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
...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$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- ...Title: Quality Assurance Specialist Location: Pomona, California Duration: 12 Months 100% Onsite Summary Responsible for daily batch record operations, batch record review, change control, quality documentation, and compliance activities under the supervision...SuggestedTemporary workFlexible hours
$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)...SuggestedWeekly 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...SuggestedLocal areaImmediate startShift workWeekend workAfternoon 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
- ...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
$55 - $60 per hour
...and has been offering quality and affordable health... ...campus locatedAdjunct RN (Mental Health) Clinical... ...Educational Nurse Specialist and others on content... ...Leads in the conduct and utilization of nursing research.3.... ...care for them.Regularly reviews data that may reveal...Full timeTemporary workWork experience placementImmediate startShift work- ...Our automotive manufacturing client is seeking an experienced Quality Specialist to join their team. This role is responsible for investigating quality issues, identifying root causes, implementing corrective actions, and supporting continuous improvement initiatives...For contractorsWork at officeLocal areaRotating shift
$78k - $103k
...Opportunity The Clinical Review Nurse – Complex Case Management... ...the program grows within the Utilization Management (UM) department,... ...outreach, medication review, and specialist/community resource... ...you are ~ Active California RN license (required) ~3-5+ years...- ...The QA Specialist is responsible for ensuring compliance with all food safety programs and... ...regulatory requirements while maintaining high-quality standards. This position plays a... ...Train QA Department staff on MTC quality assurance procedures. Develop QA training programs...Work at officeLocal areaWeekend 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,... ..., TRAINING1. Current and valid state RN License. 2. Current BLS certificate upon...Full timePart timeLocal area$1,777.2 per month
...Travel Offering Nursing Profession RN Specialty TELE Job ID 37739346 Job... ...Registered Nurse is responsible for delivering 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 # Current and valid state RN License.2. Current BLS certificate upon hire...Full timePart timeLocal areaShift work$43.25 - $59.37 per hour
...committed to our core values of quality, compassion and community!... ...Hospitals by Becker's Hospital Review in 2018 and as among the 100 Top... ...delivery of safe patient care utilizing the nursing process of... ...1. Current and valid state RN License. 2. Current BLS certificate...Full timePart timeLocal areaShift workNight shift$43.25 - $59.37 per hour
...committed to our core values of quality, compassion and community!... ...Hospitals by Becker’s Hospital Review in 2018 and as among the 100 Top... ...delivery of safe patient care utilizing the nursing process of... ...TRAINING # Current and valid state RN License.2. Current BLS certificate...Full timePart timeLocal areaShift workNight shift$70 per hour
...the assigned PTC and Family Support Services. 5.Accesses and reviews the referring hospital’s medical records charts. Transcribe... ...9.Maintains established policies, procedures, objectives, quality assurance, safety, environmental and infection control. OneLegacy Recovery...Hourly payDaily paidWork at officeShift workWeekend workDay shiftAfternoon shift$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 - $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 workAfternoon shift- Our automotive manufacturing client is seeking an experienced Quality Specialist to join their team. This role is responsible for investigating quality issues, identifying root causes, implementing corrective actions, and supporting continuous improvement initiatives....Work at officeLocal areaRotating shift
- ...,United States | Full-time regular Job Title: QA Associate (Quality Assurance) Location: Pomona, CA (In-office) Position Type: Full-time Vacancy... ..., including product release, change control, Annual Product Reviews (APRs), and deviation and CAPA resolution, while also...Full timeContract workWork at officeLocal areaFlexible hoursShift workWeekend work
$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$208k
...We are currently in need of an experienced Per-Diem Hospice RN to give skilled nursing to hospice patients at home and senior facilities... ...and supportive care to patient and caregivers. Must be able to utilize computers and be comfortable with EMR (Hospice MD). Hospice MD...Daily paidPart time$141.73k
...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...Daily paidWeekend work$115.04k - $172.24k
...professionals committed to our core values of quality, compassion and community! Chino Valley... ...Community Hospitals by Becker's Hospital Review in 2018 and as among the 100 Top... ...personnel assigned to the unit and effectively utilizes nursing personnel, time responsibilities...Daily paidFull timeTemporary workPart timeLocal area- ...The Palliative Care Registered Nurse (RN) supports VITAS Healthcare's growing palliative... .... Ensures appropriate referrals to specialists when indicated and support adherence to... ...and emotional recovery after treatment utilizing appropriate resources as needed....Flexible hours
- ...Summary: The Clinical Nurse Specialist role at Kaiser Permanente Southern... ...order to achieve safe, high quality, cost effective outcomes for... ...evidence from systematic reviews. Facilitates... ...departmental policy and procedures, utilization, and clinical performance standards...Local area
$24 - $27 per hour
...Position Summary The Quality Assurance Auditor is responsible for conducting detailed audits of all billing activities and accounts worked within the billing software system. This includes reviewing claim follow-up, collections efforts, resolution of denials, and...Full time$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 work$70 - $74 per hour
...This Role The Seasonal Emergency Department RN provides professional nursing care as a leader of the health care team, utilizing the nursing process in accordance with established... ...are flexible and committed to delivering quality patient care. Highlights Pay: $70 - $74/hour...Full timeSeasonal workFlexible hours
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