Utilization Review RN jobs in Pittsburgh, PA

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Registered Nurse Telephonic - Utilization Review
Maxim Healthcare Services 836 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  - 25 days ago
Care Manager - Utilization Management RN
Highmark Health 7 reviews - Pittsburgh, PA
Current, valid, unrestricted RN license. 1 year of Utilization Management experience. Certification in Utilization Management or a related field....
Sponsored by Highmark Health  - 3 days ago
RN Inpatient Case Manager 1.0 FTE- Varied Shift - Relocation...
Presbyterian Healthcare Services - United States
Registered Nurse with Bachelors in nursing (BSN) plus five years utilization review or case management experience required....
Sponsored by Presbyterian Healthcare Services  - 30+ days ago

Care Manager - Utilization Management RN

Highmark Health 7 reviews - Pittsburgh, PA
Current, valid, unrestricted RN license. 1 year of Utilization Management experience. Certification in Utilization Management or a related field....

Medical Review Clinical Reviewer - Medicare

Novitas Solutions Inc. - Pittsburgh, PA
RN, Medical Review, clinical decision making. Certified Professional Coder/Certified Professional Utilization Reviewer....

Retrospective Appeals Nurse

UPMC 290 reviews - Pittsburgh, PA
Maintain collaborative relationships with utilization management and appeal departments at payor organizations....

Admission Registered Nurse (Home Health) Full-time

Celtic Healthcare - Bridgeville, PA
Licensed RN or BSN with current state license; Review the home health referral, updating & communicating any changes to other disciplines and to customer...

Staffing Consultant

Wexford Health - Pittsburgh, PA 15220
Annual review with performance increase. For nearly two decades, Wexford Health has consistently delivered proven staffing expertise and a full range of medical...

UM Care Manager

UPMC 290 reviews - Pittsburgh, PA
The Utilization Management (UM) Care Manager is responsible for utilization review of health plan services and assessment of member's barriers to care, as well...

Nurse Manager, OP

UPMC 290 reviews - Pittsburgh, PA
Evaluates clinical space utilization and makes recommendations for improvement. Reviews abnormal laboratory values and consults with physicians as needed....

Case Manager II - Per Diem

HealthSouth Corporation 178 reviews - Pittsburgh, PA
The CM II performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team....

Registered Nurse Telephonic - Utilization Review

Maxim Healthcare Services 836 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...

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

MedStar Georgetown University Hospital 111 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,...
Assistant Director of Nursing, RN, MSN, Hershey, PA (Nurse,...
Milton Hershey School 15 reviews - Pittsburgh, PA
Valid Pennsylvania RN licensure. Career, Compensation, Employment, Full Time, Job Board, Job Description, job Search, Job Search, Jobs, Occupation, Opening,...
Sponsored by Milton Hershey School  - 15 days ago
RN Hospice Case Manager-1 Year RN Exp
Bethany Hospice - Pittsburgh, PA
RN licensed in the state. RN needed for full time hospice case manager field position. Demonstrates expertise in utilization of team members including...
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Sponsored by Bethany Hospice  - 2 days ago

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