Utilization Review RN jobs in Pittsburgh, PA

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RN Case Manager
Community LIFE 11 reviews - McKeesport, PA
Working knowledge of utilization review, quality assurance and managed health care concepts. The RN Case Manager provides the technical, organizational and...
Sponsored by Community LIFE - 2 days ago
HEA NCLEX RN Faculty PT - Pittsburgh, PA
KTP Health - Pittsburgh, PA
Understanding & application of Kaplan methodology with appropriate utilization of the Faculty Manual. The Kaplan Faculty Member delivers excellent classroom...
Sponsored by Job.com - 3 days ago

RN Medical Case Manager

Travelers 60 reviews - Pittsburgh, PA
Perform Utilization Review according to established guidelines. Knowledge of medical causation and relatedness, as well as use of medical treatment protocols...
3 days ago - save job - email - more...

Care Coordinator - Forbes

Forbes Hospital - Monroeville, PA
Care facilitation and utilization review experience preferred. Maintains a working knowledge of care management, care coordination changes, utilization review...
1 day ago - save job - email - more...

Care Coordinator - WPH

West Penn Hospital 20 reviews - Pittsburgh, PA
Care facilitation and utilization review experience preferred. Maintains a working knowledge of care management, care coordination changes, utilization review...
2 days ago - save job - email - more...

HEA NCLEX RN Faculty PT - Pittsburgh, PA

Kaplan 558 reviews - Pittsburgh, PA
Understanding & application of Kaplan methodology with appropriate utilization of the Faculty Manual. The Kaplan Faculty Member delivers excellent classroom...
2 days ago - save job - email - more...

Care Coordinator

Jefferson Hospital 18 reviews - Pittsburgh, PA
Care facilitation and utilization review experience is preferred. Current PA RN license required. Minimum 2+ years of recent clinical RN acute care experience...
Jefferson Regional Medical Center - 16 days ago - save job - email - more...

Coord, Quality Improvement

UPMC 241 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....
8 days ago - save job - email - more...

Case Manager, Home Health (FT - Huntingdon County)

UPMC 241 reviews - Pittsburgh, PA
Minimum 1 year satisfactory performance as RN II preferred. Establish a physician-directed, individualized treatment plan in conjunction with Utilization...
9 days ago - save job - email - more...

UM Nurse Consultant

Aetna 422 reviews - Pittsburgh, PA
You will conduct Utilization Review and Discharge Planning for members admitted to an acute facility. Click here to review the benefits associated with this...
18 days ago - save job - email - more...

Full Time Precertification UR RN -- CHP

UPMC 241 reviews - Pittsburgh, PA
Experience in utilization review activities. At least 2 years of RN experience required. Provide patient information to third party payers and their review...
30+ days ago - save job - email - more...

Registered Nurse SL

UPMC 241 reviews - Pittsburgh, PA
Periodically reviews procedure with NAs. Associate or Bachelor Degree in Nursing for RN is required. Prevents infections by utilization of standard precautions...
30+ days ago - save job - email - more...

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