Utilization Review RN jobs in Pittsburgh, PA

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Healthcare Provider - (RN) Hospital Case Management - Manage...
Deloitte 1,119 reviews - Pittsburgh, PA
or methodologies to review, design and/or implement... physical therapist, physician etc.) -Must be an RN. -Hospital Case Management experience is a MUST...
Sponsored by 6FigureJobs - 21 hours ago
Renal Program Clinical Director
Pentec Health 4 reviews - United States
liaison for RN credentialing; sales education presentations; sales training materials; patient education materials and other collateral materials. Review all...
Sponsored by Pentec Health - 29 days ago
RN Case Manager Hospice
Bethany Hospice - Pittsburgh, PA
years in a row! RN needed for full time hospice case manager field position. Requires at least one year of relevant experience, a current PA RN license, and...
Easily apply
Sponsored by Bethany Hospice - 30+ days ago

Consultant-Absence Management

Alliant Insurance Services 7 reviews - Pittsburgh, PA
adjusts absence management strategies, particularly in the areas of non-occupational disability, FMLA and statutory leave management programs, return to work...
1 day ago - save job - block - email - more...

Care Manager

Highmark Health - Pittsburgh, PA
Responsible for the implementation of effective utilization management strategies including:. review of appropriateness of health care services, application of...
Highmark Inc. - 2 days ago - save job - block - email - more...

RN Utilization Management - FH

Forbes Hospital - Monroeville, PA
Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as...
19 days ago - save job - block - email - more...

Manager Utilization Management

Highmark Health - Pittsburgh, PA
Manage utilization management daily operations to ensure medically necessary services are provided in a timely, cost effective and quality manner, and at the...
Highmark Inc. - 16 days ago - save job - block - email - more...

RN Utilization Management - AHN

Allegheny Health Network – Corporate - Pittsburgh, PA
Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as...
30+ days ago - save job - block - email - more...

Care Manager, Case Management-AGH

Allegheny General Hospital 61 reviews - Pittsburgh, PA
Founded in 1885 on Pittsburgh’s historic North Side, Allegheny General Hospital (AGH) has earned an international reputation for excellence and innovation in...
14 days ago - save job - block - email - more...

CARE MANAGER

Value Options 70 reviews - Trafford, PA
On behalf of employers, health plans and government agencies, we manage innovative programs and solutions that directly address the challenges our health care...
2 days ago - save job - block - email - more...

Care Coordinator (Part-time) - WPH

West Penn Hospital 16 reviews - Pittsburgh, PA
Maintains a working knowledge of care management, care coordination changes, utilization review changes, authorization changes, contract changes, regulatory...
20 days ago - save job - block - email - more...

R.N. Nursing Supervisor/ Clincial Supervisor- Director of Ha...

Nurse Next Door Pittsburgh - Wexford, PA
Implements governing body directives and ensures that appropriate service policies are developed and implemented....
7 days ago - save job - block - email - more...

Case Manager

HospiceCareer - Pittsburgh, PA
We have a new employment opportunity for a RN Nurse. Navigator to supervise Case Management in the Pittsburgh, Pennsylvania area....
Easily apply
22 days ago - save job - block - email - more...
REGISTERED NURSE (Transfer Office/Care Management Center)
Department of Veterans Affairs 690 reviews - Pittsburgh, PA
Conducts medical record reviews using specific... experience. Grade Determinations: Experience as a RN will be evaluated to determine if the experience is...
Sponsored by Nurse.com - 4 days ago
Registered Nurse - Nurse Manager Primary Care
Department of Veterans Affairs 690 reviews - Pittsburgh, PA
medical center bed utilization needs. E. Demonstrates... approximately 2-3 years experience. Experience as a RN will be evaluated to determine if the experience is...
Sponsored by Nurse.com - 7 days ago

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