Utilization Review RN jobs in Pittsburgh, PA

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Clinical Program Consultant - Leading Projects
UnitedHealth Group 1,170 reviews - Pittsburgh, PA
functional leads Identify clinical, quality, utilization and system requirements identified in the RFP... outcomes. Requirements: RN Current and unrestricted...
Sponsored by UnitedHealth Group - 30+ days ago
Nurse Case Manager
Aegis Rehabilitation Consulting Services, Inc. - Pittsburgh, PA
integrating and functions of case management, utilization review and management, vocational assessment and... into the workforce. * Active RN License is required
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Sponsored by Aegis Rehabilitation Consulting Services, Inc. - 6 days ago

Sr Care Manager - Behavioral Health Utilization Management

Highmark 51 reviews - Pittsburgh, PA
Monitors and analyzes the delivery of health care services;. educates providers and members on a proactive basis;....
Highmark Inc. - 20 days ago - save job - email - more...

Case Manager-Medical Review/UM

UPMC 165 reviews - Pittsburgh, PA
Three years of experience in a managed care environment preferred. Ability to interact with physicians and other health care professionals in a professional...
24 days ago - save job - email - more...

Intake RN Home Health

UPMC 165 reviews - Pittsburgh, PA
Knowledge of ICD 9 coding required. Identify, investigate and recommend solutions to organization issues. Proven ability to facilitate change....
4 days ago - save job - email - more...

Registered Nurse (RN) - Remote Clinical Nurse Educator

Aetna 276 reviews - Pittsburgh, PA 15222 (Strip District area)
The highest level of education desired for candidates in this position is a Master''s degree or equivalent experience....
1 day ago - save job - email - more...

Nurse Liaison (RN) - Corporate Svcs - (Provider Concierge Ct...

UPMC 165 reviews - Pittsburgh, PA
Patient assessment skills and knowledge of patient acuity levels. Assist in the design and implementation of a program that elicits desired outcomes on an...
4 days ago - save job - email - more...

Utilization Review - Managed Care Nurse - (UL RN)

Nursefinders 74 reviews - Carnegie, PA
As a critical member of the hospital staff, the utilization review nurse is also responsible for:. Researching and identifying utilization trends or practices....
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30+ days ago - save job - email - more...

Director of Nursing SL (RN) - Canterbury Place

UPMC 165 reviews - Pittsburgh, PA
BSN or Advanced Degree in Related field preferred. The primary focus of the DON is to plan, direct, delegate, monitor and evaluate the delivery of care to...
19 days ago - save job - email - more...

Nurse Clinician RN (Cross Functional)

Accredo Health Group, Inc - Warrendale, PA
Identify and track trends for analytics reporting to ensure clinical criteria program integrity. Makes recommendations regarding escalation of issues, and...
CareersInPharmaceutical.com - 13 days ago - save job - email - more...

Nurse Clinician RN (Cross Functional)

Express Scripts 521 reviews - Warrendale, PA
Join the company that Fortune magazine ranked as one of the "Most Admired Companies" in the pharmacy category....
19 days ago - save job - email - more...

RN Supervisor - Full Time / Nights / Every other weekend-hol...

Masonic Villages 2 reviews - Sewickley, PA
2. Must be familiar with state and federal regulations and standard Health Information Management policies and procedures....
30+ days ago - save job - email - more...
RN NURSE DIRECTOR OF CASE MANAGEMENT / RESOURCE MANAGEMENT
Apple Connections, LLC - Pittsburgh, PA
and build-up the Case Managers and Utilization Review Nurses. The hospital is continually recognized for... Utilzation Review, reimbursement, MSDRGs, DRG, RN $120,000 a year
Sponsored by NurseJobsNationwide.com - 17 hours ago
Field Case Manager/Pittsburgh, PA
Ability Services Network - Pittsburgh, PA
of care and utilization of services, concurrent review, retrospective review, development of discharge... CREDENTIALS: * Licensed RN in accordance with state...
Sponsored by NurseJobsNationwide.com - 1 day ago
Clinical Reimbursement Coordinator P-T RN or LPN
Genesis Healthcare 453 reviews - Pennsylvania
Conducts concurrent MDS reviews to assure achievement... reimbursement, MDS completion, clinical resource utilization and/or case management is highly desirable. 4...
Sponsored by National Senior Living Providers Network - 4 days ago
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Company with Utilization Review RN jobs
1,170 reviews
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