Utilization Review Nurse jobs in Pittsburgh, PA

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Registered Nurse Telephonic Triage with Utilization Review
Maxim Healthcare Services 896 reviews - Pittsburgh, PA
Current Registered Nurse License for the state in which the nurse practices. Must have a minimum of 2 years’ experience within utilization review, good computer...
Sponsored by Maxim Healthcare Services
Registered Nurse Telephonic - Utilization Review Pittsburgh
Maxim Healthcare Services 896 reviews - Pittsburgh, PA
Current Registered Nurse License for the state in which the nurse practices. Must have a minimum of 2 years experience with utilization review, good computer...
Sponsored by Maxim Healthcare Services
Registered Nurse, Utilization Review located in Pittsburgh
Maxim Healthcare Services 896 reviews - Pittsburgh, PA
Current Registered Nurse License for the state in which the nurse practices. Must have a minimum of 2 years’ experience within utilization review, good computer...
Sponsored by Maxim Healthcare Services

Authorization Nurse - UPMC Corporate Services

UPMC 302 reviews - Pittsburgh, PA
Prior utilization review experience. Maintain collaborative relationships with utilization management and departments at payor organizations....

Nurse Liaison (RN) - Medical Oncology - (Hillman Cancer Cent...

UPMC 302 reviews - Pittsburgh, PA
Knowledge of 3rd party payer review criteria. 3-5 years of progressive nursing in an acute care setting with at least one year of experience in utilization...

Preservice Review Nurse, RN - Pittsburgh, PA

UnitedHealth Group 2,190 reviews - Pittsburgh, PA
Utilization review, utilization management, pre-service review, acute setting, registered nurse, Pittsburgh, Pennsylvania, PA....

Clinical Appeals Coordinator - UPMC Health Plan

UPMC 302 reviews - Pittsburgh, PA
Two years of Health Insurance experience as a Registered Nurse in a Utilization Management/Medical Management role strongly preferred....

Telephonic Care Manager - Adult Case Management - UPMC Healt...

UPMC 302 reviews - Pittsburgh, PA
Review members current medication profile; Refers member for Comprehensive Medication Review as appropriate. Are you an experienced nurse who is motivated and...

CDI Specialist - Nurse

LifeCare Hospitals of Pittsburgh - Monroeville Cam... - Monroeville, PA
Must be currently licensed as a Registered Nurse. We have an immediate opportunity for Clinical Documentation Improvement Specialist Nurses....

UM RN Reviewer

UPMC 302 reviews - Pittsburgh, PA
2 years utilization review experience preferred. Clinical expertise, teacher, specialized resource nurse, and/or evidence based practice....

CDI Specialist(s)

UPMC 302 reviews - Pittsburgh, PA
OR Registered Nurse. OR Certified Registered Nurse Practitioner. Knowledge of computer technology, quality assurance activities, DRG, Quality Insights...

Nurse Case Manager Specialist/Utilization Management - Liais...

Cigna 968 reviews - Pittsburgh, PA
Utilization Management - Liaison Nurse. The UM Liaison Nurse role is intended to bridge the functions of utilization management and case management, thereby...

Supervisor, Case Management (WorkPartners) - UPMC Health Pla...

UPMC 302 reviews - Pittsburgh, PA
Review quality of medical notes, correct coding procedures. The Supervisor of Case Management Services must be a registered nurse....
Preservice Review Nurse, RN - Pittsburgh, PA
UnitedHealth Group 2,190 reviews - Pittsburgh, PA
Utilization review, utilization management, pre-service review, acute setting, registered nurse, Pittsburgh, Pennsylvania, PA....
Sponsored by UnitedHealth Group
Registered Nurse - RN - Remote Case Manager
Maxim Healthcare Services 896 reviews - Pittsburgh, PA
Utilization Review experience preferred. Monitor progression of care for efficient utilization of services. Seeking remote Registered Nurse Case managers for...
Sponsored by Maxim Healthcare Services

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