RN Utilization Review & Quality Assurance Specialist
Emanate Health
Join a leading health care system recognized for excellence, where your role as a Utilization Review Nurse will be pivotal in evaluating medical records and ensuring the delivery of quality care. In this position, you will apply your clinical acumen to assess medical necessity and support medical claims, all while being part of a dedicated team that values community impact and individual growth. With a strong emphasis on collaboration and excellence, this is an opportunity to contribute to a top-ranked health care organization while enhancing your professional skills in a supportive environment. #J-18808-Ljbffr Emanate Health
$31.03 - $46.54 per hour
...States, and the #19 ranked company in the country.Job SummaryThe Utilization Review Nurse will evaluate medical records to determine medical... ...years of utilization management experience. Experience in quality- related job preferred. Computer proficiency is required. Excellent...SuggestedFull time$31.03 - $46.54 per hour
...the #19 ranked company in the country. Job Summary The Utilization Review Nurse will evaluate medical records to determine medical... ...three years of utilization management experience. Experience in quality- related job preferred. Computer proficiency is required....SuggestedFull timeLocal area$31.03 - $46.54 per hour
...Utilization Review NurseThe Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical acumen... ...years of utilization management experience. Experience in quality-related job preferred. Computer proficiency is required. Excellent...SuggestedFull time- An established industry player in health care is seeking a Utilization Review Nurse to join their dedicated team. In this vital role, you will evaluate medical records and apply clinical expertise to ensure the delivery of necessary health services. Your contributions...Suggested
$78k
We are currently looking for a qualified EMHS Quality Assurance Specialist to join our Mental Health team. The EMHS Quality Assurance Specialist... ...of the Mental Health Services Program, including utilization review coordination and continuous quality improvement services...SuggestedLocal area$123.93k - $160.38k
...improving the lives of patients for generations to come. As a Senior Quality Assurance Specialist at Gilead you will have the following responsibilities:Manages, prioritizes, and participates in batch record review and release activities, including review of manufacturing,...Full timeFor contractorsLocal area$50 per hour
...team of dedicated professionals committed to our core values of quality, compassion and community! San Dimas Community Hospital, a... ...perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service...Daily paidTemporary workWork experience placementLocal areaShift work- ...Job Title: Quality Assurance Specialist Location: Pomona, CA Pay Range: $21 to $25/hr on W2 Job Details: Carry out daily operations... ...accuracy and efficiency. Support record administration and review duties, including Certificates of Analysis and...Weekly payTemporary workFlexible hours
- ...medical/laboratory findings. Reviews informed consent forms for... ...with SOP. Understands and utilizes donor center’s donor management... ...specific regulations related to quality of product, employee and donor... ...Nurse. Must have at least one (1) RN, LPN, LVN, EMT-P, or EMT-I...Local areaImmediate startShift workWeekend workAfternoon shift
- ...eligibility through medical history reviews, physical assessments, and... ...center compliance with SOPs, quality systems, and regulatory... ...What It TakesPhysician, LPN, or RN: Graduate of a recognized healthcare... ...or communication.Ability to utilize personal protective equipment...Full timeTemporary workWork at officeImmediate startFlexible hoursShift workWeekend workAfternoon shift
- ...70-year history of providing quality healthcare to the community. We... ...: Registered Nurse (RN) licensure in the state of practice... ...appropriateness of resource utilization, consultations, treatment plan... ...by conducting a focus study review of the previous and current...Full timeWork experience placementWork at officeDay shift
- ...year history of providing quality healthcare to the... ...Registered Nurse (RN) licensure in the state... ...of the most effective utilization of skills and abilities... ...for meals and breaks. Reviews and takes action on requests... ...with facility services to assure that the department and...Full timeWork experience placementWork at officeDay shift
- ...Position Under the general direction of the Manager of Quality Assurance, the Quality Assurance Specialist is responsible for monitoring, evaluating, and... ...services, ensuring timely, thorough, and objective review and resolution. Review and communicate quality assurance...Hourly payWork at office
$130k - $140k
...families receive continuity and quality of care from admission to... ...Patient Care Administrator Assures staff competence and performance... ...expectations. Reviews and approves payroll, assuring... ...supplies. Monitors resources and utilization of clinical operations including...Contract work$55 - $60 per hour
