Utilization Review Nurse jobs in Pittsburgh, PA

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Occupational Therapist Full Time/ PRN
Western Pennsylvania Home Health Association - Pittsburgh, PA
Participate in staff meetings, in-service programs and Utilization reviews. This care includes appropriate utilization of treatment plans and assessment skills....
Easily apply
Sponsored by Western Pennsylvania Home Health Association - 30+ days ago
Physical Therapist PRN/Full Time
Western Pennsylvania Home Health Association - Pittsburgh, PA
Participate in staff meetings, in-service programs and Utilization reviews. Including, appropriate utilization of treatment plans and assessment skills....
Easily apply
Sponsored by Western Pennsylvania Home Health Association - 30+ days ago

RN Medical Case Manager

Travelers 48 reviews - Pittsburgh, PA
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....
6 days ago - save job - block - email - more...

(RN) NICU Nurse Case Manager (Pittsburgh, Plano, Phoenix or...

Cigna 716 reviews - Pittsburgh, PA
Delivers utilization review services for all inpatient, outpatient, and home services throughout the duration of transplant case management services....
5 days ago - save job - block - email - more...

Clinical Care Manager - UPMC Health Plan Butler

UPMC 220 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,...
4 days ago - save job - block - email - more...

Clinical Care Manager - UPMC Health Plan Heritage Valley

UPMC 220 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,...
4 days ago - save job - block - email - more...

Clinical Care Manager - UPMC Health Plan Washington, PA

UPMC 220 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,...
4 days ago - save job - block - email - more...

Clinical Care Manager - UPMC Health Plan Magee

UPMC 220 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,...
4 days ago - save job - block - email - more...

Medical Director (Utilization Management) - Pittsburgh

Cigna 716 reviews - Pittsburgh, PA
Performs medical review consultations for nurses, behavioral clinicians and health educators within the context of an integrated team....
5 days ago - save job - block - email - more...

Utilization Review Nurse

Tri Rivers Consulting Services - Wexford, PA 15090
Record review division of a musculoskeletal practice in Wexford is in need of RNs with orthopedic, utilization review and/or medical-legal experience....
Easily apply
30+ days ago - save job - block - email - more...

Nurse Clinician RN (Cross Functional)

Express Scripts 734 reviews - Warrendale, PA
Previous clinical criteria review experience preferred; The Nurse Clinician RN is responsible for reviewing escalated clinical criteria reviews for providers,...
3 days ago - save job - block - email - more...

Retrospective Appeals Nurse

UPMC 220 reviews - Pittsburgh, PA
Maintain collaborative relationships with utilization management and appeal departments at payor organizations....
30+ days ago - save job - block - email - more...
Clinical Director
Presbyterian SeniorCare 5 reviews - Oakmont, PA
Determines staffing patterns that will accomplish objectives and promote maximum utilization of personnel....
Sponsored by Presbyterian SeniorCare - 30+ days ago
RN Case Manager Hospice
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 - 30+ days ago
CRNP, Staff - Palliative Home Care
UPMC 220 reviews - Pittsburgh, PA
Cert Reg Nurse Pract. As a member of the multidisciplinary team, the nurse practitioner plays a pivotal role, working closely with physicians, nurses and other...
Sponsored by UPMC - 30+ days ago

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Company with Utilization Review Nurse jobs
5 reviews
Presbyterian SeniorCare believes that those who have spent a lifetime providing for others deserve the best from us.