RN Utilization Review: Payer Liaison & Care Coordination
Listed on 2026-11-01
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Nursing
RN Nurse, Nurse Practitioner, Healthcare Nursing
Allegheny Health Network is seeking a Nurse Care Manager to obtain precertifications/recertifications, liaise with third party payers, and communicate clinical information as requested. You will address denials, develop action plans, and support a coordinated care approach with physicians and care teams.
Qualifications include RN licensure (PA or multi-state), CM certification within 5 years, and 2–3 years of nursing experience with a focus in Utilization Management.
This role, RN Utilization Review:
Payer Liaison & Care Coordination at Highmark Health, could be your next career step.
Full responsibilities and requirements are described in the listing above.
Learn more about the RN Utilization Review:
Payer Liaison & Care Coordination role in the description above.
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