- 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
- Ventura County (Ventura, CA)
- …Diem Unit MOA (Sec. 809). APPROXIMATE SALARY: Per Diem Nurse Extern: $30.57 per hour Registered Nurse I ( RN I): $42.43 - $44.60 per hour Registered ... II): $49.57 - $59.28 per hour Per Diem Registered Nurse I (PD RN ...care as indicated and required; + May participate in quality assurance / utilization review or other… more
- Louisiana Department of State Civil Service (Tallulah, 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/4789021)...patient care practices according to established standards and implements quality assurance methods to insure that standards… more
- Louisiana Department of State Civil Service (Many, 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/4792719)...patient care practices according to established standards and implements quality assurance methods to insure that standards… 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
- Health Advocates Network (Clarks Summit, PA)
- Registered Nurse ( RN )DC- Short-Term **40hrs Travel Package ** Weekly Gross Pay = $1320 Local Hourly Rate (Taxable) = $33 Weekly Travel Stipend Non-Taxed- ... Possession of a current license to practice as a registered nurse issued by the Pennsylvania State...nursing specialty care area, such as, infection control or quality assurance /improvement/risk management activities. Work assignments are… more
- HCA Healthcare (El Paso, TX)
- …Working knowledge of case management philosophy/process/role, needs assessment, principles of utilization review/ quality assurance , use of InterQual(R) or ... colleagues in their positions. Join our Team as a(an) Registered Nurse Case Manager PRN and access...external review agencies including governmental and non-governmental payers and quality assurance agencies. Promotes a cooperative and… 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
- Dartmouth Health (Lebanon, NH)
- …Professional Utilization Review (CPUR), or Diplomat of American Board of Quality Assurance and Utilization Review Physicians (D-ABQAURP) * Strong ... manner to peers, physicians, and other stakeholders. Required Licensure/Certifications - Licensed Registered Nurse in New Hampshire required. - Certified as an… more
- Louisiana Department of State Civil Service (Colfax, LA)
- …particularly during the absences of the RN supervisor A as indicated. This Registered Nurse 4 is accountable for promoting a positive image and working ... Registered Nurse 4 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4790761) Apply...public health practice for quality and appropriate utilization of services. Serves as the Lead Nurse… more
- Louisiana Department of State Civil Service (Vidalia, LA)
- Registered Nurse 3 Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4790819) Apply Registered Nurse 3 Salary $4,784.00 - $8,608.00 ... to be considered for this vacancy. Position Description: This Registered Nurse 3 is assigned to the...on a regular basis to evaluate nursing care for quality assurance . May serve as recruitment liaison… 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
- Sanford Health (Thief River Falls, MN)
- …(CCDS) or Clinical Documentation Improvement and Integrity (C-CDI) preferred. Quality improvement/ assurance personnel with nursing backgrounds can maintain ... word processing, and Internet searching. Also demonstrates working knowledge of quality improvement theory and practice. Maintains working knowledge of DRGs and… 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
- 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
- Northern Light Health (Ellsworth, ME)
- …or palliative care experience. Our Ellsworth region has a great position for a registered nurse wanting to make a positive difference in someone's life! You ... least 90 days (first time rehire only) Summary: The Registered Nurse II is a fully competent...quality standards and strives for continuous improvement and quality assurance by reporting and encouraging others… 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
- Amergis (Palo Alto, CA)
- …entitlements, resources, information, and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed ... The RN Case Manager is responsible for coordinating continuum...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… more