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
$52.03 - $80.64 per hour
...the country. J ob Summary The Utilization Review Nurse will evaluate medical records to determine... ...management experience. Experience in quality- related job preferred. Computer... ...Minimum License Requirement : California RN license. Delivering world-class health...SuggestedFull timeLocal area$52.03 - $80.64 per hour
...company in the country. Job Summary The Utilization Review Nurse will evaluate medical records to determine... ...management experience. Experience in quality-related job preferred. Computer... ...Minimum License Requirement: California RN license. Delivering world-class health care...SuggestedFull time$52.03 - $80.64 per hour
...Utilization Review Nurse The Utilization Review Nurse will evaluate medical records to determine... ...utilization management experience. Experience in quality-related job preferred. Computer... ...Minimum License Requirement California RN license. Pay Range: $52.03 - $80.64...SuggestedFull time- Benefits We Offer: Comprehensive health, prescription, dental, vision, life, and disability plans Competitive pay rates Referral opportunities ? Refer a friend & Cash in! Travel reimbursement and per diem allowances Employee discounts Educational opportunities Health Advocates...SuggestedDaily paidLocal area
- Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities...SuggestedDaily paidLocal area
$123.93k - $160.38k
...Senior Quality Assurance Specialist At Gilead our pursuit of a healthier world for all people has yielded a cure for hepatitis C, revolutionary... ...Manages, prioritizes, and participates in batch record review and release activities, including review of manufacturing,...$123.93k - $160.38k
...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,...For contractorsLocal areaWorldwide- ...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...Work at office
$54.63 - $84.67 per hour
...Summary Provides expertise to the organization in the form of quality management review and performance improvement knowledge. Supports the hospital... .... c. Minimum License Requirement : Current California RN license. CPHQ preferred. Delivering world-class health...Full timeLocal area- ...Utilization Management RN Location: Pomona, CA Duration: 13 weeks Schedule: 08:00am - 04:30pm (Part time) Payrate: $45/hr - $55/hr on W2 Required Minimum Qualifications: ~ Licensure: RN License in US ~ Education: Graduate of accredited School of Nursing...Part time
$26 - $28 per hour
...Home Care as a Registered Nurse (RN), where you'll bring comfort and confidence... ...health strategies and procedures utilizing community resources as applicable... ...in clinical record/utilization review of medical records and quality assurance and performance improvement (QAPI)...Weekly payDaily paidFull timePart timeReliefImmediate startFlexible hoursNight shiftWeekend workWeekday work- ...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
$45 - $50 per hour
...members on an outpatient basis to assure the appropriate level of care... ...healthcare team (concurrent review, pre-authorization, PCP/SPC,... ...is expected to be between for RN's $45.00 - 50.00 per hour for... ...experience preferred. ~2-3 years of utilization or HMO experience preferred....Hourly payFull timeCasual workRelocation packageFlexible hours$55 - $60 per hour
...assessments. The MDS Coordinator assures maximum reimbursement... ...determining Resource Utilization Group (RUG) levels and... ...are accomplished, review resident's progress, determine... ...need of correction. Quality Assurance: Prints... ...nursing Current CA RN license At least 3 years...Work at officeDay shift- ...permissible purposes. RN - 2N General Surgery (Full... ...since 1875 with a quality of care and service second... ...population specific). Assures appropriate order sets... ...practice as appropriate. Utilizes the nursing process to... ...Participates in systematic peer review and obtains informal...Full timePart timeFor contractorsLocal areaRemote workShift workNight shiftWeekend work
$54.63 - $84.67 per hour
A leading healthcare provider in West Covina seeks a Quality Review Nurse to contribute to quality management and performance improvement. This... ...and knowledge in Telemetry, DOU, or Neuroscience. An RN license and BLS certification are mandatory, with ACLS certification...Hourly pay$54.63 - $84.67 per hour
**.** Quality Review Nurse - DOU & NSU - Full Time - Days - 10hr QVH page is loaded## Quality Review Nurse - DOU & NSU - Full Time - Days - 1... ...Neuroscience preferred## Minimum License Requirement :California RN license and BLS required.ACLS required within 90 days of hire...Full time$54.63 - $84.67 per hour
**.** Quality Review Nurse - Performance Improvement - Full Time - Days - 10hr ICH page is loaded## Quality Review Nurse - Performance Improvement... ....**c. Minimum License Requirement :** Current California RN license. CPHQ preferred.Delivering world-class health care one...Full time- ...eligibility through medical history reviews, physical assessments, and... ...center compliance with SOPs, quality systems, and regulatory... ...It Takes Physician, 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
$52.99 - $80.97 per hour
...California, and hospital policies, goals, and objectives. Completes Utilization Review of Behavioral Health Services. Charge Nurse will have expert... .... Minimum License Requirement: Current California RN License. BLS required Assaultive Behavior Training Certification...Full timeShift workNight shift$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- ...release, change control, Annual Product Reviews (APRs), deviation resolution, and ensuring... ...(release, reject, or hold) based on quality impact. Provide oversight and QA approval... ...science field with specific Quality Assurance education or training. Minimum 2–3 years...Full timeContract workWork at officeLocal areaWeekend work
- ...compliance with GMP standards, manage documentation, and conduct product reviews. This full-time role requires a strong background in pharmaceutical QA systems and the ability to oversee quality controls. The ideal candidate will possess a degree in a related science field...Full timeWork at office
$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$48.97 - $74.88 per hour
...the country. Job Summary The Staff RN is a professional caregiver who assumes responsibility... ...the assigned units. He/she ensures that quality care is provided in an efficient and safe... ...with the unit's standard of care. Utilizes nursing skills to determine the...Full timeLocal areaWeekend work$2,144 per week
...Travel Nurses, Inc. is seeking a travel nurse RN OR Circulate for a travel nursing job in San Dimas, California. Job Description... ...transparent Travel OR Circulate Salary information and unbiased reviews from leading Travel Nurse Agencies across the United States,...Weekly payImmediate startShift work- San Gabriel/Pomona Regional Center seeks a Quality Assurance Specialist to monitor and support vendor programs ensuring compliance with standards and regulations. The role encompasses providing technical assistance, investigating complaints, and promoting high-quality...
- ...This full-time position involves ensuring compliance with GMP standards, conducting product reviews, and overseeing document control. Responsibilities include investigating quality issues and supporting audits. Ideal candidates will have a degree in a related science...Full timeWork at office
$60.05 - $77.33 per hour
...operations that ensure quality patient care in a safe,... ...resource allocation by assuring appropriate patient assignments... ...: ~ Directs reviews, assigns and organizes... ...nursing practice (e.g. RN/MD Collaborating for... ...manager/clinical nurse specialist/educator any outstanding...Hourly payFull timePart timeWork experience placementWork at officeLocal areaShift workNight shiftAfternoon shift$39.25 - $56.85 per hour
...serving the community with personalized, high-quality care. We offer a full range of... ...responsible for the delivery of safe patient care utilizing the nursing process of assessment,... ...EXPERIENCE, TRAINING 1. Current and valid state RN License.2. Current BLS certificate upon...Full timePart timeLocal areaShift workNight shift
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