Utilization Review Nurse jobs in Pittsburgh, PA

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Telephonic Care Advocate. Work from Home.
UnitedHealth Group 1,823 reviews - Pittsburgh, PA
· Managed care or utilization review experience. · Conduct focused utilization reviews effectively and efficiently; Or registered psychiatric nurse....
Sponsored by UnitedHealth Group - 8 days ago
RN Case Manager
Community LIFE 12 reviews - McKeesport, PA
Working knowledge of utilization review, quality assurance and managed health care concepts. Licensed Registered Nurse in Pennsylvania....
Sponsored by Community LIFE - 30+ days ago
Case Management-Supervisor-WellSpan Surg/ Rehab Hosp-York
WellSpan Health Services 55 reviews - Pennsylvania
Pennsylvania Registered Nurse required. When needed, conducts initial reviews to ensure medial appropriateness of setting, concurrent review to ensure medical...
Sponsored by WellSpan Health Services - 16 days ago

RN-UM Nurse Consultant

Aetna 437 reviews - Pittsburgh, PA 15220
You will conduct Utilization Review and Discharge Planning for members admitted to an acute facility. Nursing/Registered Nurse is required....

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 437 reviews - Pittsburgh, PA
Conduct Utilization Review and Discharge Planning for members admitted to an acute facility. Nursing/Registered Nurse (RN) is required....

Registered Nurse Telephonic Triage - Utilization Review

Maxim Healthcare Services 696 reviews - Pittsburgh, PA
2-4 years of recent working RN utilization review or case management experience is required. Current Registered Nurse License for the state in which the nurse...

Case Manager - UPMC Health Plan Quality Improvement

UPMC 248 reviews - Pittsburgh, PA
Five years of experience in clinical, utilization management, home care, discharge planning, and/or case management required....

Clinical Care Manager - UPMC Health Plan Allegheny County

UPMC 248 reviews - Pittsburgh, PA
Review member¿s current medication profile; Present or contribute to complex case reviews by the interdisciplinary team summarizing clinical and social history,...

Clinical Care Manager - UPMC Health Plan - Wexford/Mars

UPMC 248 reviews - Pittsburgh, PA
Review member¿s current medication profile; Present or contribute to complex case reviews by the interdisciplinary team summarizing clinical and social history,...

Registered Nurse

Pittsburgh, PA - Pittsburgh, PA 15220
Annual review with performance increase. Consult with other nurses, physician assistants, physicians, and correctional officers, as necessary....

Manager - Quality Improvement

Highmark Health 5 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...

Care Coordinator (Part-Time)- Forbes

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

Professional Care Manager - UPMC Mercy

UPMC 248 reviews - Pittsburgh, PA
Performs clinical review on admission and/or continued stay using Inter. Performs overall utilization management, resource management, discharge planning and...
REGISTERED NURSE (Community Nursing Home Coordinator)
Department of Veterans Affairs 887 reviews - Green Tree, PA
Practice, ethics and resource utilization; Applying online will allow you to review and track the status of your application....
Sponsored by Nurse.com - 4 days ago
REGISTERED NURSE (Wound Care)
Department of Veterans Affairs 887 reviews - Pittsburgh, PA
Registered Nurse Telework:. Practice, ethics and resource utilization; Practice, ethics and resource utilization, Professional Development:....
Sponsored by Nurse.com - 3 days ago

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Company with Utilization Review Nurse jobs
1,823 reviews
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