- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... safety net required to achieve that purpose. Job Summary The Utilization Management Clinical Quality Nurse Reviewer RN II, under the purview the Utilization… more
- Medical Mutual of Ohio (OH)
- …provide peace of mind to more than 1.2 million members through our high- quality health, life, disability, dental, vision and indemnity plans. We offer fully insured ... improvement methods to daily work to comply with National Committee for Quality Assurance (NCQA), accreditation standards and the Centers for Medicare & Medicaid… more
- Northern Light Health (South Portland, ME)
- …Per Week: 40.00 Work Schedule: 8:00 AM to 5:00 PM Summary: The Quality Assurance Nurse exercises independent judgement in analyzing clinical documentation to ... standards of care, clinical orders and State and federal regulations. The Quality Assurance Nurse collaborates with staff, Clinical and General Education… more
- HCA Healthcare (Richmond, VA)
- …path, we encourage you to apply for our Manager Quality Registered Nurse RN opening. We review all applications. Qualified candidates will be contacted ... **Description** **Introduction** Do you have the career opportunities as a(an) Manager Quality Registered Nurse RN you want in your current role? We invest in… more
- State of Maine, Bureau of Human Resources (ME)
- MaineCare Quality Review Nurse Maine, USA | Nursing | Full-time Apply by: Sept. 20, 2024 Apply with Linkedin Apply Department of Health and Human Services ... yes and you are licensed as a Registered Professional Nurse in the State of Maine as issued by...requirements for each type of facility. Minimum Qualifications: Registered Nurse and three (3) years of progressively responsible experience… more
- InnovaCare (Ponce, PR)
- …committed to bringing passion and customer focus to the business. POSITION DESCRIPTION The Quality Specialist Nurse is responsible for monitoring quality of ... Collaborates in the implementation of educational activities geared at improving quality measures. Coordinates quality assessment activities related to clinical… more
- HCA Healthcare (Mcallen, TX)
- …for benefits may vary by location._ **Job Summary and Qualifications** The Review Nurse Clinical Reviewer position encompasses multiple responsibilities ... Are you passionate about delivering patient-centered care? Submit your application for Registered Nurse Quality position and spend more time at the bedside with… more
- HCA Healthcare (Fort Worth, TX)
- …step in your career path, we encourage you to apply for our Registered Nurse Quality Coordinator opening. We review all applications. Qualified candidates ... **Description** **Medical City Alliance** **Registered Nurse Quality Coordinator** Do you have the career opportunities as a(an) Registered Nurse Quality … more
- Fallon Health (Worcester, MA)
- …summary of purpose:** Under the general direction of the Senior Manager, Clinical Quality , the clinical nurse analyst is responsible for developing and ... for Healthcare Effectiveness Data and Information Set (HEDIS(R)) and MassHealth Appendix Q review . The clinical nurse analyst will provide clinical expertise and… more
- Aveanna (Waltham, MA)
- Quality Improvement (QI) Registered Nurse (RN)...0f 1-2 years of OASIS and home health documentation review . + Ability to travel approximately 25% of time ... love working at Aveanna. We're glad you're here. The Quality Improvement (QI) Registered Nurse develops, assures...0f 1-2 years of OASIS and home health documentation review . + Ability to travel approximately 25% of time… more
- HCA Healthcare (Dallas, TX)
- …Orthopedic & Spine Surgery Center have the opportunity to make a real impact. As a Quality Improvement - Risk Management Nurse you can be a part of change. The ... QI/Risk Management Nurse will oversee the overall quality and...+ You will oversee safety in-service programs + Maintain, review , receive and report all variances for your center… more
- RWJBarnabas Health (Livingston, NJ)
- Nurse Coordinator Registered Nurse (RN), Quality Resource ServicesReq #:0000162588 Category:Nursing Status:Full-Time Shift:Day Facility:Cooperman Barnabas ... metrics. This role will include a lot of record review , understanding the inclusion/exclusion criteria of each metric and...nurse in the adult population + History of quality improvement, quality management, or standards +… more
- Hartford HealthCare (Wethersfield, CT)
- …teaching and validating clinical skills to meet performance expectations preferred. Charge nurse experience, standards committee, peer review process work a ... **Nursing* **Organization:** **Hartford HealthCare Medical Group* **Title:** *Clinical Operations Resource Nurse (RN) - Quality and Safety * **Location:**… more
- Elevance Health (Los Angeles, CA)
- ** Nurse Appeals ( Quality ) - California candidates only** **Location: This is a virtual position and prefer candidates reside within 50 miles of an Elevance ... **How you will make an impact:** Responsible for investigating and processing quality of care grievances from members and providers. **Primary duties may include,… more
- Catholic Health (Kenmore, NY)
- …pm flexible based on work Summary: The Quality & Patient Safety (QPS) Nurse Reviewer and Clinical Specialist is the primary site individual responsible to ... identify quality and patient safety issues and develops interventional strategies...potential medical errors and improve patient outcomes. The QPS Nurse Reviewer and Clinical Specialist will actively… more
- HCA Healthcare (Corpus Christi, TX)
- …Corpus Christi Medical Center Bay Area!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses multiple responsibilities ... assigned functions and/or reviews, as delegated by the Administrative Quality /PS/RM Director.** **This position is a M-F, 34 hours...to apply for our Registered Nurse Clinical Reviewer PRN opening. We review all applications.… more
- Glens Falls Hospital (Glens Falls, NY)
- …other status protected under law. **Job:** **Nursing - Other* **Title:** * Nurse Education and Quality Coordinator* **Location:** *NY-Glens Falls* **Requisition ... and comply with regulatory requirements including documentation of competency. Facilitates review , revision, and development of policies and procedures specific to… 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
- Commonwealth of Pennsylvania (PA)
- …performing this Work Behavior as a charge nurse , head nurse , utilization review nurse , quality assurance nurse , or an industrial, employee or ... this Work Behavior as a charge nurse , head nurse , utilization review nurse , quality assurance nurse , or an industrial, employee or public health… more
- US Tech Solutions (RI)
- **Job Description:** + Responsible for the review and evaluation of clinical information and documentation. + Reviews documentation and interprets data obtained from ... support as required. **Responsibilities:** + Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit… more