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Utilization Review Nurse Jobs in Pittsburgh PA

Remote RN: Clinical Utilization Reviewer (Alabama)

Remote RN: Clinical Utilization Reviewer (Alabama)

COMAGINE HEALTH • Washington

On-site
USD 75,000 - 95,000
Utilization Review Coordinator - Pediatric Mental Health

Utilization Review Coordinator - Pediatric Mental Health

Midwest Center • Indiana (PA)

On-site
USD 60,000 - 75,000
Utilization Review Manager (RN)

Utilization Review Manager (RN)

Community LIFE • Pittsburgh

On-site
USD 83,000 - 113,000
Medical, Dental and Vision insurance
Life and Disability insurance
5 weeks Paid Vacation
+5
Remote Utilization Management Nurse – LTSS/HCBS Coverage

Remote Utilization Management Nurse – LTSS/HCBS Coverage

Humana • Indiana (PA)

Hybrid
USD 71,000 - 98,000
Bonus incentive plan
Remote Payment Integrity Nurse I - Claims Review

Remote Payment Integrity Nurse I - Claims Review

Cambia Health Solutions • Washington

On-site
USD 72,000 - 117,000
Work from home options
Health benefits
401(k) with company match
+1
Remote Utilization Management Specialist I

Remote Utilization Management Specialist I

Elevance Health • Mars (PA)

On-site
USD 42,000 - 60,000
Remote NP Physician Reviewer — Flexible 1099 Role

Remote NP Physician Reviewer — Flexible 1099 Role

Dane Street, LLC • Indiana (PA)

Hybrid
USD 69,000 - 124,000
Flexible schedule
Remote/telework
Training provided
+1
Remote Physician Advisor — Denial & Utilization

Remote Physician Advisor — Denial & Utilization

Indiana University Health • Indiana (PA)

Remote
USD 200,000 - 250,000
Physician Reviewer - Nurse Practitioner (Indiana License)

Physician Reviewer - Nurse Practitioner (Indiana License)

Dane Street, LLC • Indiana (PA)

Hybrid
USD 69,000 - 124,000
Flexible schedule
Remote/telework
Training provided
+1
Physician Reviewer - Nurse Practitioner (Indiana License)

Physician Reviewer - Nurse Practitioner (Indiana License)

Uncover • Indiana (PA), Northern (KY)

Hybrid
USD 83,000 - 124,000
Onsite Physician Advisor - Utilization & Denial Review

Onsite Physician Advisor - Utilization & Denial Review

Optum • Greensburg

On-site
USD 180,000 - 240,000
RN Registered Nurse, ARU, Part Time, AVH

RN Registered Nurse, ARU, Part Time, AVH

Allegheny Health Network • Natrona Heights (PA)

On-site
USD 70,000 - 95,000
Sign on bonus up to $30,000
RN-Clinic

RN-Clinic

Wheeling Hospital • Wheeling (WV)

On-site
USD 60,000 - 85,000
RN-Clinic

RN-Clinic

Wvu-Medicin • Pleasant Valley (WV)

On-site
USD 70,000 - 90,000
Registered Nurse Case Manager (PRN)

Registered Nurse Case Manager (PRN)

Limitlessli • Indiana (PA)

On-site
USD 65,000 - 90,000
RN - ICU, Jefferson

RN - ICU, Jefferson

Allegheny Health Network • Clairton

On-site
USD 70,000 - 95,000
Magnet recognition
Generous benefits for full-time/part‑t
PRN RN Casemanager

PRN RN Casemanager

WVU Medicine • Weirton (WV)

On-site
USD 60,000 - 80,000
Utilization Management Nurse

Utilization Management Nurse

Humana • Indiana (PA)

Hybrid
USD 71,000 - 98,000
Bonus incentive plan
Registered Nurse - Field Assessor - Pittsburgh, PA

Registered Nurse - Field Assessor - Pittsburgh, PA

Optum • Pittsburgh

On-site
USD 64,000 - 142,000
RN Registered Nurse, Weekend, ICU, AVH

RN Registered Nurse, Weekend, ICU, AVH

Allegheny Health Network • Natrona Heights (PA)

On-site
USD 65,000 - 85,000
RCS-Quality Expert CC

RCS-Quality Expert CC

Indiana University Health • Indiana (PA)

On-site
USD 65,000 - 90,000
RN - Outpatient Medical Unit (NEW GRAD) Jefferson

RN - Outpatient Medical Unit (NEW GRAD) Jefferson

Allegheny Health Network • Clairton

On-site
USD 65,000 - 85,000
RN - PACU (NEW GRAD) Jefferson

RN - PACU (NEW GRAD) Jefferson

Allegheny Health Network • Clairton

On-site
USD 70,000 - 90,000
Nurse Investigator

Nurse Investigator

The Health Plan (THP) • Wheeling (WV)

On-site
USD 65,000 - 90,000
RN Care Transition & Discharge Navigator

RN Care Transition & Discharge Navigator

Wheeling Hospital • Wheeling (WV)

On-site
USD 60,000 - 85,000

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