Utilization Review Nurse jobs in Pittsburgh, PA

Sort by: relevance - date
Salary Estimate
Title
Company
Location
Job Type
Employer/Recruiter
Jobs 1 to 10 of 51
Upload your resume - Let employers find you
Registered Nurse - RN - Telephonic
Maxim Healthcare Services 773 reviews - Pittsburgh, PA
Participate in Quality Assurance and Utilization review activities, as directed. Follow State/Country mandated guidelines for the nurse case management programs...
Sponsored by Maxim Healthcare Services - 30+ days ago
Registered Nurse Telephonic Triage - Utilization Review
Maxim Healthcare Services 773 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...
Sponsored by Maxim Healthcare Services - 30+ days ago
Telephonic Care Advocate. Work from Home.
UnitedHealth Group 1,943 reviews - Pittsburgh, PA
· Managed care or utilization review experience. · Conduct focused utilization reviews effectively and efficiently; Or registered psychiatric nurse....
Sponsored by UnitedHealth Group - 2 days ago

Registerd Nurse - RN Utilization Management Nurse Consultant

Aetna 468 reviews - Pittsburgh, PA
Conduct Utilization Review and Discharge Planning for members admitted to an acute facility. Nursing/Registered Nurse is required....

Registered Nurse (RN) Utilization Management Nurse Consultan...

Aetna 468 reviews - Pittsburgh, PA
This role will conduct Utilization Review and Discharge Planning for members admitted to an acute facility. Nursing/Registered Nurse is required (RN)....

Authorization Nurse - UPMC Corporate Services

UPMC 274 reviews - Pittsburgh, PA
Qual criteria appropriately Prior utilization review experience Knowledge of payor reimbursement structure....

Care Coordinator

Jefferson Hospital 20 reviews - Pittsburgh, PA
Care facilitation and utilization review experience is preferred. Professional role model utilizing expertise in care management to promote a collaborative...

Compliance Auditor

Epic Health Services 79 reviews - Pittsburgh, PA
The Compliance Auditor is accountable for a designated review caseload and plans effectively in order to meet review deadlines, and coordination of second level...
Easily apply

Lead Care Manager - UPMC St. Margaret

UPMC 274 reviews - Pittsburgh, PA
Audits and evaluates the daily activates of Care management staff including utilization review, discharge planning, documentation, and interdisciplinary rounds....

Triage Nurse

CorVel 23 reviews - Pittsburgh, PA
Triage Nurse (80%). Strong cost containment background, such as utilization review or managed care also useful....

DRG Specialist II

UPMC 274 reviews - Pittsburgh, PA
OR Registered Nurse. OR Certified Registered Nurse Practitioner. The DRG Specialist II reviews clinical documentation within the medical record to ensure that...

Clinical Appeals Coordinator

UPMC 274 reviews - Pittsburgh, PA
Two years of Health Insurance experience as a Registered Nurse in a Utilization Management/Medical Management role strongly preferred....

CRNP- UPP MED Psycho-oncology and Palliative Care

UPMC 274 reviews - Pittsburgh, PA
Cert Reg Nurse Pract. The successful completion of an approved nurse practitioner program is required. Collaborates with nursing education department and...
Registered Nurse Telephonic Triage
Maxim Healthcare Services 773 reviews - Pittsburgh, PA
Maxim Healthcare seeking energetic RN’s for new Telephonic, Utilization Review positions with competitive pay. Current Registered Nurse License for the state in...
Sponsored by Maxim Healthcare Services - 30+ days ago
Nurse, Medical Intermediate Care, Hershey, PA, 7p-7:30a (Nig...
Penn State Hershey Medical Center 26 reviews - Pittsburgh, PA
Career, Employment, Jobs, Opening, Shift, Schedule, Staff, Department, Unit, Office, Occupation, Compensation, Salary, Benefits, Description, Days, Evenings,...
Sponsored by Penn State Milton S. Hershey Medical Center - 1 hour ago

Never miss a job. Get new jobs emailed to you daily.

Get email updates for the latest Utilization Review Nurse jobs in Pittsburgh, PA
You can cancel email alerts at any time.
Get new jobs for this search by email
You can cancel email alerts at any time.
Company with Utilization Review Nurse jobs
1,943 reviews
UnitedHealth Group is on a mission to help people live healthier lives. Join us and begin doing your life's best work.(SM)