- Molina Healthcare (Los Angeles, CA)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare… more
- Centene Corporation (New York, NY)
- …**8:30am-5pm, Monday-Friday Eastern Standard hours.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and ... benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care. + Performs medical necessity… more
- Actalent (Columbus, OH)
- …Educate providers and internal teams on utilization processes to promote high- quality , cost-effective care. + Identify and share opportunities for process ... policies and standards. Essential Skills + Utilization management + Prior authorization + Utilization review + Clinical review +...+ Clinical review + Patient care + Licensed registered nurse Additional Skills & Qualifications + Graduate from an… more
- Community Health Systems (Bentonville, AR)
- …reimbursement, and student loan assistance for eligible roles. **Job Summary** The Registered Nurse (RN) in the clinic setting provides high- quality patient care ... As a Registered Nurse (RN) you'll join a team and be...part of a culture that's dedicated to providing top quality care to our patients. Our full-time employees enjoy… more
- Veterans Affairs, Veterans Health Administration (Albany, NY)
- Summary The Albany VAMC is looking to fill (1) Registered Nurse - ACCREDITATION QUALITY SPECIALIST position. You will be expected to travel for this position. ... with driving requirements for this position. Responsibilities The Registered Nurse Accreditation Quality Specialist executes leadership that...Nursing may have opportunity to become registered as a nurse with a state licensing board prior … more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …other process management for Quality Management. Responsibilities The Peer Review Quality Management Specialist RN is a proficient nurse who understands a ... knowledge of applicable standards and directives, peer review and quality data for individual profiles, support for medical staff...Nursing may have opportunity to become registered as a nurse with a state licensing board prior … more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- …a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. ... Measures QM Specialist at the Orlando VAMC is a registered professional nurse , qualified by education and experience to monitor and evaluate hospital performance… more
- Humana (Richmond, VA)
- …health first** Humana Healthy Horizons in Virginia is looking for a Quality Compliance Nurse Professional 2 (Maternal-Child Health/EPSDT) who will collaborate ... the promotion of family planning services and preventive health strategies. The Quality Compliance Nurse Professional 2 (Maternal-Child Health/EPSDT) works to… more
- HCA Healthcare (Houston, TX)
- …Do you want to join an organization that invests in you as a(an) Registered Nurse Quality ? At HCA Houston Healthcare Northwest, you come first. HCA Healthcare ... a difference. We are looking for a dedicated Registered Nurse Quality like you to be a...Management required. + Strong critical thinking skills required. + Prior experience with Excel software and analyzing patient data… more
- Dartmouth Health (Lebanon, NH)
- …some of the best skiing in the country. This all means you can be a happy nurse with more quality time with friends, family, pets or maybe just quiet hikes by ... These are just a few highlights of being a nurse at Dartmouth Hitchcock Medical Center and Clinics in...Six Sigma, etc.) and/or Professional Project Management and/or Healthcare Quality preferred. * Prior experience applying modern… more
- Justice, Bureau of Prisons/Federal Prison System (Seatac, WA)
- …individuals for successful reentry into our communities. Responsibilities Serves as a Quality Improvement and Infection Control Nurse in the Health Services ... guidance of the national Infection Prevention and Control Officer, Office of Quality Management, Central Office, Washington, DC, and performs quality improvement… more
- State of Colorado (Denver, CO)
- Assistant Nurse Manager - Nurse III - Colorado...of Colorado will be required to relocate to Colorado prior to their start date, at their own expense. Most ... Fort Logan (S. Denver) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4962458) Apply Assistant Nurse Manager - Nurse III - Colorado… more
- Veterans Affairs, Veterans Health Administration (Leeds, MA)
- …a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. ... Summary This Registered Nurse (Palliative Care Coordinator) position is located in...in the CLC and Hospice. Facilitates referrals to enhance quality of life and alleviate distress. Core elements of… more
- Northern Light Health (Ellsworth, ME)
- …* Takes ownership of problems and proactively seeks out solutions. * Met/accomplished prior year performance evaluation goals set under quality pillar. * ... No Hours Assigned Work Schedule: Variable Summary: The Registered Nurse I is a Registered Nurse who...job duties, and organization (eg, team player). * Met/accomplished prior year performance evaluation goals set under people pillar.… more
- Veterans Affairs, Veterans Health Administration (Washington, DC)
- …the patient with notification to the RN or provider for concurrence. Triages prior to provider face-to-face visits, nurse visits, telephone triage, secure ... Summary This Licensed Practical Nurse position includes nurse health maintenance visits, panel management, data tracking, chart auditing and performance/… more
- Sacramento County (Sacramento, CA)
- Nurse Practitioner Print (https://www.governmentjobs.com/careers/sacramento/jobs/newprint/1780920) Apply Nurse Practitioner Salary $127,576.80 - $155,096.64 ... pm on: 3/28/2025, 4/25/2025, 5/23/2025, 6/20/2025, 7/25/2025, 8/22/2025, 9/26/2025, 10/24/2025 Nurse Practitioners provide a range of health care services involving… more
- Veterans Affairs, Veterans Health Administration (San Angelo, TX)
- Summary The primary purpose of the Licensed Practical/License Vocational Nurse is to perform assigned duties in a manner that promotes quality health care, ... veteran. The LPN/LVN also performs assigned duties in a manner that promotes quality health care, outstanding customer service, and the maintenance of an environment… more
- Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
- …a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. ... Medical Center, Murfreesboro, Tennessee is currently recruiting for a Registered Nurse -Community Living Center (CLC) Minimum Data Set (MDS)-8B. The Community Living… more
- Veterans Affairs, Veterans Health Administration (White River Junction, VT)
- …a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion of the bridge program. ... application. Former EDRP participants ineligible to apply. Responsibilities This RN - Assistant Nurse Manager (PACU / SDP) position is located in Nursing Service at… more
- UPMC (Pittsburgh, PA)
- … Nurse is responsible to set the standards for the level and quality of care. The Professional Staff Nurse has responsibility, authority and accountability ... Recognized UPMC Passavant is currently hiring a Full-Time Professional Staff Nurse to support the Emergency Department at our McCandless Location.** **Candidates… more