews - Pittsburgh, PA
Performs overall utilization management, resource management, discharge planning and post-acute care referrals and authorizations....
14 days ago - save job - email - more...

Professional Care Manager - Magee

UPMC 201 reviews - Pittsburgh, PA
Performs overall utilization management, resource management, discharge planning and post-acute care referrals and authorizations....
29 days ago - save job - email - more...

Claim Supervisor, Commercial Workers' Compensation

UPMC 201 reviews - Pittsburgh, PA
- Provide supervision, guidance, technical and educational support to a staff of workers' compensation adjusters handling lost-time and medical only claims,...
21 days ago - save job - email - more...

Care Coordinator (Part-time) - WPH

West Penn Hospital 16 reviews - Pittsburgh, PA
Registered nurse who is proficient in the coordination of care and manages coordination of care in accordance with recognized standards of practice for Care...
22 days ago - save job - email - more...
Utilization Management Clinician
CAMBIA Health Solutions - United States
UTILIZATION MANAGEMENT CLINICIANREMOTE WORKER; ID, WA, OR OR UT ONLY * Provides utilization management (such as prospective concurrent and retrospective review...
Sponsored by America's Job Exchange - 21 days ago
Registered Nurse - Nurse Manager Primary Care
Department of Veterans Affairs 691 reviews - Pittsburgh, PA
Certification (ANCC Nurse Executive or similar... Determinations: Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, no experience. Nurse I...
Sponsored by Nurse.com - 9 hours ago
Registered Nurse Assessment Coordinator (RNAC)
Baptist Homes 3 reviews - Pittsburgh, PA
Nurse Assessment Coordinator (RNAC). Job Summary: Responsible for assuring that the MD’s and PPS Reviews... Completes the Utilization Review forms required for...
Sponsored by Miracle Workers - 14 days ago

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