- 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)
- …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
- Ventura County (Ventura, CA)
- …and performance improvement in designated hospital units of Ventura County Medical Center. Quality Assurance and Performance Improvement Nurse : The incumbent ... Senior Registered Nurse - QAPI Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4925952)...will support and facilitate quality assurance and performance improvement initiatives aimed at enhancing patient… more
- Ventura County (Ventura, CA)
- …x-rays and medications, maintains records and prepares reports; + May participate in quality assurance / utilization review or other non-direct patient care ... Pediatrics Intensive Care Unit (PICU), or Pediatrics (Peds). The registered nurse performs the full range of...and contribute to the hospital's mission of delivering inclusive, high- quality care to women, infants, and children. WHAT WE… more
- Sutter Health (Los Altos, CA)
- …in Nursing Other: Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California BLS-Basic Life Support A plus ... Services (GR) Grouper (CMS), Department of Managed Health Care, National Committee for Quality Assurance (NCQA). + A broad knowledge base of outpatient, acute,… more
- Centene Corporation (Sacramento, CA)
- …State Licensure required or + LVN - Licensed Vocational Nurse required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure ... a fresh perspective on workplace flexibility. This position requires RN California Licensure and for candidates to have a...in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards. + Prepares case… 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
- UCLA Health (Los Angeles, CA)
- …tools and techniques to optimize performance (including individual performance expectations, quality assurance based on patient/customer feedback, focus on ... Description The staff RN is a professional caregiver who provides pre-operative...the creation of educational teaching material for patient care/staff utilization . Working knowledge of various CareConnect templates for the… more
- Cedars-Sinai (Tarzana, CA)
- …patient care standards and requirements, including areas such as safety and quality assurance are being followed. Stays current with applicable standards. ... Responsible for administrative support activities involving facilities management, pharmacy, utilization management, quality management, risk management. +… more
- Stanford Health Care (Palo Alto, CA)
- …case management principles and practice methods, including assessment, treatment planning, utilization management, and quality assurance + Ability ... and patient care and participate in program development and quality improvement initiatives. In their role, Care Managers, by...Medical Social Worker - State Licensure . or + Nursing\ RN - Registered Nurse -… more
- The County of Los Angeles (Los Angeles, CA)
- …casting. + Evaluates assessment data to define health and developmental problems. + Conducts quality assurance studies of chart documents and the quality ... second largest health system in the nation, providing compassionate, quality care through its integrated system of 4 acute...LICENSE(S) REQUIRED: + A license to practice as a Registered Nurse and a certificate to practice… more
- Alameda Health System (San Leandro, 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
- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Master's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... organization-wide targets for initiatives such as National committee for Quality Assurance (NCQA); AlignMeasurePerform (AMP); Pay for...5 Years experience in a leadership role. + California Registered Nurse ( RN ) - CA… more
- Sutter Health (Auburn, CA)
- …: **EDUCATION:** Graduate from an accreditation nursing program. **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California BLS-Basic Life Support ... skilled nursing, non-skilled services and staffing. This includes regulatory compliance, quality assurance , customer relations; continuing education for skilled… more
- ERP International (Camp Pendleton, CA)
- …hospital safety guidelines. + Attend Boards and Committees, Continuing Education, and Quality Assurance Functions consistent with the requirements of the ... and Neonatal Specialties). Licensure:** Current, full, active and unrestricted license as a Registered Nurse Security** : Must possess ability to pass a… more
- Sharp HealthCare (Chula Vista, CA)
- …and in the training and restoring of residents.- Involved and assists with measuring Quality Assurance indicators for a clinical consult service.- Assists in the ... Placement within the range is based on years of RN experience. **What You Will Do** To provide the...directs daily workload to achieve efficiency and maximize resource utilization as business needs require.- Attends and participates in… more
- Sharp HealthCare (La Mesa, CA)
- …and in the training and restoring of residents.* Involved and assists with measuring Quality Assurance indicators for a clinical consult service.* Assists in the ... Do** This role will be assisting with emergency patient care, working with RN 's at the patient bedside, managing codes, and medication order verification. **Required… more
- Terumo Medical Corporation (San Francisco, CA)
- …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