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Utilization Review Nurse jobs in Pittsburgh, PA

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Registered Nurse (RN) / Licensed Practical Nurse (LPN)
Maxim Healthcare Services - 1,169 reviews - Pittsburgh, PA
$18 - $40 an hour
Current Registered Nurse (RN) or Licensed Practical Nurse (LPN) License for the state in which the nurse practices....
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Assisted Living Care Supervisor
The Orchards at Foxcrest - Chester, WV
Registered Nurse (RN) or Licensed Practical Nurse (LPN). Attends meetings with other staff to discuss residents and to participate in infection control,...
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Registered Nurse (RN) / Licensed Practical Nurse (LPN)
A-Line Staffing Solutions LLC - Pittsburgh, PA
$30 an hour
REGISTERED NURSE / RN / LICENSED PRACTICAL NURSE / LPN. Case Management/Utilization Review (non-clinical). A-Line Staffing Solutions is currently searching for...
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Telephonic Care Manager (RN) - Special Needs Plan

UPMC - 382 reviews - Pittsburgh, PA 15219 (Middle Hill area)
Present complex members for review by the interdisciplinary team summarizing clinical and social history, healthcare resource utilization, case management...

UM (Utilization Management) Care Manager - Ancillary

UPMC - 382 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 Coordinator - Care Management - Full Time

Forbes Hospital - 3 reviews - Monroeville, PA
Care facilitation and utilization review experience preferred. Maintains a working knowledge of care management, care coordination changes, utilization review...

Nurse, Lic Practical-Spec Rx

Giant Eagle, Inc. - 1,247 reviews - Pittsburgh, PA
Licensed Practical Nurse. Continuously build professional rapport with outside partners including physicians, nurses, medical assistants, drug reps and vendors....

Care Coordinator

naviHealth - Beaver, PA
Complete Utilization Management functions for authorizations. The health care team includes physicians, health plan UM/CM Nurse, hospital discharge planners,...

Manager, Quality Improvement - Hedis

Highmark Health - Pittsburgh, PA 15222 (Strip District area)
Conduct performance reviews and ongoing staff development. Conduction of on-site visits and medical record reviews via nurse reviewers to assess the care...

Care Coordinator - Case Management - Part Time

Canonsburg Hospital - Canonsburg, PA
Care facilitation and utilization review experience preferred. Maintains a working knowledge of care management, care coordination changes, utilization review...

Authorization Nurse (Surgical)

UPMC - 382 reviews - Pittsburgh, PA 15203 (Southside Slopes area)
Prior utilization review experience. Are you an experienced nurse? Do you have previous care management, authorization, or utilization review experience and are...

UM (Utilization Management) Care Manager

UPMC - 382 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...

RN Case Manager Utilization Review

Logix Guru, LLC. - Pittsburgh, PA
RN (Full-Time) /Care Management PositionExperienced Med Surg Nurses welcome to apply for additional opportunities!Job Description or Additional Skills:....
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Registered Nurse - RN
Registered Nurse Supervisor. At RiverWoods, we are currently looking for Registered Nurse / RN Supervisors ....
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Utilization Review / Case Manager RN
Maxim Healthcare Services - 1,169 reviews - Pittsburgh, PA
$24 - $28 an hour
New Registered Nurse Utilization Review openings in Pittsburgh, PA. Seeking RN Case Managers with Utilization Review experience....
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