Utilization Review Nurse jobs in Pittsburgh, PA

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Telephonic Care Advocate. Work from Home.
UnitedHealth Group 1,629 reviews - Pittsburgh, PA
· Managed care or utilization review experience. · Conduct focused utilization reviews effectively and efficiently; Or registered psychiatric nurse....
Sponsored by UnitedHealth Group - 10 days ago
Preservice Review Nurse RN - Pittsburgh, PA
UnitedHealth Group 1,629 reviews - Pittsburgh, PA
Perform utilization and concurrent review using Milliman criteria. RN, registered nurse, utilization, case management, prior authorizations, discharge planning,...
Sponsored by UnitedHealth Group - 15 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 - 10 days ago

Telephonic Care Advocate. Work from Home.

UnitedHealth Group 1,629 reviews - Pittsburgh, PA
· Managed care or utilization review experience. · Conduct focused utilization reviews effectively and efficiently; Or registered psychiatric nurse....
10 days ago - save job - email - more...

Service Coordinator

Pressley Ridge 37 reviews - Pittsburgh, PA
Reviews charts for compliance with regulations. Ability to evaluate individuals, their service needs and current utilization of services....
14 hours ago - save job - email - more...

Preservice Review Nurse RN - Pittsburgh, PA

UnitedHealth Group 1,629 reviews - Pittsburgh, PA
Perform utilization and concurrent review using Milliman criteria. RN, registered nurse, utilization, case management, prior authorizations, discharge planning,...
15 days ago - save job - email - more...

Nurse Clinician RN (Cross Functional)

Express Scripts 766 reviews - Warrendale, PA
Previous clinical criteria review experience preferred; The Nurse Clinician RN is responsible for reviewing escalated clinical criteria reviews for providers,...
2 days ago - save job - email - more...

Care Coordinator, Case Management - WPH

West Penn Hospital 19 reviews - Pittsburgh, PA
Care facilitation and utilization review experience preferred. Maintains a working knowledge of care management, care coordination changes, utilization review...
4 days ago - save job - email - more...

Associate Care Management Coord - Precert Tech -Behavioral H...

Highmark Health 2 reviews - Pittsburgh, PA
Document, process and route requests for services to the nurse reviewer and other departments based on documentation procedures, including review type, clinical...
14 hours ago - save job - email - more...

Assoc Care Management Coord

Highmark Health 2 reviews - Pittsburgh, PA
Document, process and route requests for services to the nurse reviewer and other departments based on documentation procedures, including review type, clinical...
7 days ago - save job - email - more...

Clinical Nurse Analyst

Alluvion Staffing Inc. - Pittsburgh, PA
Clinical Nurse Analyst. Certified Professional Coder/Certified Professional Utilization Reviewer. Review and analyze complex health care claims from a medical...
CareerBuilder - 1 day ago - save job - email - more...

Student FNP Clinical Rotation – Pittsburgh – Summer 2015

Take Care Health Systems 88 reviews - Pittsburgh, PA
Participates in ongoing Quality Assurance audits to include Peer Review, CP Review, Medication Administration review, and continuing education....
Take Care Health - 16 days ago - save job - email - more...

Part-time Care Coordinator- CH

Canonsburg Hospital - Canonsburg, PA
Care facilitation and utilization review experience preferred. Serves as an educational resource to all AHN staff regarding utilization review practice and...
18 days ago - save job - email - more...
Clinical Director
Presbyterian SeniorCare 6 reviews - Oakmont, PA
Determines staffing patterns that will accomplish objectives and promote maximum utilization of personnel....
Sponsored by Presbyterian SeniorCare - 15 days ago
RN Hospice Case Manager-1 Year RN Exp
Bethany Hospice - Pittsburgh, PA
REGISTERED NURSE CASE MANAGER. Demonstrates expertise in utilization of team members including volunteers and community resources....
Easily apply
Sponsored by Bethany Hospice - 29 days ago

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Company with Utilization Review Nurse jobs
1,629 reviews
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