- Northern Light Health (South Portland, ME)
- …Hours Per Week: 40.00 Work Schedule: 8:00 AM to 5:00 PM Summary: The Quality Assurance Nurse exercises independent judgement in analyzing clinical ... care, clinical orders and State and federal regulations. The Quality Assurance Nurse collaborates with...changes to appropriate staff + Collaborates with others to review CMS additional documentation requests, monitor for trends and… more
- PruittHealth (Kernersville, NC)
- **JOB PURPOSE:** Responsible for conducting quality assurance clinical system reviews. Recommends resources in an efficient and economical manner to enable each ... Documents findings and composes accurate, detailed reports of each facility review . **KEY RESPONSIBILITIES:** 1. Able to provide support to Administrator, Medical… more
- Defense Health Agency (Fort Johnson, NY)
- …Room, Surgery, Lead Practical Nurse , Orthopedic/Podiatry, Supervisory Practical Nurse , Dermatology, Quality Assurance Evaluation, Gastroenterology, ... mental and emotional needs of the patient. Screen and review immunization records to select required immunizations, correct dosages,...is in this document. Basic Requirement for a Practical Nurse : Licensure: A current license to practice as a… more
- Johns Hopkins University (Baltimore, MD)
- …+ Assist in monitoring the data integrity of studies assigned to other research nurse coordinators using Quality Assurance forms maintained by the DDU. ... clinical experience with research coordination and data abstraction. The Sr. Research Nurse will collaborate with the study's clinical team and faculty to implement… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …and positive with all customers and fellow employees. + Adheres to established quality assurance standards and MagnaCare policies and procedures. + Participates ... Health and Workers' Compensation and other Casualty clients. The Workers' Compensation Nurse Case Reviewer collaborates with medical care providers, employers,… more
- Kepro (ND)
- …Preferred Qualifications/Experience: + Knowledge of current National Committee for Quality Assurance (NCQA)/Utilization Review Accreditation Commission ... in the public sector. Acentra is looking for a Nurse (RN) Clinical Reviewer to join our...growing team. Job Summary: Our Nurse Clinical Reviewer will use clinical expertise for the review… more
- Koniag Government Services (Glynco, 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 - PRN with a Public Trust clearance to support...+ Report site-specific problems to the Clinic Nurse Manager (eg, staffing difficulties, supply issues, environment of… more
- Point32Health (MA)
- …when issues arise regarding policy interpretation, potential access availability or other quality assurance issues to ensure that members receive coverage ... Minimum of five years clinical experience in utilization management, case management or quality assurance preferred + Previous experience in a managed care… more
- HCA Healthcare (Weatherford, TX)
- …Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Quality Assurance Data Analyst with Medical City Weatherford you can ... in our organization. We are looking for an enthusiastic Quality Assurance Data Analyst to help us...of all clinical data. works with the Director of Quality Risk management to annually review and… more
- MyFlorida (Macclenny, FL)
- …or designate a registered nurse representative to participate in, quality assurance activities, including infection control. Determine all independent ... SENIOR REGISTERED NURSE SUPV - 60022045 Date: Sep 21, 2024...disciplinary measures are taken to assure the delivery of quality nursing care, the respect of all residents' worth… more
- MyFlorida (Chattahoochee, FL)
- …in, or designate a registered nurse representative to participate in, quality assurance activities, including infection control. + Determine all independent ... SENIOR REGISTERED NURSE SUPV - 60006164 Date: Sep 12, 2024...disciplinary measures are taken to assure the delivery of quality nursing care, the respect of all residents' worth… more
- University of Rochester (Rochester, NY)
- …preferred + Clinical chart review and abstraction experience preferred. + Quality Assurance and Process Improvement (QA/PI) experience preferred + RN - ... raw and risk adjusted data; organize and participate in new and ongoing quality assurance /performance improvement projects. Serve as Quality Assurance… more
- ElderChoice (Camillus, NY)
- Job Title: Quality Assurance Manager - RN Reports To: Director of LHCSA Services Employment Status: Full-Time/Exempt Location: Syracuse NY (Hybrid) Salary: ... Time Off, Paid Holidays, Supplemental Benefits Job Summary: We are seeking an experienced Quality Assurance Manager (QAM) to lead clinical quality … more
- Option Care Health (Phoenix, AZ)
- …**Job Description Summary:** Reporting to the Director, Clinical Services Nursing, the Nursing Quality Assurance Auditor supports OCH's Clinical and Quality ... location and remote reviews to monitor performance. The Nursing Quality Assurance Auditor is responsible for the...training and education identified during QSA to manager for review and follow through. + Escalate quality … more
- University of Rochester (Rochester, NY)
- …preferred. + Clinical chart review and abstraction experience preferred. + Quality Assurance and Process Improvement (QA/PI) experience preferred. + RN - ... for maintaining accreditation and meeting regulatory requirements. **Responsibilities:** **QA Nurse / Quality Analyst** + Utilizes national/state registries and… more
- Actalent (Remote, OR)
- …of Pennsylvania. Hard skills: + Must be a Registered Nurse + HEDIS Experience + Quality Assurance / Review Experience Work Site This is a fully remote ... Fully Remote Patient Care Advocate (RN) We are looking for a Registered Nurse who is interested in a fully remote opportunity. Requirements: + Nursing License for… more
- Sharp HealthCare (San Diego, CA)
- …data collection as well as analyzing, interpreting and presenting clinical quality -related data. + Previous case review experience. **Preferred Qualifications** ... (CPPS) - Certification Board for Professionals in Patient Safety; California Registered Nurse (RN) - CA Board of Registered Nursing; Bachelor's Degree in Nursing;… more
- Staffing Solutions Organization (Augusta, ME)
- …staff members to monitor work queues and complete assigned tasks. + Conduct regular quality assurance reviews of decided PAs. + Collaborate with other OMS units ... Registered Nurse - Authorization Review Augusta, ME 04330, USA Req #964 Monday, July 29, 2024 Staffing Solutions Organization LLC (SSO), an affiliate of Public… more
- HCA Healthcare (Richmond, VA)
- …and/or concurrent patient medical record abstraction of clinical data for organizational Quality Assurance and performance improvement activities. + Uses data ... set us apart from any other healthcare provider. We are seeking a(an) Peer Review Coordinator Registered Nurse RN to join our healthcare family. **Benefits**… more
- InnovaCare (San Juan, PR)
- …to the business. MMM Holdings, Inc.Job Description Inpatient Unit POSITION: Concurrent Review Nurse (CRN) POSITION DESCRIPTION Manages the inpatient utilization ... review admissions and continued stay to determine appropriate Utilization, Quality Assurance , Risk Management and Discharge Planning Needs.2. Validates all… more
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