Quality & Utilization Review RN — Peer Review & Safety
Central Health
Central Health in Austin, Texas, is seeking a Clinical Quality and Utilization Review Specialist to manage utilization reviews, peer review processes, and quality improvement initiatives. This role requires collaboration with medical staff and interdisciplinary teams to drive optimal patient outcomes and ensure compliance with standards. The ideal candidate will have a BSN and significant experience in health systems, along with a passion for healthcare quality improvement. Only candidates in the greater Austin area will be considered. #J-18808-Ljbffr Central Health
- ...supervision of the Director of Utilization Management, the Clinical Quality and Utilization Review Specialist performs a... ...management and peer review. This position is... ...oversight. In parallel, the RN coordinates peer review... ...management, patient safety, and quality functions...QualityWork experience placementWork at office
- ...providing training in healthcare services. Interns will conduct clinical reviews, communicate with healthcare providers, and ensure compliance with regulations. Candidates must hold an active RN license and have at least two years of behavioral health experience. The position...SuggestedInternshipRemote workWeekday work
$5,833.33 - $6,666.67 per month
...Job Title: Nurse III – Nurse Reviewer Location: Austin, TX – 4601 W Guadalupe St, Austin... ...Commission (HHSC) Department: Med Svcs-Quality Review TK Posting Number: 16324 Salary:... ...under the direction of the Surveillance Utilization Review (SUR) Regional Director and Regional...QualityFull timeWork at officeRemote workShift workNight shift$4,801.16 - $7,761.5 per month
...Functional Title: Nurse Reviewer Job Title: Nurse II Agency... ...driven by its mission to deliver quality, cost-effective services to Texans... ...direct supervision of the Utilization Review Nurse Manager, the... ...professional Registered Nurse (RN) in the state of Texas or a state...QualityFull timeTemporary workPart timeWork at officeLocal areaRemote workWork from homeShift workDay shift$18 - $20 per hour
...® Fortune Best Workplaces in Financial Services & Insurance Utilization Review Coordinator PRIMARY PURPOSE: To assign utilization review requests... ...other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing High School...QualityWork at officeLocal areaFlexible hours- D. R. Horton, the largest homebuilder in the U.S., seeks a Collateral Review Specialist in Austin, Texas. The role includes reviewing low-value and high-risk appraisals, ensuring compliance with organizational standards, and providing support to loan processing staff....Quality
$95 - $96 per hour
...will be a key member of the utilization management team. We can offer... ...Serve as the Physician match reviewer in Imaging cases, that do not... ...expert. Discusses determinations (peer to peer phone calls) with... ...) and National Committee for Quality Assurance (NCQA) guidelines....QualityFull timePart timeWork at officeImmediate start- ...committed to supporting safe, high-quality care for which they can... ...hospitals earn an A or B Leapfrog safety grade, rank in the top 5%... ...The Registered Nurse (RN) utilizes the nursing process to direct... ...Our Talent Acquisition team is reviewing applications for our Registered...QualityTemporary workFlexible hours
$100k - $130k
...Quality Systems Specialist Jeppesen ForeFlight is currently looking... ...~3+ years of experience utilizing process improvement and problem... ...of tools designed to enhance safety, improve operational... ...further information, please review the Know Your Rights notice from...QualityContract workLive inWork at officeImmediate start- ...a leader in delivering high-quality infrastructure and construction... ...With a strong commitment to safety, quality, and client satisfaction... ..., concrete, asphalt, utilities, drainage, and structural components... ...structural components. Review and interpret project...QualityFor contractorsWork at officeFlexible hours
$71.1k - $97.8k
...our caring community The Utilization Management Registered Nurse uses... ...time frames. (i.e. 10 reviews per day?) You will communicate... ...hold Compact Registered Nurse (RN) license in your state of residence... ...are leading to a better quality of life for people with...QualityBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office- ...Texas Licensed Registered Nurse for a role focused on conducting reviews to optimize member healthcare outcomes across Texas. This... ...requires working closely with healthcare providers to ensure high quality, cost-effective medical services. The ideal candidate must be available...QualityShift work
- ...Overview The Texas Health and Human Services Commission (HHSC) is hiring a Nurse Reviewer (Nurse III) to work under the Surveillance Utilization Review (SUR) Regional Director and Regional Managers in the Office of Inspector General. The role supports Texas Medicaid compliance...Full timeWork at officeRemote workNight shift
- ...supporting safe, high-quality care for which they can... ...earn an A or B Leapfrog safety grade, rank in the top... ...for your OR, including utilization of preference cards and... ...anesthesia Consistently review your charts for... ...surgery center Active RN license as required by...QualityTemporary workFlexible hours