...and has been offering quality and affordable health... ...campus located Adjunct RN (Mental Health) Clinical... ...Educational Nurse Specialist and others on content... ...Leads in the conduct and utilization of nursing research.... ...care for them. Regularly reviews data that may reveal...Hourly payFull timeTemporary workPart timeImmediate startShift work$62.4k - $93.6k
...Clinical Review Nurse - Prior Authorization Akido builds AI-powered doctors. Akido is... ...prior authorization activities within the Utilization Management (UM) department and supports delegated... ...Who You Are ~ Active California LVN or RN license ~3-5+ years of current clinical...$53 per hour
...professionals committed to our core values of quality, compassion and community! San Dimas... ...responsible for the delivery of safe patient care utilizing the nursing process of assessment,... ..., TRAINING # Current and valid state RN License.2. Current BLS certificate upon hire...Daily paidLocal areaShift work- ...Registered Nurse is responsible for delivering safe patient care by utilizing the nursing process of assessment, planning, implementation, and... ...diagnostic study results, and symptomatology. Additionally, the RN should be prepared to respond swiftly and accurately to changes...Contract workLocal areaNight shift
- ...Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation, and... .../ Certifications / Licensure Current and valid state RN License BLS Certification ACLS Certification Minimum of...Contract workLocal area
$2,039.2 per month
...Travel Offering Nursing Profession RN Specialty ICU Job ID 37739345 Job Title... ...Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation, and...Weekly payContract workLocal areaShift work$43.25 - $61.16 per hour
...professionals committed to our core values of quality, compassion and community! San Dimas... ...responsible for the delivery of safe patient care utilizing the nursing process of assessment,... ...TRAINING 1. Current and valid state RN License. 2. Current BLS certificate...Full timePart timeLocal areaShift workNight shift$43.25 - $59.37 per hour
...recognized nationally for its quality, including as among the 100 Great... ...by Becker's Hospital Review in 2018 and as among the 100 Top... ...delivery of safe patient care utilizing the nursing process of assessment... ...1. Current and valid state RN License. 2. Current BLS certificate...Full timePart timeLocal areaShift work- ...are dedicated to the highest quality of customer services delivered... ...tight knit group and autonomy to utilize your knowledge and experience.... ...Department at Glendora. The RN will provide safe and therapeutic... ...’ age specific needs. Assures implementation of patient care...Shift workNight shift
- ...Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation, and... ...Experience / Certifications / LicensureCurrent and valid state RN LicenseBLS CertificationACLS CertificationMinimum of one year as...Contract workLocal area
$43.25 - $59.37 per hour
...recognized nationally for its quality, including as among the 100 Great... ...by Becker’s Hospital Review in 2018 and as among the 100 Top... ...delivery of safe patient care utilizing the nursing process of assessment... ...Qualifications Current and valid state RN License. Current BLS...Full timePart timeLocal areaShift workNight shift$46 - $50 per hour
...dedicated and compassionate Registered Nurse (RN) to join our healthcare team. 8-hr... ...will play a vital role in providing high-quality general/psychiatric nursing care to patients... ...Demonstrates sound leadership skills and utilizes these skills in organizing the activities...Daily paidAll shiftsShift workNight shiftWeekend work1 day per week- ManpowerGroup in Pomona, CA seeks a Quality Assurance Specialist to execute batch-record activities, review quality docs, and support change controls in a medical device setting. The role requires 3-5 years of QA experience, a high school diploma (Bachelor's preferred),...
- San Gabriel/Pomona Regional Center in Pomona, CA, is seeking a Quality Assurance Specialist to monitor, evaluate, and support vendor programs to ensure compliance with standards and regulatory requirements. The role provides technical assistance, conducts investigations...
- Akido is seeking a Clinical Review Nurse - Prior Authorization to join... ...possess an active California LVN or RN license and have at least 3-5 years of clinical utilization management review experience.... ...impacts our mission to enhance the quality of healthcare. #J-18808-Ljbffr...
- ...unique care experience. We strive to deliver quality of care and unparalleled hospitality to... ...Care - Experience We are looking for an RN Supervisor to be the right hand to the DON... ...qualified to perform the procedure. Review nurses' notes to ensure that they are informative...Full timePart timeTraineeshipShift workNight shift
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