• University of New Mexico - Hospitals (Albuquerque, NM)
    …short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent ... * Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as required Department: Registered Nurse more
    JobLookup XML (12/15/25)
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  • University of New Mexico - Hospitals (Albuquerque, NM)
    …short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent ... * Subject to an annual contract and performance appraisal * Tuberculosis testing is completed upon hire and additionally as requiredDepartment: Registered Nurse more
    job goal (12/13/25)
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  • University of New Mexico - Hospitals (Albuquerque, NM)
    …short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent ... for an organized, multidisciplinary, patient centered care team approach. Assure quality , cost effective care for the identified patient population. Provide… more
    JobLookup XML (12/16/25)
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  • Stanford Health Care (Palo Alto, CA)
    …models of case management, including the principles and practices of discharge planning, utilization review, and quality assurance /improvement + Knowledge of ... as required; collects, analyzes and reports on data for utilization , quality improvement, compliance, and other areas...outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse -… more
    DirectEmployers Association (12/02/25)
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  • Stanford Health Care (Palo Alto, CA)
    …of case management, including the principles and practices of discharge + planning, utilization review, and quality assurance /improvement + Knowledge of the ... records as required; collects, analyzes and reports ondata for utilization , quality improvement, compliance, and other areas...outcomes of patient health care **Licenses and Certifications** + Nursing\ RN - Registered Nurse -… more
    DirectEmployers Association (11/11/25)
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  • 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
    JobLookup XML (12/15/25)
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  • Harbor Health Services, Inc. (Mattapan, MA)
    …through communication of practice standards, PACE, and through an internal quality assurance program that measures vendor performance. Assists managers ... 580 participants. We are currently seeking a Director of Utilization Management & Quality Programs. Harbor Health... and consistency of decisions. Supervisory responsibilities for UM RN , Quality Analyst, Appeals and Grievances Specialist.… more
    job goal (12/10/25)
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  • University Health (Hondo, 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
    JobLookup XML (12/15/25)
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  • Alameda Health System (Oakland, CA)
    …accrediting agencies. Monitors the regularity of programs providing for infection control, quality assurance , continuity of care, teaching of patients, and ... the determination and implementation of patient care and documentation standards and quality assurance program criteria and monitors the documentation of their… more
    DirectEmployers Association (09/22/25)
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  • Alameda Health System (Oakland, CA)
    …accrediting agencies; monitors the regularity of programs providing for infection control, quality assurance , continuity of care, teaching of patients, and ... the determination and implementation of patient care and documentation standards and quality assurance program criteria and monitors the documentation of their… more
    DirectEmployers Association (10/18/25)
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  • Terumo Medical Corporation (Charlotte, NC)
    …forwarding of customer complaints (ie adverse events, product performance reports, etc.) to Quality Assurance (QA), and by ensuring all promotional messaging (ie ... Corporation (TMC) develops, manufactures, and markets a complete, solutions-based portfolio of high- quality medical devices used in a broad range of applications for… more
    DirectEmployers Association (11/26/25)
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  • RN - Quality Assurance

    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
    Emanate Health (12/06/25)
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  • Registered Nurse II - Hematology…

    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 (11/19/25)
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  • Registered Nurse II - Emergency…

    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 (10/31/25)
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  • Medical Surgical and Telemetry Registered

    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 (11/05/25)
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  • Per Diem Registered Nurse III…

    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 (10/04/25)
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  • Registered Nurse II…

    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 (11/30/25)
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  • Registered Nurse II - Pre-op/PACU

    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 (09/24/25)
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  • Senior Medical Management Nurse - VCHCP

    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
    Ventura County (12/07/25)
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  • Director of Quality

    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 (12/11/25)
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