• Ventura County, CA (Ventura, CA)
    …measures; attends department in-services and staff development programs; May participate in quality assurance / utilization review or other non-direct patient ... in a unit other than their home unit. PAYROLL TITLES AND APPROXIMATE SALARIES: Registered Nurse II: $52.07 - $62.27 per hour Per Diem Registered Nurse more
    Upward (07/16/25)
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  • Team Select Home Care (Phoenix, AZ)
    …more heart, more flexibility, and more purpose? Join Team Select Home Care as a Registered Nurse ( RN ), where you'll bring comfort and confidence to families ... and start your next chapter with Team Select! A Registered Nurse ( RN ) administers skilled...clinical record/ utilization review of medical records and quality assurance and performance improvement (QAPI) quarterly… more
    Upward (07/21/25)
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  • Banner Health (Phoenix, AZ)
    …transplantation and organ donation. 6. Participates in the transplant program's quality assurance program. Evaluates current processes, identifies need for ... part of our growth at BUMC Phoenix on our Heart Transplant team. As a RN Heart Transplant Coordinator, you will bring your experience and passion for health care to… more
    Upward (07/17/25)
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  • Northpoint Recovery Holdings, LLC (Omaha, NE)
    Job Title: Registered Nurse ( RN )- PRN...patients at all times Oversee and participate in the quality assurance and compliance activities of the ... As a key member of the Northpoint team, the Registered Nurse ( RN ) will provide...items in a timely manner to assure comprehensive and quality patient care Actively participate as a member of… more
    Upward (07/20/25)
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  • Northpoint Recovery Holdings, LLC (Meridian, ID)
    Job Title: Registered Nurse ( RN ) -...patients at all times Oversee and participate in the quality assurance and compliance activities of the ... As a key member of the Northpoint team, the Registered Nurse ( RN ) will provide...items in a timely manner to assure comprehensive and quality patient care Actively participate as a member of… more
    Upward (07/15/25)
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  • Lion Heart Recruit LLC (San Leandro, CA)
    …including adherence to generally accepted clinical practices. Provide direct leadership for Quality Assurance and Utilization Review. Oversee the Primary ... standards; participate in continuous quality improvement activities; supervise the quality assurance /risk management program, which includes a review of… more
    Upward (07/01/25)
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  • Solaris HealthCare Lely Palms (Estero, FL)
    …care standards by supervising and directing activities of subordinate nurses engaged in quality assurance and utilization review activities. Participates in ... in accordance with professional practice standards, center policies and procedures, Quality Assurance guidelines, Solaris HealthCare programs, and local, state,… more
    Upward (06/27/25)
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  • Centra Health (Lynchburg, VA)
    Job Description The Clinical Registered Nurse ( RN ) II is responsible for managing individualized patient care by promoting and restoring patients' health in ... role. Improvement Activities Participates in data collection for quality assurance activities if assigned by department...) Experience Licenses & Certifications Minimum: Registration as a registered nurse in the Commonwealth of Virginia… more
    Upward (07/23/25)
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  • Veterans Health Administration (Salt Lake City, UT)
    …trends and advancements in Telehealth technology and best practices. 2. Compliance and Quality Assurance : Ensure Telehealth practices comply with HIPAA and other ... relevant privacy and confidentiality regulations. Participate in quality assurance activities to enhance patient care...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
    Upward (07/13/25)
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  • JRI (Lynn, MA)
    …operations, improve program workflows, and develop new clinical initiatives. Participate in quality assurance and utilization reviews, while supporting ... Supervisor who is passionate about supporting clinicians and guiding high- quality , trauma-informed care for children, youth, and families facing...license required for work such as LMHC, LCSW, LICSW, RN and more! Access to our excellent Blue Cross… more
    Upward (07/10/25)
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  • Catholic Charities Family and Community Services (Rochester, NY)
    …other record keeping as necessary for program accountability Participates in monthly Utilization Review, quality assurance and program evaluation activities ... Nursing preferred. Credentials: Valid and clean NYS Driver's License. Valid Registered Professional Nurse ( RN ) License required Experience: At least two… more
    Upward (07/19/25)
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  • Northern Light Health (Blue Hill, ME)
    …breaks less than a year are not eligible for a sign on bonus* Summary : Registered Nurse II is a fully competent practitioner of nursing. The incumbent is ... Light Health Standards of Care/Practice, policies, and procedures. The Registered Nurse II is responsible for the...quality standards and strives for continuous improvement and quality assurance by reporting and encouraging others… more
    Upward (07/25/25)
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  • Riverside Home Health Care and Hospice (Grants Pass, OR)
    …clinician to make appropriate corrections per organization policy. Reviews visit utilization for appropriateness of care guidelines and patient condition; reports ... financial losses and/or underutilization to the clinical manager/designee. Notifies OASIS Review Nurse and Agency Managers of problematic trends as a result of OASIS… more
    Upward (07/16/25)
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  • Northwell Health (New York, NY)
    …years of experience in care/case management, disease management, population health management, utilization review, quality assurance , or discharge planning ... Escalates questions or concerns during the assessment to the quality review team to ensure appropriate completion of UAS-NY...Current active and unrestricted license in NYS as a Registered Nurse , required. Additional Requirements: Be legally… more
    Upward (07/23/25)
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  • 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 ... just, equitable, and innovative healthcare delivery system. Responsibilities ICU RN , Emergency Room RN or Level One...barriers. Core Duties: Compiles data for the purpose of quality assurance and compliance with organizational and… more
    Upward (07/16/25)
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  • Northern Light Health (Portland, ME)
    …Sets high quality standards and strives for continuous improvement and quality assurance by reporting and encouraging others to report near misses ... of and strong willingness to relieve the suffering of others. Credentials Required Registered Nurse Education Required Bachelor's DegreeIn lieu of education, two… more
    Upward (07/14/25)
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  • Georgia Department of Community Health (Atlanta, GA)
    Nurse /LPN in the field of mental health or Drug Treatment. Experience in utilization review and/or quality assurance in a healthcare setting. Experience ... and other related programs. Coordinates the data management and quality assurance functions. Determines compliance with applicable...or any licensed healthcare facility Experience as as a Registered Nurse /LPN, or licensed professional in a… more
    Upward (07/18/25)
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  • Magellan Health, Inc. (Albuquerque, NM)
    …or Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management, quality assurance , home or facility care, ... implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties are typically performed during face-to-face home...LCSW - Licensed Clinical Social Worker - Care Mgmt, RN - Registered Nurse , State… more
    Upward (07/16/25)
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  • Brighton Health Plan Solutions, LLC (New York, NY)
    …certifications like Diabetes educator, Pediatric Nursing, Gerontological Nursing. *Current licensed Registered Nurse ( RN ) with state licensure; bachelor's ... services to its clients. Cases are maintained by the Nurse Case manager. The Nurse Case Manager...with customers and colleagues. *Adheres to BHPS policies and quality assurance standards. *Participates in QA activities.… more
    Upward (07/23/25)
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  • NYULMC (Brooklyn, NY)
    …Basic Life Support Certification through the American Heart Association.. Required Licenses: Registered Nurse License-NYS, Nurse Practitioner-NYS, Basic Life ... Position Summary: We have an exciting opportunity to join our team as a Nurse Practitioner or Physician Assistant in Cardiology/Cardiac EP at our Trinity location in… more
    Upward (06/26/25)
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