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Utilization Management Nurse Jobs in Pittsburgh PA

Utilization Management Clinical Consultant

Utilization Management Clinical Consultant

CVS Health Corporation • Indiana (PA)

On-site
USD 36,000 - 103,000
Bonus eligibility
Comprehensive benefits
Clinical Utilization & Care Management Consultant

Clinical Utilization & Care Management Consultant

CVS Health Corporation • Indiana (PA)

Hybrid
USD 36,000 - 103,000
Bonus eligibility
Comprehensive benefits
Clinical Care Manager (RN) - Oncology Nurse Navigator

Clinical Care Manager (RN) - Oncology Nurse Navigator

UPMC • Pittsburgh

On-site
USD 70,000 - 100,000
Professional Care Manager, Supervisor (RN) - Community Medicine Incorporated

Professional Care Manager, Supervisor (RN) - Community Medicine Incorporated

UPMC • Pittsburgh, Northern (KY)

On-site
USD 90,000 - 110,000
Care Manager, RN – CW

Care Manager, RN – CW

TALENT Software Services • Pittsburgh

On-site
USD 75,000 - 110,000
PRN RN Casemanager

PRN RN Casemanager

WVU Medicine • Weirton (WV)

On-site
USD 60,000 - 80,000
Care Management Associate

Care Management Associate

WVU Medicine • Weirton (WV)

On-site
USD 42,000 - 58,000
Clinical Care Manager (RN) - Penn Plum

Clinical Care Manager (RN) - Penn Plum

UPMC • Pittsburgh, Northern (KY)

On-site
USD 70,000 - 90,000
Manager, Case Management

Manager, Case Management

Millennium Physician Group • Indiana (PA)

On-site
USD 94,000 - 141,000
RN Care Manager – Disease Management (Telephonic)

RN Care Manager – Disease Management (Telephonic)

TALENT Software Services • Pittsburgh

On-site
USD 75,000 - 110,000
Value-Based Care Case Management Leader

Value-Based Care Case Management Leader

Millennium Physician Group • Indiana (PA)

On-site
USD 94,000 - 141,000
Clinical Reimbursement Coordinator, RN

Clinical Reimbursement Coordinator, RN

Genesis • Follansbee (WV)

On-site
USD 55,000 - 61,000
Variable pay
Tuition discounts
Travel discounts
+7
CMO, Utilization Management and Medical Policy

CMO, Utilization Management and Medical Policy

UPMC • Pittsburgh

On-site
USD 250,000 - 350,000
Risk Adjustment Coding Manager - MRA & Compliance

Risk Adjustment Coding Manager - MRA & Compliance

Millennium Physician Group • Indiana (PA)

On-site
USD 85,000 - 128,000
RN Professional Development Specialist - Care Management

RN Professional Development Specialist - Care Management

Allegheny Health Network • Pittsburgh

On-site
USD 70,000 - 95,000
Director, Case Management

Director, Case Management

The Health Plan (THP) • Wheeling (WV)

On-site
USD 120,000 - 150,000
Remote Capacity Management Supervisor

Remote Capacity Management Supervisor

UPMC • Pittsburgh, Northern (KY)

Hybrid
USD 90,000 - 130,000
Manager - Care Management - Monroe

Manager - Care Management - Monroe

ochsner • Indiana (PA)

On-site
USD 90,000 - 140,000
RN Care Coordinator: Utilization & Discharge Specialist

RN Care Coordinator: Utilization & Discharge Specialist

Highmark Health • Natrona Heights (PA)

On-site
USD 70,000 - 90,000
Clinical Reimbursement Coordinator - LPN

Clinical Reimbursement Coordinator - LPN

Genesis Administrative Services LLC • Follansbee (WV)

On-site
USD 45,000 - 52,000
Health, Dental, Vision
401K
Paid Time Off
+10
RN Case Manager (Days) Jefferson

RN Case Manager (Days) Jefferson

Allegheny Health Network • Clairton

On-site
USD 70,000 - 95,000
Medical Director, Utilization Management & Care Strategy

Medical Director, Utilization Management & Care Strategy

Highmark Health • Washington

On-site
USD 227,600 - 385,000
Bed Utilization & Patient Flow Coordinator

Bed Utilization & Patient Flow Coordinator

Highmark Health • Pittsburgh

Hybrid
USD 45,000 - 60,000
Patient Access Case Manager — Hybrid/Remote

Patient Access Case Manager — Hybrid/Remote

ADP, Inc. • Coraopolis

Hybrid
USD 50,000 - 70,000
Hybrid work structure
Clinical Reimbursement & MDS Coordinator

Clinical Reimbursement & MDS Coordinator

Genesiscareers • Follansbee District (WV)

On-site
USD 45,000 - 52,000
Variable compensation plans
Tuition discounts
Employee Assistance Program
+9

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