Utilization Review Nurse jobs in Pittsburgh, PA

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Utilization Managment Nurse - Work from Home
UnitedHealth Group 1,633 reviews - Pittsburgh, PA
As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
Sponsored by UnitedHealth Group - 1 day ago
Sr Professional Care Manager - Shadyside
UPMC 227 reviews - Pittsburgh, PA
Performs clinical review on admission and/or continued stay using Inter. Performs overall utilization management, resource management, discharge planning and...
Sponsored by UPMC - 30+ days ago

Care Management Coordinator - Pre-Certification

Highmark Health 3 reviews - Pittsburgh, PA
Document, process and route requests for services to the nurse reviewer and other departments based on documentation procedures, including review type, clinical...
3 days ago - save job - email - more...

Nurse Clinician RN (Cross Functional)

Express Scripts 772 reviews - Warrendale, PA
Previous clinical criteria review experience preferred; The Nurse Clinician RN is responsible for reviewing escalated clinical criteria reviews for providers,...
7 days ago - save job - email - more...

Utilization Managment Nurse - Work from Home

UnitedHealth Group 1,633 reviews - Pittsburgh, PA
As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
1 day ago - save job - email - more...

Telephonic Care Advocate. Work from Home.

UnitedHealth Group 1,633 reviews - Pittsburgh, PA
· Managed care or utilization review experience. · Conduct focused utilization reviews effectively and efficiently; Or registered psychiatric nurse....
15 days ago - save job - email - more...

Clinical Auditor/Analyst

UPMC 227 reviews - Pittsburgh, PA
Responsibilities may involve multiple line of business focused reviews, or ad hoc reviews as needed; Prepayment review of high dollar claims, and prepayment...
21 days ago - save job - email - more...

Professional Care Manager, Supervisor - UPMC Health Plan

UPMC 227 reviews - Pittsburgh, PA
Contributes or completes performance reviews for staff. Utilize evidence based practice to support improvement in care / health / utilization management....
5 days ago - save job - email - more...

Service Coordinator

Pressley Ridge 37 reviews - Pittsburgh, PA
Reviews charts for compliance with regulations. Ability to evaluate individuals, their service needs and current utilization of services....
5 days ago - save job - email - more...

Telephonic Care Manager - UPMC Health Plan Pediatrics

UPMC 227 reviews - Pittsburgh, PA
Review member's current medication profile; Refers member for Comprehensive Medication Review as appropriate....
15 days ago - save job - email - more...

Telephonic Care Manager - UPMC Health Plan

UPMC 227 reviews - Pittsburgh, PA
Review member¿s current medication profile; Refers member for Comprehensive Medication Review as appropriate....
15 days ago - save job - email - more...

Assoc Care Management Coord

Highmark Health 3 reviews - Pittsburgh, PA
Document, process and route requests for services to the nurse reviewer and other departments based on documentation procedures, including review type, clinical...
12 days ago - save job - email - more...
Telephonic Care Advocate. Work from Home.
UnitedHealth Group 1,633 reviews - Pittsburgh, PA
· Managed care or utilization review experience. · Conduct focused utilization reviews effectively and efficiently; Or registered psychiatric nurse....
Sponsored by UnitedHealth Group - 15 days ago
Case Management-Supervisor-WellSpan Surg/ Rehab Hosp-York
WellSpan Health Services 49 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 - 30+ days ago
Utilization Managment Nurse - Work from Home
United Health Group 1,633 reviews - Pittsburgh, PA
As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
Sponsored by NurseJobsNationwide.com - 19 hours ago

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Company with Utilization Review Nurse jobs
1,633 reviews
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