- Monster (Bristol, RI)
- …which includes contributing to efficient office functions, patient flow, divisional and external communication to assure for quality health care. Contribute to ... through attendance at appropriate medical education programs. Participate in intra-office quality assurance with chart review and case study presentation.… more
- Monster (Albany, NY)
- Registered Nurse (RN) Care Manager - Women's Health/Pediatrics WYH has a robust benefits package including generous time off, affordable health, dental and vision ... on the at-risk population driving utilization and costs to improve efficiency, quality and patient satisfaction. Engages physician and practice team in proactive… more
- 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
- 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
- Monster (Berea, OH)
- …design, seamless integration, installation, training and support services for nurse call, audio, video, sound, communication, signage, broadcast, and production ... to staff and customers. Must have the ability to speak effectively before external groups of customers and employees within the organization. Ability to apply… more
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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 (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
- 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
- Albany Medical Center (Albany, NY)
- …America) Salary Range: $71,612.39 - $110,999.20 Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. * Completes ... Utilization Management and Quality Screening for assigned patients.* Applies MCG criteria to monitor appropriateness of admissions and continued stays, and documents… more
- CVS Health (Columbus, OH)
- …for involvement in, multiple child-serving systems. For the OhioRISE Program, the Quality Management Nurse Consultant position is responsible for the following ... job functions such as: Potential Quality of Care monitoring, critical incident reporting, collaboration and coordination with plan HEDIS teams on OhioRISE specific… more
- Bon Secours Mercy Health (Paducah, KY)
- …accreditation, and certification surveys in successful completion. + Prepares and submits quality reports as required by external agencies and payors.Facilitates ... improvement committees and projects as needed. + Supports Medical Staff Quality and Peer Review . + Promotes practices that detect, mitigate or prevent harm using… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …and leadership programs + And more **Description** We're seeking a **Clinical Quality Coordinator (Registered Nurse / RN)** responsible for providing clinical ... Designing data collection plans for KPIs Integrate data from internal and external electronic systems + Using statistical and visualization methods + Identifying and… more
- Fresenius Medical Center (New York, NY)
- …with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the provision of quality patient care in the dialysis ... /Charge RN or Nurse Supervisor and Medical Director to implement FMS quality goals and develop facility specific action plans in order to achieve FMS … more
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