Utilization Review RN jobs in Pittsburgh, PA

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Registered Nurse Telephonic - Utilization Review
Maxim Healthcare Services 865 reviews - Pittsburgh, PA
Maxim Healthcare seeking energetic RN’s for new Telephonic, Utilization Review positions with competitive pay. Must have experience with Acute Care Patients and...
Sponsored by Maxim Healthcare Services
Staffing Consultant
Wexford Health 58 reviews - Pittsburgh, PA
Annual review with performance increase. For nearly two decades, Wexford Health has consistently delivered proven staffing expertise and a full range of medical...
Sponsored by Wexford Health Sources, Inc.
Registered Nurse, Utilization Review located in Pittsburgh
Maxim Healthcare Services 865 reviews - Pittsburgh, PA
Must have a minimum of 2 years’ experience within utilization review, good computer skills and Interqual experience is preferred....
Sponsored by Maxim Healthcare Services

Care Manager - Utilization Management RN

Highmark Health 8 reviews - Pittsburgh, PA
Current, valid, unrestricted RN license. 1 year of Utilization Management experience. Certification in Utilization Management or a related field....

Utilization Reviewer- Full-time

Forbes Hospital - Monroeville, PA
Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes, regulatory requirements, etc. Serves as...

Health Manager - UPMC Health Plan

UPMC 297 reviews - Pittsburgh, PA
Utilizes supervision by identifying and reporting to supervisor clinical, utilization and outcomes issues. Performs clinical reviews, service authorization and...

Coord, Quality Improvement

UPMC 297 reviews - Pittsburgh, PA
BSN or RN is preferred. Conducting quality of care reviews, coordination of follow up, reporting of the activities and monitoring corrective action plans....

CDI Specialist - Nurse

LifeCare Hospitals of Pittsburgh - Monroeville Cam... - Monroeville, PA
RN with bachelor’s degree in a related field. This position provides integration of the patient’s condition with the medical record documentation, facilitates...

Intake RN JV

UPMC 297 reviews - Pittsburgh, PA
2 years utilization review experience preferred. UPMC Jefferson Regional Home Health is hiring a full-time Intake RN JV to support the Central Intake Department...

Care Coordinator- Full-time

West Penn Hospital 22 reviews - Pittsburgh, PA
Care facilitation and utilization review experience preferred. Maintains a working knowledge of care management, care coordination changes, utilization review...

Care Coordinator- Part-time

Forbes Hospital - Monroeville, PA
Care facilitation and utilization review experience preferred. Maintains a working knowledge of care management, care coordination changes, utilization review...

Nurses, BSN, Nights, Relocate: Georgetown Univ. Hospital RN...

Medstar Georgetown University Hospital 113 reviews - Pittsburgh, PA 15251 (North Oakland area)
Advanced Practice Nurse, Behavioral, Birth, Bone, BSN, Cardiac, Care, Career, Case, Casual, Cath, Clinical Documentation, Clinical Nurse Specialist, Control,...

Senior Nurse Reviewer

Tri Rivers Assessment Services Inc - Wexford, PA 15090
Insurance work – Disability, Workers’ Compensation – Utilization Review and Causality. Engines to accomplish review goals....
Easily apply
Orthopedic Nurse Reviewer
Tri Rivers Assessment Services Inc - Wexford, PA
WComp, Disability or Utilization Review work:. Experience in Workers’ Compensation, Disability Insurance, or Utilization Review a must....
Easily apply
Sponsored by Tri Rivers Assessment Services Inc
Senior Nurse Reviewer
Tri Rivers Assessment Services Inc - Wexford, PA
Insurance work – Disability, Workers’ Compensation – Utilization Review and Causality. Engines to accomplish review goals....
Easily apply
Sponsored by Tri Rivers Assessment Services Inc

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