- 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
- 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
- Matrix Providers (Aurora, CO)
- …(PTO) + Paid Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse ( RN ) Utilization Management: Degree/Education: ... Utilization Review Nurse ( RN )...Quality and Management (HCQM) through American Board of Quality Assurance and Utilization Review… 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
- Louisiana Department of State Civil Service (Reserve, LA)
- …on various committees such as, Nursing Policy and Procedure Committee, patient safety, quality assurance , and utilization review. Supervises the ordering of ... REGISTERED NURSE SUPERVISOR B Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4922155)...patient care practices according to established standards and implements quality assurance methods to insure that standards… more
- Ventura County (Ventura, CA)
- …5/5/2025 5:00 PM Pacific + Description + Benefits + Questions Description THE PURPOSE The Registered Nurse ( RN ) Residency Program is for new graduate ... Registered Nurse Resident Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4855288) Apply...in-services and staff development programs; + May participate in quality assurance / utilization review or other… 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)
- …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
- Louisiana Department of State Civil Service (Reserve, 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/4922284)...patient care practices according to established standards and implements quality assurance methods to insure that standards… more
- Humana (Baton Rouge, LA)
- …in Health Care Quality and Management (CHCQM) by the American Board of Quality Assurance and Utilization Review Providers** + 5+ years of management ... an impact** **Required Qualifications** + Bachelor Degree + Louisiana-licensed registered nurse OR advanced practice registered... and Management (CHCQM) by the American Board of Quality Assurance and Utilization Review… more
- Hartford HealthCare (Bloomfield, CT)
- …at Home* **Title:** * Quality Assurance Performance Improvement Coordinator ( RN , Registered Nurse , QA, PI) - HomeCare* **Location:** ... nurses love about HHCAH: * Automatic enrollment into the Nurse Residency Program for all graduate RNs with less...- movie tickets, pet insurance, travel and more! The Quality Assurance & Performance Improvement ("QAPI") Specialist… more
- Louisiana Department of State Civil Service (St. Gabriel, LA)
- …standards by supervising and directing activities of subordinate nurses engaged in quality assurance , infection control, and utilization review activities. ... REGISTERED NURSE MANAGER Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4926074) Apply REGISTERED NURSE MANAGER Salary $7,763.60… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …standards by supervising and directing activities of subordinate nurses engaged in quality assurance , infection control, and utilization review activities. ... REGISTERED NURSE --MANAGER Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4924551) Apply REGISTERED NURSE --MANAGER Salary… 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 (Tarrytown, NY)
- …years of experience in care/case management, disease management, population health management, utilization review, quality assurance , or discharge planning ... **Req Number** 148876 FlexStaff is seeking a Registered Nurse (Field Clinical Assessments/UAS) to...candidate would have a nursing degree, a valid NYS RN License and minimum of one (1) year of… more
- Health Advocates Network (Selinsgrove, PA)
- Registered Nurse ( RN )DC- Short-Term **Pay Rate** : $58 / 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
- Avera (Chamberlain, SD)
- … Nurse - Clinic:** **Pay Range ($27.25-40.75)** **Education License/Certification/Registration- required** Registered Nurse ( RN ) - Board of Nursing An ... (supplies and equipment) in department. + Actively participates in quality assurance program. Recommends corrective action for problems identified.… 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 ... * Assuring timely patient care progression * Appropriate care and resource utilization * Safe discharge planning * Synthesizing and applying data analytics to… 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