• Quality /Utilization Review

    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
    George C. Grape Community Hospital (11/25/25)
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  • Quality Review Nurse (Hybrid)

    CareFirst (Baltimore, MD)
    **Resp & Qualifications** **PURPOSE:** The role of the Nurse , Quality Review Utilization Management (UM) is to evaluate clinical quality and procedures ... Collaborates with utilization management to develop procedures and reinforce quality standards to support critical-thinking skills and provide and/or facilitate… more
    CareFirst (12/30/25)
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  • Quality Coordinator Registered Nurse

    HCA Healthcare (North Richland Hills, TX)
    …step in your career path, we encourage you to apply for our Coordinator Quality Registered Nurse opening. We review all applications. Qualified candidates ... **Description** **Registered Nurse / RN - Quality Coordinator** **Shift: Full time - Days** **Location: Medical City North Hills Hospital** **Introduction** Do… more
    HCA Healthcare (01/07/26)
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  • Quality Management Clinical Nurse

    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
    UCLA Health (01/11/26)
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  • Registered Nurse RN Coord Quality

    HCA Healthcare (Webster, TX)
    …**Are you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Coord Quality position and spend more time at the ... stage in your career! We are interviewing candidates for our Registered Nurse Coord Quality opening. **Apply today and a member of our Talent Acquisition team… more
    HCA Healthcare (12/03/25)
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  • Utilization Review Nurse Supervisor…

    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
    The County of Los Angeles (12/25/25)
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  • Registered Nurse - Case Review

    STG International (Rockville, MD)
    STGi is currently seeking a Registered Nurse -Case Review Specialist . The position is remote and open to candidates nationwide. JOB SUMMARY: Provides direct ... with FOH Business Operations team. Serves as a Registered Nurse Case Review Specialist for the case...fellow team members, internal, and external customers. Exam Processing Quality and Safety + Ensure case review more
    STG International (01/06/26)
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  • Quality Nurse Coordinator

    HCA Healthcare (Nashville, TN)
    …and Qualifications** The Quality Nurse Coordinator coordinates and facilitates Quality /Peer Review Committee in conjunction with the VP of Quality ... we encourage you to apply for our Quality Nurse Coordinator opening. We promptly review all applications. Highly qualified candidates will be contacted for… more
    HCA Healthcare (11/10/25)
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  • Registered Nurse (Risk Manager…

    Veterans Affairs, Veterans Health Administration (Bronx, NY)
    Summary The Bronx VA Medical Center is recruiting for (1) full-time Registered Nurse Risk Manager reporting to the Quality and Patient Safety service at the ... compliance with internal and external regulatory requirements and standards. The Nurse Risk Manager is responsible for demonstrating leadership, experience, and… more
    Veterans Affairs, Veterans Health Administration (01/06/26)
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  • Clinical Review Nurse

    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
    Abbott (12/09/25)
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  • Staff Nurse - Utilization Review

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating the ... guidelines and evidence-based practice * Quality of Practice*: * Promotes quality through evidence-based utilization review processes and actively contributes… more
    Minnesota Visiting Nurse Agency (12/03/25)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE ... administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the largest… more
    The County of Los Angeles (12/27/25)
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  • Quality Risk Registered Nurse

    HCA Healthcare (Anna, TX)
    …Surgery Center of North Texas have the opportunity to make a real impact. As a Quality Risk Registered Nurse you can be a part of change. **Benefits** Medical ... and improve positive outcomes for your patients as a Quality Risk Registered Nurse . We want your...+ You will oversee safety in-service programs + Maintain, review , receive and report all variances for your center… more
    HCA Healthcare (01/01/26)
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  • Quality Resource Nurse - Clinic…

    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 for providing clinical expertise and serves as a resource to the organization through… more
    Houston Methodist (01/10/26)
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  • Utilization Review Denials Nurse

    UNC Health Care (Kinston, NC)
    …the clinical documentation specialists and Patient Financial Services. Supports the Utilization Review Nurse team when necessary by applying established criteria ... to status issue queries from patient financial services, coders, Quality and other entities. 10. Responsible for summary reports...3-5 years of applied clinical experience as a Registered Nurse required. + 2 years utilization review ,… more
    UNC Health Care (11/20/25)
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  • Registered Nurse Quality Coordinator

    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 ... passion for patient care. Apply today for our Registered Nurse Quality Coordinator opportunity. **Job Summary and...to the Medical Staff to ensure ready access for review and follow-up. + Assists in compiling summarized reports… more
    HCA Healthcare (12/23/25)
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  • Clinical Quality Nurse

    Marshfield Clinic (Park Falls, WI)
    …to support the most exciting missions in the world!** **Job Title:** Clinical Quality Nurse **Cost Center:** 301451016 MqaHos- Quality Improvement **Scheduled ... States of America) **Job Description:** **JOB SUMMARY** The Clinical Quality Nurse (CQN) in Quality ...for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to… more
    Marshfield Clinic (10/24/25)
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  • Medical Records Review Nurse

    System One (Baltimore, MD)
    Job Title: Clinical Medical Review Nurse Location: Baltimore, MD 21224 Type: Contract, 5 mos with chance of extension Compensation: Based on experience starting ... occassional travel to providers for record retrieval, as needed. Clinical Medical Review Nurse / Medical Records Abstraction Specialist Schedule: 8-hour shifts… more
    System One (01/06/26)
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  • Registered Nurse Quality Coordinator

    HCA Healthcare (Kingwood, TX)
    …to you, we encourage you to apply for our Registered Nurse Coord Quality opening. Our team will promptly review your application. Highly qualified candidates ... support our colleagues in their positions. Join our Team as a(an) Registered Nurse Coord Quality and access programs to assist with every stage of your career.… more
    HCA Healthcare (12/13/25)
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  • Quality Risk Management Nurse

    HCA Healthcare (Richmond, VA)
    …**Are you passionate about delivering patient-centered care?** Submit your application for Quality Risk Management Nurse position and spend more time at ... + You will oversee safety in-service programs + Maintain, review , receive and report all variances for your center...in your career! We are interviewing candidates for our Quality Risk Management Nurse opening. **Apply today… more
    HCA Healthcare (12/24/25)
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