- Emanate Health (Covina, CA)
- …Education Requirement:** **Minimum Experience Requirement:** Minimum of three years of utilization management experience. Experience in quality - related job ... States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by… more
- Sharp HealthCare (San Diego, CA)
- …and/or failed to pass testing on second attempt = Needs Improvement + Quality InitiativesCompletes Quality Assurance (QA) assignments and ensures overall ... (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; Vocational… more
- Sharp HealthCare (San Diego, CA)
- …Testing and/or failed to pass testing on second attempt= Needs Improvement. + Quality InitiativesCompletes quality assurance assignments as directed and ... **FTE** 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; AHA Basic… more
- Sharp HealthCare (San Diego, CA)
- …and/or failed to pass testing on second attempt = Needs Improvement + Quality initiativesCompletes Quality Assurance (QA) assignments and ensures overall ... Product Certification) - Various-Employee provides certificate; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians… more
- Dignity Health (Rancho Cordova, CA)
- …Excel, Access, PowerPoint) **Preferred:** + Clinical experience with quality assurance /improvement is desirable, preferably as an RN, LVN , Pharmacist, ... to collaborate with members of NSSA Regional Health Services Research (HSR), Utilization Management, Quality Management and various other departments, in the… more
- Apex Health Solutions (Houston, TX)
- …providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Builds trusting ... activities. Work with practice sites to produce reports on their progress on quality , financial, and utilization goals and share outcomes of quality… more
- Centene Corporation (Sacramento, CA)
- …for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards. + Prepares case reviews for Medical ... of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** + LPN - Licensed Practical… more
Locations:
California,
Texas