Utilization Review Nurse jobs in Pittsburgh, PA

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Registered Nurse, Clinical Consultant - Virtual
Prudential 526 reviews - Pittsburgh, PA
pursuant to developmental goals and business needs. This is not a Utilization Review position. For candidates with Disability Industry RN, Clinical...
Sponsored by Prudential - 29 days ago
RN Case Manager Hospice
Bethany Hospice - Pittsburgh, PA
professional Registered Nurse with advanced skills is... implement the medical and nursing plan of care. 6. Review the plan of care with the interdisciplinary team...
Easily apply
Sponsored by Bethany Hospice - 30+ days ago
Nurse Case Manager
Aegis Rehabilitation Consulting Services, Inc. - Pittsburgh, PA
is looking for Registered Nurses to provide on-site... integrating and functions of case management, utilization review and management, vocational assessment and...
Easily apply
Sponsored by Aegis Rehabilitation Consulting Services, Inc. - 30+ days ago

(RN) Oncology Nurse Case Manager (Phoenix, AZ or Pittsburgh,...

Cigna 635 reviews - Pittsburgh, PA
Manages a caseload of specialty oncology cases, evaluating the need for alternative services and as appropriate;....
6 days ago - save job - email - more...

Case Manager-Med Review/UM

UPMC 188 reviews - Pittsburgh, PA
Three years of experience in nursing. Work experience of 1 year discharge planning preferred. Computer proficiency with Microsoft Office products (knowledge and...
9 days ago - save job - email - more...

Precertification UR RN--Flex Full Time

UPMC 188 reviews - Pittsburgh, PA
Familiarity wit Interqual is a plus. Ensures compliance with all HIPPA and appropriate regulatory guidelines....
20 days ago - save job - email - more...

Case Manager - Medical Mgmt SNP

UPMC 188 reviews - Pittsburgh, PA
Three years of experience in a managed care environment preferred. Ability to interact with physicians and other health care professionals in a professional...
6 days ago - save job - email - more...

Sr Professional Care Manager-FT Presby

UPMC 188 reviews - Pittsburgh, PA
Knowledge of healthcare financial and payor issues required. Performs clinical review on admission and/or continued stay using InterQual criteria to determine...
6 days ago - save job - email - more...

Nurse, Registered-Spec Rx

Giant Eagle 505 reviews - Pittsburgh, PA
Perform individualized clinical screening assessments of patient¿s disease and therapy. Perform injection training with patients (in-person and over the phone)....
30+ days ago - save job - email - more...

Clinical Quality Specialist (FT-Infinity-Westlake, OH)

UPMC 188 reviews - Pittsburgh, PA
Demonstrate an understanding of the Medicare Conditions of Participation and CHAP standards for Home Health. Ensure documentation validates the utilization of...
16 days ago - save job - email - more...

Intake Case Manager/Inpatient Rehabilitation

Jefferson Hospital 15 reviews - Pittsburgh, PA
Inpatient Rehabilitation, utilization review and care coordination required. Current and valid PA Registered Nurse license required....
Jefferson Regional Medical Center - 7 days ago - save job - email - more...

Mobile Case Manager - Fayette County

UPMC 188 reviews - Pittsburgh, PA
High level of oral and written communication skills. Proficiency with Microsoft Office Products and ability to learn new computer-based documentation skills....
15 days ago - save job - email - more...

Team Leader JV

UPMC 188 reviews - Pittsburgh, PA
Graduate of an accredited school of professional nursing required. Bachelor's degree in nursing preferred. Minimum of 2 years IV/Oncology experience for IV Team...
6 days ago - save job - email - more...
Nurse, Lic Practical-Spec Rx
Giant Eagle 505 reviews - Pittsburgh, PA
for Specialty patinets. The nurse conducts initial... with tasks to ensure department runs efficiently Review all appropriate service and business metrics and...
Sponsored by Giant Eagle - 30+ days ago
Clinical Director
Presbyterian SeniorCare 2 reviews - Oakmont, PA
of the clinical record review and chart audits and... contract personnel. Ensures that home health care nurses and aides receive supervision, either directly or...
Sponsored by Presbyterian SeniorCare - 30+ days ago
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Company with Utilization Review Nurse jobs
2 reviews
Presbyterian SeniorCare believes that those who have spent a lifetime providing for others deserve the best from us.
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