Utilization Review Nurse jobs in Pittsburgh, PA

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Utilization Managment Nurse - Work from Home
UnitedHealth Group 1,670 reviews - Pittsburgh, PA
As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
Sponsored by UnitedHealth Group - 30+ days ago
Registered Nurse, Clinical Documentation, Relocate-Duke Heal...
Duke University Health System 269 reviews - Pittsburgh, PA
Clinical Documentation Improvement, CDI, CCDS , CDIP, CCS Certification Certified Nurse RN, BSN, MSN, Nurse, Nursing, Registered Nurse, Practitioner, Physician...
Sponsored by TooBusyWorking.com - 1 day ago

WPIC-Theiss Program - Outpatient Nurse Clinician

UPMC 231 reviews - Pittsburgh, PA
Assists in monitoring the utilization and effectiveness of services through periodic chart reviews and other quality assurance methods to insure adherence to...
4 days ago - save job - email - more...

Sr. Professional Care Manager - UPMC Cancer Centers North Hi...

UPMC 231 reviews - Pittsburgh, PA
Performs clinical review on admission and/or continued stay using Inter. Performs overall utilization management, resource management, discharge planning and...
8 days ago - save job - email - more...

Registered Nurse (RN)- UM Nurse Consultant

Aetna 402 reviews - Pittsburgh, PA 15210
As a Registered Nurse (RN) Utilization Management Nurse Consultant, you will be responsible for the management of members at assigned facilities throughout the...
24 days ago - save job - email - more...

Care Coordinator/Palliative Care

Jefferson Physician Specialty Group Practice - Pittsburgh, PA
Care facilitation and utilization review experience is preferred. Current and valid PA Registered Nurse license required....
Jefferson Regional Medical Center - 10 days ago - save job - email - more...

Utilization Managment Nurse - Work from Home

UnitedHealth Group 1,670 reviews - Pittsburgh, PA
As a Utilization Management Nurse you will be responsible for ensuring proper utilization of our health services....
30+ days ago - save job - email - more...

UM Nurse Consultant

Aetna 402 reviews - Pittsburgh, PA
You will conduct Utilization Review and Discharge Planning for members admitted to an acute facility. Nursing/Registered Nurse is required....
16 days ago - save job - email - more...

Nurse Clinician RN (Cross Functional)

Express Scripts 791 reviews - Warrendale, PA
Previous clinical criteria review experience preferred; The Nurse Clinician RN is responsible for reviewing escalated clinical criteria reviews for providers,...
21 days ago - save job - email - more...

Prof Staff Nurse, OP - (RN) - (Pediatric Special Needs Cood....

UPMC 231 reviews - Pittsburgh, PA
Registered Nurse (PA License). Conduct thorough chart review of case management patients and identify subspecialists involved in each patients care....
4 days ago - save job - email - more...

R.N.'s and LPN's for Home Care

Nurse Next Door Pittsburgh - Wexford, PA
The implementation of all utilization review activities. Oversees all Quality Assurance and utilization review activities. Nurse Next Door - Pittsburgh....
19 days ago - save job - email - more...

Nurse Liaison (RN) - Radiation Oncology - (Pittsburgh, PA)

UPMC 231 reviews - Pittsburgh, PA
Registered Nurse (PA License). 3-5 years of progressive nursing in an acute care setting with at least 1 year of experience in utilization review or managed...
22 days ago - save job - email - more...
Telephonic Care Advocate. Work from Home.
UnitedHealth Group 1,670 reviews - Pittsburgh, PA
· Managed care or utilization review experience. · Conduct focused utilization reviews effectively and efficiently; Or registered psychiatric nurse....
Sponsored by UnitedHealth Group - 12 days ago
Behavioral Health Care Advocate - PA or DE - Telecommute
UnitedHealth Group 1,670 reviews - Pittsburgh, PA
Managed care or utilization review experience. Conduct focused utilization reviews effectively and efficiently; Or registered psychiatric nurse....
Sponsored by UnitedHealth Group - 10 days ago
Clinical Documentation Improvement, Relocate to Duke Health...
Duke University Health System 269 reviews - Pittsburgh, PA
Clinical Documentation Improvement, CDI, CCDS , CDIP, CCS Certification Certified Nurse RN, BSN, MSN, Nurse, Nursing, Registered Nurse, Practitioner, Physician...
Sponsored by TooBusyWorking.com - 1 day ago

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Company with Utilization Review Nurse jobs
1,670 reviews
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