- University Health (San Antonio, TX)
- …years recent, full time hospital experience preferred. Work experience in case management, utilization review, or hospital quality assurance experience is ... clinicians in the Ambulatory setting by gathering information, coordinating utilization efforts, and reviewing HCC quality indicators,...of the State of Texas to practice as a registered nurse is required. National certification in… more
- University Health (San Antonio, TX)
- …years recent, full-time hospital experience preferred. Work experience in case management, utilization review or hospital quality assurance experience is ... Graduation from an accredited school of nursing with current RN licensure in the State of Texas, BSN preferred....of the State of Texas to practice as a registered nurse is required. National certification in… more
- 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
- 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)
- Registered Nurse II - Hematology Oncology...care as indicated and required. + May participate in quality assurance / utilization review or other ... (Regular & Per Diem) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5011691) Apply Registered Nurse II - Hematology Oncology (Regular &… more
- Ventura County (Ventura, CA)
- …Health Care Agency - Ventura County Medical Center/ Santa Paula Hospital APPROXIMATE SALARIES: Registered Nurse II ( RN II): $51.30 - $61.35 per hour ... Registered Nurse II - Emergency Department...care as indicated and required. + May participate in quality assurance / utilization review or other… more
- Ventura County (Ventura, CA)
- …attends department in-services and staff development programs; + May participate in quality assurance / utilization review or other non-direct patient care ... Medical Surgical and Telemetry Registered Nurse II - Float Pool -Regular and Per Diem Print… more
- Ventura County (Ventura, CA)
- …assistance and patient care as indicated and required. + May participate in quality assurance / utilization review or other non-direct patient care nursing ... Per Diem Registered Nurse III - Emergency Services...Per Diem Registered Nurse III - Emergency Services - Santa Paula...Nurse will be responsible for providing rapid and high- quality nursing care to patients and to the community… more
- Ventura County (Ventura, CA)
- …assistance and patient care as indicated and required. + May participate in quality assurance / utilization review or other non-direct patient care nursing ... Registered Nurse II - ICU/DOU/Telemetry (Regular & Per Diem) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4887199) Apply Registered … more
- Ventura County (Ventura, CA)
- …attends department in-services and staff development programs; + May participate in quality assurance / utilization review or other non-direct patient care ... Registered Nurse II - Pre-op/PACU Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5088990) Apply Registered Nurse II - Pre-op/PACU… more
- Ventura County (Ventura, CA)
- …your full-time registered nursing experience with case management, disease management, quality assurance , and/or utilization review. In your response, ... including two (2) years of full-time experience in Case Management, Disease Management, Quality Assurance , HEDIS and/or Utilization Review. NECESSARY SPECIAL… more
- HCA Healthcare (Sun City Center, FL)
- …in Healthcare Quality ) OR CHCQM (Diploma in American Board of Quality Assurance and Utilization Review Physicians). _Individuals without CPHQ ... Director, you willprovide 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
- HCA Healthcare (Trinity, FL)
- …in Healthcare Quality ) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) _Individuals without CPHQ ... United Kingdom. We are looking for a(an) VP of Quality and Patient Safety for our HCA Florida Trinity...required; Master's Degree preferred .Current Florida licensure as a Registered Nurse preferred _**If serving as facility's… more
- McLaren Health Care (Flint, MI)
- …every stage of life. McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA). MHP values the talents and abilities of all our ... and more satisfying lives. We are looking for a Utilization Management RN , to join in leading...as leaders in driving the organization forward and delivering quality service to all our members. **Position** **Summary:** This… more
- Trinity Health (Silvis, IL)
- …As One! (http://www.genesishealth.com/) Join the MercyOne Family! We are looking to hire a Registered Nurse ! A dedicated Charge Nurse is a registered ... patient safety audits, shift-based crash cart checks, and other quality assurance activities as identified by the...+ Bachelor of Science in Nursing (BSN) preferred + Registered Nurse in Illinois, Registered … 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 ... the opportunity to make a real impact. As a(an) Registered Nurse Case Manager you can be...external review agencies including governmental and non-governmental payers and quality assurance agencies. Promotes a cooperative and… 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 ... **Are you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Case Manager PRN position and spend more time… 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
- State of Connecticut, Department of Administrative Services (East Hartford, CT)
- … Nurse Coordinator, you will have the opportunity to: + Participate in utilization review and/or quality assurance programs; + Conduct various types ... + + + + Introduction Are you an experienced Registered Nurse looking to make a difference...in a supervisory role. + Experience auditing charts for quality assurance compliance. + Experience using Microsoft… more
- HCA Healthcare (Houston, TX)
- …+ Maintains established department policies, procedures, objectives, and quality assurance , safety. + Demonstrates understanding and utilization of the ... from any other healthcare provider. We are seeking a(an) Registered Nurse Cardiovascular to join our healthcare...will need:** + Associates Degree or higher Licensure + RN licensed in the State of Texas Required +… more
