- Emanate Health (Covina, CA)
- …States, and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity ... Requirement :** **Minimum Experience Requirement :** Minimum of three years of utilization management experience. Experience in quality - related job preferred.… more
- CareOregon (Portland, OR)
- …Reports Registered Nurse - Clinical Quality Assurance , Registered Nurse - Utilization Management II Manager Title Director, Quality ... as needed. Experience and/or Education Required + Current unrestricted Registered Nurse ( RN ) license for...plan quality operations, such as member rights, quality assurance , and/or utilization management… more
- LA Care Health Plan (Los Angeles, CA)
- …verbal and written communication skills. Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or ... Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
- Louisiana Department of State Civil Service (Reserve, LA)
- …on various committees such as, Nursing Policy and Procedure Committee, patient safety, quality assurance , and utilization review. Supervises the ordering of ... REGISTERED NURSE SUPERVISOR B Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4947288)...patient care practices according to established standards and implements quality assurance methods to insure that standards… more
- Ventura County (Ventura, CA)
- …Health Care Agency - Ventura County Medical Center/ Santa Paula Hospital APPROXIMATE SALARIES: Registered Nurse II ( RN II): $51.30 - $61.35 per hour ... Registered Nurse II - Emergency Department...care as indicated and required. + May participate in quality assurance / utilization review or other… more
- Ventura County (Ventura, CA)
- …attends department in-services and staff development programs; + May participate in quality assurance / utilization review or other non-direct patient care ... Medical Surgical and Telemetry Registered Nurse II - Float Pool -Regular and Per Diem Print… more
- Ventura County (Ventura, CA)
- …attends department in-services and staff development programs; + May participate in quality assurance / utilization review or other non-direct patient care ... Registered Nurse II - Medical Surgical and Detox Department (Regular & Per Diem) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4920936)… more
- Ventura County (Ventura, CA)
- …assistance and patient care as indicated and required. + May participate in quality assurance / utilization review or other non-direct patient care nursing ... Registered Nurse II - ICU/DOU/Telemetry (Regular & Per Diem) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4887199) Apply Registered … more
- Louisiana Department of State Civil Service (Reserve, LA)
- …standards by supervising and directing activities of subordinate nurses engaged in quality assurance , infection control, and utilization review activities. ... REGISTERED NURSE SUPERVISOR A Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4947231)...patient care practices according to established standards and implements quality assurance methods to insure that standards… more
- Hartford HealthCare (Mansfield Center, CT)
- …HealthCare at Home* **Title:** * Quality Assurance Performance Improvement Coordinator ( RN , Registered Nurse , QA, PI) - HomeCare * **Location:** ... of our patients; we take great care of our Registered Nurses too! Our benefit options at Hartford HealthCare...lives of their clients and their clients' families. The Quality Assurance & Performance Improvement ("QAPI") Specialist… more
- Health Advocates Network (Harrisburg, PA)
- Health Advocates Network is currently seeking a ** Registered Nurse ( RN )DC- Short-Term** to work at a correctional facility in **Selinsgrove, PA.** These are ... Possession of a current license to practice as a registered nurse issued by the Pennsylvania State...nursing specialty care area, such as, infection control or quality assurance /improvement/risk management activities. Work assignments are… more
- Geisinger (Danville, PA)
- …aspects of Revenue Cycle activity. + Monitors and maintains an effective quality assurance and process improvement plan for clinical documentation processes. ... and License(s) Basic Life Support Certification - Default Issuing Body; Licensed Registered Nurse (Pennsylvania) - RN_State of Pennsylvania OUR PURPOSE &… more
- University of Virginia (Charlottesville, VA)
- …to provide relationship-based care within a collaborative multidisciplinary team. This registered nurse utilizes advanced critical thinking to develop, ... internal and external regulatory standards. + Participates in Transplant Center Quality Assurance & Performance Improvement (QAPI) program meetings, projects… more
- Banner Health (Phoenix, AZ)
- …only 1% of hospitals nationwide have achieved this designation four times. As a Registered Nurse RN Transplant Coordinator, your role involves assisting ... transplantation and organ donation. 6. Participates in the transplant program's quality assurance program. Evaluates current processes, identifies need for… more
- AdventHealth (Altamonte Springs, FL)
- …experience in the following job areas is highly preferred: case management, quality assurance , utilization management, insurance/managed care industry, ... State Board of Nursing + Current, valid State of Florida license as a registered professional nurse ( RN ) **Preferred qualifications:** + Bachelor's Degree of… more
- State of Arkansas (West Memphis, AR)
- …travel throughout the state. Preferred Qualifications: Experience in either nursing home, utilization review or quality assurance . Understanding of federal ... REGISTERED NURSE Date: Jun 11, 2025... REGISTERED NURSE Date: Jun 11, 2025 Req ID: 49931...Starting Salary: $63,830.00 DPSQA Hiring Official: Linda White The RN Surveyor position is responsible for performing on site… more
- Louisiana Department of State Civil Service (Jackson, LA)
- Registered Nurse 1, 2, or 3...update monthly present orders and MARs as assigned. Completes Quality Assurance reports as required. Communicates with ... Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/4973860) Apply Registered Nurse 1, 2, or 3 Salary $4,177.00 - $7,518.00 Monthly Location… more
- Ventura County (Ventura, CA)
- …and performance improvement in designated hospital units of Ventura County Medical Center. Quality Assurance and Performance Improvement Nurse : The incumbent ... Senior Registered Nurse - QAPI Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4925952)...will support and facilitate quality assurance and performance improvement initiatives aimed at enhancing patient… more
- Catholic Charities Family Community Services (Newark, NY)
- …record keeping as necessary for program accountability + Participates in monthly Utilization Review, quality assurance and program evaluation activities ... preferred. **Credentials:** Valid and clean NYS Driver's License. Valid Registered Professional Nurse ( RN ) License required **Experience:** At least two… more
- Northern Light Health (South Portland, ME)
- …or palliative care experience. Our Portland region has a great position for a registered nurse wanting to make a positive difference in someone's life! You ... least 90 days (first time rehire only) Summary: The Registered Nurse II is a fully competent...quality standards and strives for continuous improvement and quality assurance by reporting and encouraging others… more