- 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 ... Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric...of efficiency of operations and customer service while providing quality care to a designated patient population. Serves as… more
- Sharp HealthCare (La Mesa, CA)
- …Testing and/or failed to pass testing on second attempt= Needs Improvement. + Quality InitiativesCompletes quality assurance assignments as directed and ... **Shift Start Time** **Shift End Time** Other; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; Pediatric… more
- Molina Healthcare (Los Angeles, CA)
- …for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), ... as necessary to comply with state, federal and National Committee for Quality Assurance (NCQA) guidelines, and other applicable requirements. * Distributes… more
- Molina Healthcare (Los Angeles, CA)
- …for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), ... as necessary to comply with state, federal and National Committee for Quality Assurance (NCQA) guidelines, and other applicable requirements. * Distributes… more
- Molina Healthcare (TX)
- …overseeing delegated activities to ensure compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), ... as necessary to comply with state, federal and National Committee for Quality Assurance (NCQA) guidelines, and other applicable requirements. + Distributes… 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; IV… 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 ... Cardiac Life Support) - American Heart Association; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; AHA Basic… more
- Molina Healthcare (Long Beach, CA)
- …and/or other teams - monitoring for compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), ... functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy… more
- Prime Healthcare (Victorville, CA)
- …Responsibilities Responsible for coordinating patient care under the direction of the Quality Assurance Department and Case Management Department. Assists with ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/234790/care-coordinator quality - assurance /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityDesert… more
- Molina Healthcare (TX)
- …meeting quality accreditation standards (National Committee for Quality Assurance (NCQA)/Healthcare Effectiveness Data Information Set (HEDIS)/Medicare ... services professionals, in some or all of the following functions: utilization management, care management, care transitions, behavioral health, long-term services… more
- Community Health Systems (Victoria, TX)
- …May contribute to development of departmental policies, procedures and protocols. + ** Quality Assurance and Regulatory Compliance** + Ensures compliance with all ... of delivering high- quality , compassionate care. Whether you're an RN or LVN , you'll be part of a supportive, team-focused environment where your contributions… more