- 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, ... nursing experience (acute care preferred). o Prior experience in utilization review , case management, quality improvement, and infection control strongly… more
- Ascension Health (Tulsa, OK)
- …related to performance improvement, professional practice evaluation and peer review activities. + Collaborate with Quality /Risk Management to investigate ... **Details** + **Department:** Total Quality Management + **Schedule:** FT, Monday-Friday, 8am-4:30pm +...other risk-related data. + Coordinate the medical staff's professional performance evaluation and peer review programs in… more
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-site Recruitment # 251212-5613FP-001 Location East Hartford, CT Date Opened 12/16/2025 12:00:00 AM ... learn more about joining our team as a Utilization Review Nurse Coordinator! The State of Connecticut...will have the opportunity to: + Participate in utilization review and/or quality assurance programs; + Conduct… more
- UCLA Health (Los Angeles, CA)
- Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards ... involves evaluation clinical practices, identifying areas for improvement, and implementing quality improvement initiatives to enhance patient care and safety. In… more
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply UTILIZATION REVIEW NURSE ... regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team....Determines need for and conducts in-service training to improve quality of admission and continued stay reviews, and to… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry ... and concurrent medical record review for medical necessity and level of care using...URSN position helps drive change by identifying areas where performance improvement is needed (eg, day-to-day workflow, education, process… more
- Abbott (Kansas City, MO)
- …a schedule of **Monday-Friday, 8:00 AM - 5:00 PM** . The position of Clinical Review Nurse is within our Toxicology division located at our **Kansas City, MO** ... site within Workplace Solutions. In this role, the **Clinical Review Nurse ** is responsible for accuracy and...objectives. + Ensure adherence to applicable Abbott Rapid Diagnostics Quality policies & procedures. + Review physical… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- … of Practice*: * Promotes quality through evidence-based utilization review processes and actively contributes to performance improvement initiatives ... be discussed as part of individual professional development during the annual performance review /*License/Certifications:*/ * Possession of a valid license as… more
- Veterans Affairs, Veterans Health Administration (Miami, FL)
- Summary The Miami VA medical center is recruiting for a Registered Nurse - Quality Management Specialist within Sterile Processing Service. The Registered ... Nurse - (QMS) functions as an advanced clinician and executes...and makes recommendation for improvements claims, and/or recommends peer review when quality of care issues is… more
- HCA Healthcare (Nashville, TN)
- …and Qualifications** The Quality Nurse Coordinator coordinates and facilitates Quality /Peer Review Committee in conjunction with the VP of Quality ... with other quality initiatives and performs targeted/focused performance review as requested. + Provide timely...encourage you to apply for our Quality Nurse Coordinator opening. We promptly review all… more
- Beth Israel Lahey Health (Cambridge, MA)
- …and improve patient outcomes. The nurse works with clinical staff to review clinical charts, interpret data, and implement quality improvement initiatives to ... Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays...chart reviews and education activities for patient safety and performance improvement; Participates in data collection, data review… more
- HCA Healthcare (Thornton, CO)
- …growth, we encourage you to apply for our Registered Nurse Quality Coordinator opening. We promptly review all applications. Highly qualified candidates ... and integrity. We care like family! Jump-start your career as a(an) Registered Nurse Quality Coordinator today with HCA HealthONE Mountain Ridge. **Benefits**… more
- Houston Methodist (Houston, TX)
- …by supporting multiple areas across the Organization. The Quality Resource Nurse position will oversee and routinely review clinical support practices to ... At Houston Methodist, the Quality Resource Nurse position is responsible...process improvements. Assists with clinical and operational oversight of performance improvement. Participates in quality improvement initiatives… more
- Tufts Medicine (Lowell, MA)
- …program and other hospital programs such as risk, quality and safety, nurse practice council and performance improvement council. + Assists with data ... Program Manager and through the use of the trauma registry, the Trauma Performance Improvement Coordinator monitors and evaluates the quality of clinical care… more
- HCA Healthcare (Houston, TX)
- …us apart from any other healthcare provider. We are seeking a(an) Registered Nurse Quality Coordinator to join our healthcare family. **Benefits** The Woman's ... and empowers their passion for patient care. Apply today for our Registered Nurse Quality Coordinator opportunity. **Job Summary and Qualifications** Under the… more
- UCLA Health (Los Angeles, CA)
- Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high- quality , evidence-based care. ... documentation related to prior authorization requests for medical services. The UM Review Nurse applies clinical judgment, regulatory standards, and established… more
- WMCHealth (Valhalla, NY)
- Nurse , Performance Improvement Trauma Coordinator Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Nursing/Nursing Management ... Trauma Medical Director, Trauma Program Manager, Trauma Registrars and other disciplines to review the performance and safety of the Trauma Program including… more
- HCA Healthcare (North Richland Hills, TX)
- …path, we encourage you to apply for our Registered Nurse Coord Quality Sepsis opening. We review all applications. Qualified candidates will be contacted ... **Description** **Registered Nurse / RN - Quality Sepsis...to ensure effective integration of meangful data into the quality , performance improvement, and patient safety programs.… more
- Huron Consulting Group (Chicago, IL)
- …Revenue Cycle to ensure alignment and support for denial prevention and performance improvement initiatives that Utilization Review impacts. Attend and ... in Revenue Cycle department meetings and governance to ensure strong Utilization Review team contributions to health system performance and goals.… more
- Hospice of Michigan (Ann Arbor, MI)
- …are processes in place to monitor and measure all activities related to quality assessment and performance improvement (QAPI). + Provides direction and ... self-directed and able to work with minimal supervision. + Requires knowledge of quality assessment and utilization review functions, principles and practices. +… more