- 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 Admissions Liaison RN II...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)
- …attends department in-services and staff development programs; + May participate in quality assurance / utilization review or other non-direct patient care ... Registered Nurse II - Medical Surgical and Detox Department (Regular & Per Diem) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4920936)… 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
- Amergis (Mission Hills, CA)
- …entitlements, resources, information, and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed ... Salary: $3051 / Week The RN Case Manager is responsible for coordinating continuum...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… 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 ... CANDIDATE The ideal candidate is a compassionate, adaptable, and clinically skilled registered nurse who excels in delivering comprehensive care to patients… more
- Sharp HealthCare (San Diego, CA)
- …Association; ACLS Certification (Advanced Cardiac Life Support) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... area. + 1 Year wound care experience. + California Registered Nurse ( RN ) - CA...pass testing on second attempt = Needs Improvement. + Quality InitiativesCompletes Quality Assurance (QA)… more
- Sharp HealthCare (San Diego, CA)
- …**Job Status** Regular **Shift** Day **FTE** 0.7 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered ... nursing expert for assigned areas. **Required Qualifications** + California Registered Nurse ( RN ) - CA...pass testing on second attempt = Needs Improvement. + Quality InitiativesCompletes Quality Assurance (QA)… more
- CommonSpirit Health (Rancho Cordova, CA)
- …within the organization to expedite this process. Primary responsibility for completing quality assurance reviews of work performed and communicating with ... **Job Summary and Responsibilities** **I** **CU** ** RN , Emergency Room RN or Level...**Core Duties:** + Compiles data for the purpose of quality assurance and compliance with organizational and… more
- CommonSpirit Health (Rancho Cordova, CA)
- …within the organization to expedite this process. Primary responsibility for completing quality assurance reviews of work performed and communicating with ... **Job Summary and Responsibilities** **ICU RN , Emergency Room RN or Level...**Core Duties:** + Compiles data for the purpose of quality assurance and compliance with organizational and… more
- Hospice Of San Joaquin (Stockton, CA)
- …of assigned staff, as well as ensuring the compliance of patient visit schedules, quality assurance activities, and coordination of care in the absence of the ... We are seeking a Dynamic, self-motivated Full - Time RN Team Lead who thrives in a fast-paced environment...Ensures compliance with the Hospice program plan by assuring quality service, appropriate utilization of resources, and… 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 ... accredited college or university . LICENSE(S) REQUIRED: + A license to practice as a Registered Nurse and a certificate to practice as a Nurse Practitioner… more
- Sharp HealthCare (San Diego, CA)
- …**Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... experience, preferably in a managed care setting + California Registered Nurse ( RN ) - CA...LeadershipManages UM operations in accordance with National Committee on Quality Assurance (NCQA) and Health Plan requirements.Develop… 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)
- …California Registered Nurse ( RN ) - CA Board of Registered Nursing; Certified Professional in Healthcare Quality (CPHQ) - National Association for ... Or + Bachelor's Degree in Healthcare Administration. + California Registered Nurse ( RN ) - CA...and Pharmacy operations in accordance with National Committee on Quality Assurance (NCQA) and Health Plan requirements… more