- Emanate Health (Covina, CA)
- …States, and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity ... Requirement :** **Minimum Experience Requirement :** Minimum of three years of utilization management experience. Experience in quality - related job preferred.… more
- Matrix Providers (Aurora, CO)
- Registered Nurse ( RN ) - Utilization ...Quality and Management (HCQM) through American Board of Quality Assurance and Utilization Review ... schedules. Matrix Providers is hiring a Registered Nurse ( RN ) - Utilization Management... Utilization Management Accreditation through National Committee for Quality Assurance (NCQA) are desired. Experience: Minimum… more
- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Quality and Management (HCQM) through American Board of Quality Assurance and Utilization Review...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- LA Care Health Plan (Los Angeles, CA)
- …verbal and written communication skills. Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or ... Utilization Management Admissions Liaison RN II...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- LA Care Health Plan (Los Angeles, CA)
- …verbal and written communication skills. Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or ... Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Ventura County (Ventura, CA)
- …Health Care Agency - Ventura County Medical Center/ Santa Paula Hospital APPROXIMATE SALARIES: Registered Nurse II ( RN II): $49.57 - $59.28 per hour ... Registered Nurse II - Emergency Department...care as indicated and required. + May participate in quality assurance / utilization review or other… more
- Louisiana Department of State Civil Service (Bossier City, LA)
- …standards by supervising and directing activities of subordinate nurses engaged in quality assurance , infection control, and utilization review activities. ... REGISTERED NURSE SUPERVISOR A (FULL TIME...patient care practices according to established standards and implements quality assurance methods to insure that standards… more
- Louisiana Department of State Civil Service (Jackson, LA)
- …standards by supervising and directing activities of subordinate nurses engaged in quality assurance , infection control, and utilization review activities. ... REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4808220)...patient care practices according to established standards and implements quality assurance methods to insure that standards… more
- HCA Healthcare (Bradenton, FL)
- …in Healthcare Quality ) OR CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians). _Individuals without CPHQ ... you will provide direction to ensure the facilitation and utilization of diverse strategies and communication for quality...or other related field + Current FL RN license preferred + CPHQ (Certified Professional… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review/ Quality Assurance Sr. Coordinator will be responsible for providing clinical information to managed care companies as ... agencies, and other health care related entities. Preferred Qualifications: Utilization Review/Managed Care/ Quality Assurance experience. Experience… more
- FlexStaff (New York, NY)
- …years of experience in care/case management, disease management, population health management, utilization review, quality assurance , or discharge planning ... **Req Number** 149602 FlexStaff is seeking a Registered Nurse to conduct filed UAS...candidate would have a nursing degree, a valid NYS RN License and minimum of one (1) year of… more
- Health Advocates Network (Clarks Summit, PA)
- Registered Nurse ( RN )DC- Short-Term **Pay Rate:** $62 / hour *W2 Minimum Qualifications Possession of a current license to practice as a registered ... for a nursing specialty care area, such as, infection control or quality assurance /improvement/risk management activities. Work assignments are received in the… more
- University of Virginia (Charlottesville, VA)
- …to provide relationship-based care within a collaborative multidisciplinary team. This registered nurse utilizes advanced critical thinking to develop, ... internal and external regulatory standards. + Participates in Transplant Center Quality Assurance & Performance Improvement (QAPI) program meetings, projects… more
- Banner Health (Phoenix, AZ)
- …only 1% of hospitals nationwide have achieved this designation four times. As a Registered Nurse ( RN ) Transplant Coordinator, your role involves assisting ... transplantation and organ donation. 6. Participates in the transplant program's quality assurance program. Evaluates current processes, identifies need for… more
- Dartmouth Health (Lebanon, NH)
- …Professional Utilization Review (CPUR), or Diplomat of American Board of Quality Assurance and Utilization Review Physicians (D-ABQAURP) * Strong ... * Assuring timely patient care progression * Appropriate care and resource utilization * Safe discharge planning * Synthesizing and applying data analytics to… more
- Banner Health (Phoenix, AZ)
- …and presents education and marketing programs. 5. Participates in the program quality assurance program. Evaluates current processes, identifies need for change ... the transplant recipient. Our transplant team prides itself on delivering compassionate, quality care to our patients and families leading to successful, optimal… more
- Catholic Charities Family Community Services (Newark, NY)
- …record keeping as necessary for program accountability + Participates in monthly Utilization Review, quality assurance and program evaluation activities ... preferred. **Credentials:** Valid and clean NYS Driver's License. Valid Registered Professional Nurse ( RN ) License required **Experience:** At least two… more
- Access Dubuque (Dubuque, IA)
- …regulatory and accreditation standards, and all aspects of patient care including quality assurance , utilization review, risk management, cost containment, ... physician extender services and implementing standards for physician access and service, quality assurance , quality improvement, and clinical resource… more
- Louisiana Department of State Civil Service (Jackson, LA)
- …standards by supervising and directing activities of subordinate nurses engaged in quality assurance , infection control, and utilization review activities. ... (###@la.gov) Minimum Qualifications MINIMUM QUALIFICATIONS: Possession of a current Louisiana Registered Nurse license or a temporary permit or multi-state… more
- Houston Methodist (Houston, TX)
- …optimal care in an out-patient ambulatory setting. At Houston Methodist, the Lead Staff Registered Nurse ( RN ) position is responsible for functioning as an ... service line, shift and/or clinics assigned. This position conducts quality assurance audits of staff performance, provides...of nursing experience **LICENSES AND CERTIFICATIONS - REQUIRED** + RN - Registered Nurse -… more