- University of New Mexico - Hospitals (Albuquerque, NM)
- …short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent ... passionate individuals who will work in collaboration with clinical teams to achieve quality outcomes for patients within our local communities. As a day shift,… more
- Fresenius Medical Care (Olmito, TX)
- …records management and HIPAA compliance . Oversees the continuous and data driven Quality Assurance and Performance Improvement Program of the center, including ... ensure that medical practices and procedures meets applicable standards. Ensures provision of quality patient care and the role is responsible to the ASC Governing… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent ... FTE: 1.00 Full Time Shift: Days Position Summary: Responsible for the initial review , triage and assignment of patients to case managers and for the coordination… more
- University Health (San Antonio, TX)
- …full time hospital experience preferred. Work experience in case management, utilization review , or hospital quality assurance experience is preferred. ... setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators, and RAF scores to eligible Medicare Advantage beneficiary.… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- …short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review , maintaining interdependent ... Management - UHFTE: 1.00Full TimeShift: DaysPosition Summary:Responsible for the initial review , triage and assignment of patients to case managers and for… more
- Optum (Gretna, LA)
- …the most cost effective manner Assists with oversight of the hospice agency quality assurance performance improvement program, to include use of objective data ... and federal regulations; enhancing the profitability of the agency while maintaining quality of care; and providing motivation and retention of qualified staff.… more
- VitalCore Health Strategies (Munising, MI)
- …Life Support (BLS) Certification. Must have knowledge of managed healthcare systems, medical quality assurance , quality improvement and risk management is ... retaining and acquiring hardworking ethical individuals who are committed to providing quality services. Join our team and experience first-hand how VitalCore Health… more
- University Health (Boerne, TX)
- …recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is ... hire date. LICENSURE/CERTIFICATION Current license from the Board of Nurse Examiners of the State of Texas to practice...the State of Texas to practice as a registered nurse is required. National certification in related field is… more
- UNIVERSITY HEALTH (San Antonio, TX)
- …for Healthcare Research and Quality (AHRQ), National Committee for Quality Assurance (NCQA) that promotes Healthcare Effectiveness Data and Information ... Set (HEDIS) metrics, Utilization Review Accreditation Commission (URAC), and the Joint Commission (TJC). EDUCATION AND EXPERIENCE Associate's Degree is required;… more
- VitalCore Health Strategies (Georgetown, DE)
- …Director is responsible for providing clinical leadership, medical oversight, and quality assurance for healthcare services delivered within the correctional ... retaining and acquiring hardworking ethical individuals who are committed to providing quality services. Join our team and experience first-hand how VitalCore Health… more
- Prime Healthcare (Weslaco, TX)
- …referred to as a Performance Improvement Nurse Coordinator or Stroke Program Nurse Coordinator . Quality Assurance RN Coordinator for our Performance ... Overview QUALITY ASSURANCE RN COORDINATOR We are...Activities include but are not limited to integrity reliability review , medical chart reviews, data abstraction for CMS Core… more
- Commonwealth of Pennsylvania (PA)
- …Work Behavior as a charge nurse , head nurse , utilization review nurse , quality assurance nurse , or an industrial, employee or public health ... Behavior as a charge nurse , head nurse , utilization review nurse , quality assurance nurse , or an industrial, employee or public health … more
- Defense Health Agency (Colorado Springs, CO)
- …Room, Surgery, Lead Practical Nurse , Orthopedic/Podiatry, Supervisory Practical Nurse , Dermatology, Quality Assurance Evaluation, Gastroenterology, ... **Overview** Practical Nurse , Fort Carson, CO Fort Carson, CO: Located...and emotional needs of the patient. + Screen and review immunization records to select required immunizations, correct dosages,… more
- Koniag Government Services (Dock Junction, GA)
- …levels to the Clinic Nurse Manager + Participate in Quality Assurance activities, data analysis and review to make improvements within clinic operations. ... Koniag Government Services company **,** is seeking a Registered Nurse - Part- Time to support **KOS** and our government...+ Report site-specific problems to the Clinic Nurse Manager (eg, staffing difficulties, supply issues, environment of… more
- University of Michigan (Ann Arbor, MI)
- …+ Board all add-on/trauma/urgent cases + Coordinate communication hand-off to Midnight Charge Nurse Quality Assurance and Research + Assists in the ... collaboration, and peer review are exercised + Plan, coordinate and evaluate quality assurance activities + Participate in the development of patient care… more
- Zelis (NJ)
- …is responsible for conducting post-service, pre-payment and post pay comprehensive inpatient DRG Quality Assurance reviews in an effort to increase the savings ... specific coverage policies. What you'll do: + Perform comprehensive inpatient DRG validation Quality Assurance reviews to determine accuracy of the DRG billed,… more
- PruittHealth (Columbia, SC)
- …**JOB PURPOSE:** Senior Nurse Consultant assumes responsibility for conducting quality assurance reviews in the assigned facilities. Senior Nurse ... of resident and facility information. 8. Able to assist in coordination of Quality Assessments and Assurance activities with Nursing Home Administrator and DON… more
- Emanate Health (Covina, CA)
- …and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by ... using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and… more
- Bozeman Health (Bozeman, MT)
- The Interfacility Transport Team (IFT) Quality Assurance Coordinator is responsible for overseeing and managing the quality assurance processes within ... ensure the highest transport standards are met. The IFT Quality Assurance Coordinator will work alongside Bozeman...in Nursing (BSN). + Current State of Montana Registered Nurse (RN) license. + Current Basic Life Support (BLS),… more
- George C. Grape Community Hospital (Hamburg, IA)
- Quality /Utilization Review Nurse Position Summary: The Quality /Utilization Review Nurse is responsible for evaluating the medical necessity, ... with insurance providers for pre-certifications, continued stay reviews, and authorizations. * Quality Assurance : o Monitor compliance with hospital quality … more
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