- Aequor (New York, NY)
- …nursing professional Minimum experience of 1-3 years in case management, utilization review and/or quality assurance Experience in episodic care, wellness care ... and counseling of adults Proficiency in use of electronic medical record keeping systems desirable BLS certification required Optional: Case Management and COHN-S certificationsMajor Responsibilities: Assist in coordination of clinical operations, including… more
- Novo Nordisk Inc. (South Houston, TX)
- …Diabetes Education Program strategy. Interacting with health system KOLs, providers, quality , care coordinators, advanced practice providers, and the like to ... diabetes educator will interact with key health system departments including: quality , care management, population health, diabetes treatment centres, and other key… more
- Novo Nordisk Inc. (Los Angeles, CA)
- …evolve, so does our challenge to find better and more innovative ways to improve their quality of life. We're changing lives for a living. Are you ready to make a ... difference? The Position Drives the understanding and delivery of quality clinical research (patient safety, rights and wellbeing; data reliability; scientific… more
- Novo Nordisk Inc. (Milwaukee, WI)
- …evolve, so does our challenge to find better and more innovative ways to improve their quality of life. We're changing lives for a living. Are you ready to make a ... relationships include key opinion leaders (KOL's), academic institutions, physicians, nurse practitioners, diabetes educators, pharmacists, blood bank staff, organized… more
- Novo Nordisk Inc. (Plainsboro, NJ)
- …evolve, so does our challenge to find better and more innovative ways to improve their quality of life. We're changing lives for a living. Are you ready to make a ... difference? The Position Drives the understanding & delivery of quality clinical research (patient safety, rights & wellbeing; data reliability; scientific… more
- Marion County (Salem, OR)
- …is dedicated to creating a welcoming environment where all people can access high quality health and human services, we want to speak with you!We offer the following ... identify priorities.Coordinate and facilitate weekly IDT (Inter-Disciplinary Team) meetings to review treatment progress of residents, as required by OARs. All… more
- Actalent (Santa Rosa, CA)
- …high risk, high volume populations (eg, Stroke, diabetes, heart disease, etc.). Skills: Registered Nurse , Quality , Peer Review , Epic, Patient care Top Skills ... Details: Registered Nurse , Quality ,Peer Review Additional Skills & Qualifications: RN License Experience with Quality Review in an Acute Care setting… more
- State of Georgia (Thomas County, GA)
- Registered Nurse (Regional Quality Review (RQR)) - Region 4 Georgia - Thomas - Thomasville ... for DBHDD is located in downtown Atlanta. Job Description Job Title: Registered Nurse ( Regional Quality Review (RQR) ) - Region 4 (Thomasville, GA Area) Pay… more
- HCA Healthcare (Kingwood, TX)
- …Nurses at HCA Houston Healthcare Kingwood!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses multiple responsibilities ... **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your current role?...including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & is… more
- HCA Healthcare (Corpus Christi, TX)
- …Corpus Christi Medical Center Bay Area!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses multiple responsibilities ... assigned functions and/or reviews, as delegated by the Administrative Quality /PS/RM Director.** **This position is a M-F, 34 hours...path, we encourage you to apply for our Registered Nurse Clinical Reviewer PRN opening. We review … more
- HCA Healthcare (Houston, TX)
- …Nurses at HCA Houston Healthcare Northwest!** **Job Summary and Qualifications** **The Quality Review Nurse position encompasses multiple responsibilities ... **Do you have the career opportunities as a(an) Registered Nurse Clinical Reviewer you want in your current role?...including Core Measure chart abstraction, Stroke & STEMI chart review and coordination; performs concurrent chart reviews & is… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Utilization Management services to its clients. The Utilization Review Appeals Nurse performs daily appeal reviews and clinical quality oversite. This ... assigned at any time with or without notice. Primary Responsibilities + Review and analyze denials of initial preservice medical necessity denials using nationally… more
- State of Connecticut, Department of Administrative Services (Middletown, CT)
- Utilization Review Nurse Coordinator (40 Hour) Office/On-Site Recruitment # 240516-5613FP-001 Location Middletown, CT Date Opened 5/17/2024 12:00:00 AM Salary ... serve. THE POSITION: We are currently seeking a Utilization Review Nurse Coordinator (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5613FP&R1=undefined&R3=undefined) to join our… more
- State of Connecticut, Department of Administrative Services (New Haven, CT)
- Utilization Review Nurse (40 Hour) Office/On-site Recruitment # 240514-5612FP-001 Location New Haven, CT Date Opened 5/16/2024 12:00:00 AM Salary $76,565* - ... Addiction Services ( DMHAS (https://portal.ct.gov/DMHAS/About-DMHAS/Agency/About-DMHAS) ) as a Utilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) ! We are recruiting… more
- CDPHP (Albany, 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
- The County of Los Angeles (Los Angeles, CA)
- UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply UTILIZATION REVIEW NURSE ... administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the largest… more
- Martin's Point Health Care (Portland, ME)
- …has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse works as a member of the Utilization Review Team and ... clinical review prior to payment. The Utilization Review Nurse will use appropriate governmental policies...time. + Mentors new staff as assigned. + Maintains quality audit scores within department standards. + Maintains productivity… more
- Public Consulting Group (Augusta, ME)
- **Overview** **Registered Nurse - Health Services Consultant** **Authorization Review - Office of MaineCare Services in Augusta, ME** This role will be Fulltime ... by the PA supervisor, utilizing PA software tools; + Review and authorize provider requests for the following services...work queues and complete assigned tasks; + Conduct regular quality assurance reviews of decided PAs; + Collaborate with… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …cost-appropriate DC planning. + Provides referrals to Case management, Disease Management, and Quality Department as needed. + Develop and review member centered ... BHPS provides Utilization Management services to its clients. The Utilization Management Nurse performs daily medical necessity reviews. This position reports to the… more
- Albany Medical Center (Albany, NY)
- …Care Management/Social Work Work Shift: Day (United States of America) Utilization Review Nurse Salary Range: $31.28 - $51.61 per hour Responsible ... for Utilization Management, Quality Screening and Delay Management for assigned patients. Qualifications...for assigned patients. Qualifications and Ideal Characteristics + Registered nurse with a New York State current license. +… more