- ...QISG team brings together Engineering, Safety, Quality, Material Procurement, QA/QC, Right-of-... ...value engineering and constructability reviews Develops a procurement status report with... ...control and quality assurance measures utilized by the power industry What You'll Get...QualityContract workTemporary workWork experience placementFor subcontractorWork at officeLocal area
- ...committed to supporting safe, high-quality care for which they can... ...hospitals earn an A or B Leapfrog safety grade, rank in the top 5%... ...of employment start date ~(RN) Registered Nurse ~ Associate... ...Our Talent Acquisition team is reviewing applications for our Registered...QualityTemporary workFlexible hoursShift work
- ..., provides nursing care utilizing the nursing process, including... ...IV. Safe Practice/Quality Care/Regulations Incorporates patient safety practices/guidelines to... ...unit and under own care. Reviews patients' charts for completion... ...a Pediatric department RN License in the state of...QualityFull timeLocal areaImmediate startShift work
- ...committed to supporting safe, high-quality care for which they can... ...hospitals earn an A or B Leapfrog safety grade, rank in the top 5%... ...of employment start date ~(RN) Registered Nurse ~ Associate... ...Our Talent Acquisition team is reviewing applications for our Registered...QualityTemporary workFlexible hoursShift work
- ...committed to supporting safe, high-quality care for which they can... ...hospitals earn an A or B Leapfrog safety grade, rank in the top 5%... .... As a Registered Nurse (RN) on the TCT unit you will be responsible... ...Talent Acquisition team is reviewing applications for our...QualityTemporary workPart timeFlexible hoursNight shiftWeekend work
- ...committed to supporting safe, high-quality care for which they can... ...hospitals earn an A or B Leapfrog safety grade, rank in the top 5%... ...As a Registered Nurse (RN) in the Labor and Delivery (L&... ...Our Talent Acquisition team is reviewing applications for our Registered...QualityTemporary workFlexible hours
- ...committed to supporting safe, high-quality care for which they can... ...hospitals earn an A or B Leapfrog safety grade, rank in the top 5%... ...Critical Care Registered Nurse (RN) in the Intermediate Care (IMC... ...and IV medications · You will review all new physician orders,...QualityTemporary workFlexible hoursShift work
- ...committed to supporting safe, high-quality care for which they can... ...hospitals earn an A or B Leapfrog safety grade, rank in the top 5%... ...As a Registered Nurse (RN) in the Labor and Delivery (L&... ...Our Talent Acquisition team is reviewing applications for our Registered...QualityTemporary workFlexible hours
- ...committed to supporting safe, high-quality care for which they can... ...hospitals earn an A or B Leapfrog safety grade, rank in the top 5%... ...As a Registered Nurse (RN) in the Obstetrics Emergency Department... ...Our Talent Acquisition team is reviewing applications for our Registered...QualityTemporary workFlexible hours
- ...internationally known for improving the quality of life for many children,... ...for Registered Nurse (RN) Diverse programming to expand... ...large, nationwide network of peer nurses and nursing leaders that... ...routinely exchange ideas, and review current topics within the industry...QualityReliefLocal areaFlexible hours
- ...known for improving the quality of life for many children... .... Ensure environmental safety and crisis management for... ...as a Registered Nurse (RN) is providing excellent... ..., nationwide network of peer nurses and nursing leaders... ...exchange ideas, and review current topics within the...QualityLocal areaShift work
- ...committed to supporting safe, high-quality care for which they can... ...hospitals earn an A or B Leapfrog safety grade, rank in the top 5%... ...and appropriate resource utilization. You will provide case... ...Our Talent Acquisition team is reviewing applications for our Registered...QualityTemporary workFlexible hours
- ...QISG team brings together Engineering, Safety, Quality, Material Procurement, QA/QC, Right-of-... ...value engineering and constructability reviews Develops a procurement status report with... ...control and quality assurance measures utilized by the power industry Travel...QualityContract workTemporary workWork experience placementFor subcontractorWork at officeLocal area
$130k
...role in ensuring high-quality, patient-centered care... ...practices to enhance patient safety and quality outcomes,... ...leader. Review feedback mechanisms to... ...supplies and equipment utilization, and identify cost reduction... ...This role is a working RN Manager overseeing the...QualityFull timeShift work- ...here as they become available. Quality Assurance Specialist -... ...successful project execution by reviewing plans and specifications, maintaining... ...safe work practices, Kwest safety procedures, client... ...sitework, grading, underground utilities, pipe installation, structures...QualityFor contractorsWork experience placementFlexible hoursAfternoon shift
$33 - $35 per hour
...Care as a Registered Nurse (RN), where you’ll bring... ...term care team focused on safety, comfort, and continuity What... ...strategies and procedures utilizing community resources as applicable... ...record/utilization review of medical records and quality assurance and performance...QualityWeekly payDaily paidFull timePart timeReliefImmediate startFlexible hoursNight shiftWeekend workWeekday work
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