Utilization Review Nurse jobs in Pittsburgh, PA

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RN Case Manager
Community LIFE 11 reviews - McKeesport, PA
Working knowledge of utilization review, quality assurance and managed health care concepts. Licensed Registered Nurse in Pennsylvania....
Sponsored by Community LIFE - 3 days ago
Director of Nursing Services
Community LIFE 11 reviews - Forest Hills, PA
Working knowledge of utilization review, quality assurance and managed health care. The DNS directs teams of nurse managers, Registered Nurse Case Managers and...
Sponsored by Community LIFE - 30+ days ago

RN Medical Case Manager

Travelers 60 reviews - Pittsburgh, PA
Perform Utilization Review according to established guidelines. One nurse position is a telephonic role onsite at our Pittsburgh location....
3 days ago - save job - email - more...

Care Coordinator - Forbes

Forbes Hospital - Monroeville, PA
Care facilitation and utilization review experience preferred. Maintains a working knowledge of care management, care coordination changes, utilization review...
1 day ago - save job - email - more...

Care Coordinator - WPH

West Penn Hospital 20 reviews - Pittsburgh, PA
Care facilitation and utilization review experience preferred. Maintains a working knowledge of care management, care coordination changes, utilization review...
2 days ago - save job - email - more...

HEA NCLEX RN Faculty PT - Pittsburgh, PA

Kaplan 558 reviews - Pittsburgh, PA
Current, unencumbered license as a Registered Nurse. Understanding & application of Kaplan methodology with appropriate utilization of the Faculty Manual....
2 days ago - save job - email - more...

Care Coordinator

Jefferson Hospital 18 reviews - Pittsburgh, PA
Care facilitation and utilization review experience is preferred. Professional role model utilizing expertise in care management to promote a collaborative...
Jefferson Regional Medical Center - 16 days ago - save job - email - more...

UM Nurse Consultant

Aetna 422 reviews - Pittsburgh, PA
You will conduct Utilization Review and Discharge Planning for members admitted to an acute facility. Nursing/Registered Nurse is required....
18 days ago - save job - email - more...

Director of Utilization Management

Pittsburgh, PA - Pittsburgh, PA 15220
Annual review with performance increase. Reviews budgets and ensures compliance or develops corrective action if necessary....
Wexford Health Sources, Inc. - 1 day ago - save job - email - more...

Team Leader JV

UPMC 241 reviews - Pittsburgh, PA
Collaborates with Clinical Supervisor on employee performance reviews. Facilitates accurate documentation and ensures optimal patient care and utilization of...
10 days ago - save job - email - more...

Manager Quality Improvement

Highmark Health 4 reviews - Pittsburgh, PA
Conduct performance reviews and ongoing staff development. Conduction of on-site visits and medical record reviews via nurse reviewers to assess the care...
23 days ago - save job - email - more...

Utilization Managment Nurse - Work from Home

UnitedHealth Group 1,745 reviews - Pittsburgh, PA
As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
30+ days ago - save job - email - more...

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