• CHRISTUS Health (Palestine, TX)
    …rapidly reconstitute after transports, and minimizing out of service time. The Flight Nurse will consistently render the highest quality patient care in a ... DescriptionSummary: The Flight Nurse extends the healing ministry of Jesus Christ...cleaning/decontaminating the aircraft/base, inventory of supplies and equipment, CQI/peer review , patient follow-ups, and obtaining appropriate rest as needed… more
    Talent (08/01/25)
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  • UnitedHealth Group (Seattle, WA)
    $7500 Sign-on Bonus for External Candidates! Approximately 70% Field Work / 30% Telephonic Work in the King County Area Optum Home & Community Care, part of the ... and skills to ensure appropriate utilization of resources and patient quality outcomes. Performs care management functions on-site and telephonically as the… more
    Talent (09/15/25)
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  • Health eCareers (Manassas, VA)
    …on medical staff bylaws, policy and procedures relevant to medical staff quality /peer review .Maintains practitioner-specific performance data and peer review ... Peer Review regarding opportunities to improve the medical staff quality /peer review program.Performs other duties as assigned. Qualifications: Minimum of… more
    Talent (09/04/25)
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  • Health eCareers (South San Francisco, CA)
    …fostering a culture of consistency and continuity of care, and optimizing quality outcomes for patients. Analyzes patient needs to develop and evaluate ... and cultural backgrounds of individuals. Leads program development and quality improvement through evidence-based practice by leading complex initiatives to… more
    Talent (08/22/25)
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  • Medalogix (Nashville, TN)
    …the organization's mission; specifically, home health and hospice intake and post admission quality review process flow and management of business process and ... find solutions to increase the value Medalogix provide to internal and external company stakeholders. This position is an essential role responsible for guiding… more
    Upward (08/03/25)
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  • HireMaster (Lincoln, NE)
    …beliefs and consistently demonstrates our core values. 2. *Performs utilization review activities, including concurrent and retrospective reviews as required. 3. ... appeal and process follow-up. 7. *Serves as an internal and external resource regarding appropriate level of care; admission status/classification; Medicare/Medicaid… more
    Talent (09/15/25)
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  • Inside Higher Ed (Normal, IL)
    …the University's commitments through extramural funding as well as internal and external partnerships. The dean provides leadership and support efforts to advance ... on behalf of the college to the provost, president, alumni, and external stakeholders. The Mennonite College of Nursing includes approximately 23 tenure/tenure-track… more
    Talent (08/31/25)
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  • Monster (Houston, TX)
    …services. Develop clinical presentations and training on product lines Conduct quality investigations, waste assessments, clinical review & observations for ... in collaboration with Medline salesforce) to expand and retain business. Review account and product/service information and recommend formal, onsite educational… more
    Talent (09/05/25)
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  • Health eCareers (Beaverton, OR)
    …for the obstetrical program, ensuring alignment with Providence's mission and values.Lead quality and safety initiatives, including review of clinical outcomes, ... a committed and visionary Medical Director to lead clinical excellence, drive quality improvement, and guide strategic development for the obstetrical practice at… more
    Talent (08/21/25)
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  • Monster (Bethlehem, PA)
    …to other emergency medicine locations. Supervises the Physician Assistants and Nurse Practitioners. Performs and directs medical quality improvement activities. ... and demonstrates competency in these areas as assessed by case management review of the medical record. Assists with the development, implementation, and revision… more
    Talent (09/05/25)
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  • Sr Utiliz. Review Spclst Nurse

    Houston Methodist (Houston, TX)
    …This position has achieved an expert level at all objectives delineated in the Utilization Review Nurse and Utilization Review Specialist Nurse job roles ... At Houston Methodist, the Sr Utilization Review Specialist Nurse (URSN) position is...to department staff in communicating medical information required by external review entities, managed care contractors, insurers,… more
    Houston Methodist (08/26/25)
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  • Staff Nurse - Utilization Review

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating the ... guidelines and evidence-based practice * Quality of Practice*: * Promotes quality through evidence-based utilization review processes and actively contributes… more
    Minnesota Visiting Nurse Agency (09/13/25)
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  • Utilization Review Nurse

    CDPHP (Latham, NY)
    …these values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review and documentation ... physician-founded, member-focused, and community-based not-for-profit health plan that offers high- quality affordable health insurance to members throughout New York.… more
    CDPHP (09/06/25)
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  • Clinical Appeal & Claim Review Nurse

    Medical Mutual of Ohio (OH)
    …stay and level of care. + Extrapolates and summarizes medical information for physician review or other external review . + Generates appropriate written ... pre-employment substance abuse and nicotine testing._ **Title:** _Clinical Appeal & Claim Review Nurse II_ **Location:** _Ohio_ **Requisition ID:** _2500127_ more
    Medical Mutual of Ohio (09/12/25)
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  • Utilization Review Nurse

    US Tech Solutions (Chicago, IL)
    …experience with Utilization Review ? + Do you have an Active Registered Nurse License? **About US Tech Solutions:** US Tech Solutions is a global staff ... development and ongoing implementation of QM Work Plan activities. + Improve quality products and services, by using measurement and analysis to process, evaluate… more
    US Tech Solutions (07/18/25)
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  • Registered Nurse ( Quality

    Veterans Affairs, Veterans Health Administration (Colorado Springs, CO)
    Summary The Registered Nurse Quality Management (QM) Consultant- Regulatory Compliance Coordinator is a full-time confidential consultant/program manager in the ... 19 Inspection Teams, and Ascellon. Responsibilities https://www.youtube.com/watch?v=EGW4PMZvJto The Registered Nurse Quality Management (QM) Consultant- Regulatory Compliance… more
    Veterans Affairs, Veterans Health Administration (09/12/25)
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  • Utilization Review Nurse

    US Tech Solutions (May, OK)
    …development and ongoing implementation of QM Work Plan activities. . Improve quality products and services, by using measurement and analysis to process, evaluate ... to meet QM objectives Responsibilities: . Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit determinations.… more
    US Tech Solutions (07/18/25)
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  • Registered Nurse - Accreditation…

    Veterans Affairs, Veterans Health Administration (Albany, NY)
    …and standards compliance. Provides program oversight and coordination of all facility external review programs to include The Joint Commission (TJC), Office ... Summary The Albany VAMC is looking to fill (1) Registered Nurse - ACCREDITATION QUALITY SPECIALIST This job announcement is open only for current, full time,… more
    Veterans Affairs, Veterans Health Administration (09/12/25)
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  • Registered Nurse - Quality

    Veterans Affairs, Veterans Health Administration (Tuscaloosa, AL)
    …a comprehensive quality management program area. Responsibilities The Quality Management Consultant Registered Nurse : Completes orientation according to ... professional behaviors that promote cooperation and teamwork with internal and external customers. Participates in unit based educational activities and continuing… more
    Veterans Affairs, Veterans Health Administration (08/28/25)
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  • Quality & Patient Safety Specialist…

    Beth Israel Lahey Health (Cambridge, MA)
    …and improve patient outcomes. The nurse works with clinical staff to review clinical charts, interpret data, and implement quality improvement initiatives to ... Director of Quality & Patient Safety, the Quality and Patient Safety nurse specialist plays...+ Reviews medical records to collect data for reporting quality measures, including both concurrent medical record review more
    Beth Israel Lahey Health (08/08/25)
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