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
...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$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- 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
- ...Quality Assurance Associate III Duration: 6 Months Location: Pomona, CA - 91767 The position of... ...department. This job description will be reviewed periodically and is subject to change... ...referenced procedures and part numbers. Utilize database to perform transactions and verify...SuggestedFlexible hours
- Intellectt INC in Pomona is seeking a Quality Assurance Associate III to manage daily operations in the Batch Record Department. The role involves... ...compliance and quality standards are met through thorough review processes and effective communication with cross-functional...
- Job Title: Quality Assurance Associate III Location: Pomona, CA, 91767 Duration: 06 Months Shift... ...and batch release. Support batch record review and Certificate of Analysis (COA) /... ...compliance and documentation accuracy. Utilize databases to perform transactions and verify...Flexible hoursShift work
$79.26k - $101.15k
...Schedule Available. Annual Salary Ranges: Quality Assurance Specialist I $79,255.55 - $101,152.37; Quality... ...cycle; selects appropriate records, reviews and inspects client records to ensure... ...s degree, Ph.D., or Registered Nurse (RN) credential with coursework in behavioral...Local areaRelocation package$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,...For contractorsLocal area- ...medical/laboratory findings. Reviews informed consent forms for plasmapheresis... ...with SOP. Understands and utilizes donor center’s donor... ...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
$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- ...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... ...communication. Ability to utilize personal protective equipment...Full timeTemporary workWork at officeImmediate startFlexible hoursShift workWeekend workAfternoon shift
$2,125 per week
...Registered Nurse (RN) | Medical-Surgical Location: West Covina, CA Agency: Atlas MedStaff Pay: $2,125 per week Shift... ...Great Recruiters. Both of those recognitions are fueled by real reviews by real travel nurses and allied healthcare professionals that...Hourly payFull timeContract workWork at officeRemote workShift workWeekend work$105k - $150k
...Quality Assurance Specialist will support the Safety and Mission Assurance Services II (SMAS II) contract via a Resident Management Office, (VACCO) located in El Monte, CA. RESPONSIBILITIES Perform Quality Assurance Specialist (QAS) inspection functions for space flight...Full timeContract workWork experience placementWork at officeFlexible 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... ...in need of correction.Quality Assurance:Prints... ...school of nursingCurrent CA RN licenseAt least 3 years...Work at officeDay shift- ...year history of providing quality healthcare to the... ...Certifications 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... ...facility services to assure that the department and...Full timeWork experience placementWork at officeDay shift
- ...RN - Nurse Lead, ER, Night Shift, Full Time 10 DAYS... ...history of providing quality healthcare to the community... ...of the most effective utilization of skills and abilities... ...for meals and breaks. Reviews and takes action on... ...with facility services to assure that the department and...Full timeWork experience placementWork at officeNight shift
$35 - $40 per hour
...members on an outpatient basis to assure the appropriate level of care... ...healthcare team (concurrent review, pre-authorization, PCP/SPC,... ...for LVN's $35-40.00 per hour; RN's $45 - $50 per hour; however,... ...experience preferred. ~2-3 years of utilization or HMO experience preferred....Hourly payFull timeCasual workRelocation packageFlexible hours$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- ...and has been offering quality and affordable health... ...instructors to teach RN students in multiple disciplines... ...Educational Nurse Specialist and others on content... ...in the conduct and utilization of nursing research.Evaluation... ...for them.Regularly reviews data that may reveal...Full timeTemporary workPart timeWork experience placementImmediate startShift work
- ...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
$79.26k - $111.65k
Tri-City Mental Health Authority is seeking a Quality Assurance Specialist I or II to join their Best Practices Department in Pomona, California. This role involves implementing quality assurance audits, compliance monitoring, and training programs as per the established...- ...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
$123.93k - $160.38k
Gilead Sciences Inc. in California is seeking a Senior Quality Assurance Specialist to manage batch record reviews and ensure compliance with regulatory requirements. Candidates should have at least 6 years of experience in Quality Assurance, with experience in parenteral...- ...healthcare company in the U.S. with an immediate option for this RN position in San Dimas, CA. Sign-up here to submit your... ...facility State CA City San Dimas Check Out These Reviews FROM REAL HOST HEALTHCARE TRAVELERS: "Host is the best travel...Daily paidContract workImmediate startShift work
$46 - $50 per hour
...dedicated and compassionate Registered Nurse (RN) to join our healthcare team. 8-hr shifts... ...will play a vital role in providing high‑quality general/psychiatric nursing care to... ...Demonstrates sound leadership skills and utilizes these skills in organizing the activities...Daily paidAll shiftsShift workNight shiftWeekend work1 day per week- ...insurance Paid time off Registered Nurse (RN) – Home Health (In-Office) Location:... ...clinical operations, ensuring quality assurance compliance, coordinating supplies, and assisting... ...Responsibilities Clinical Support Review and process home health clinical...Full timeWork at officeMonday to Friday
$49 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...Daily paidFull timePart timeLocal areaShift work$48.97 - $74.88 per hour
...in the country.# **Job Summary**The Staff RN is a professional caregiver who assumes... ...ante partum population. 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 biophysical...Full timeNight 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 # Current and valid state RN License.2. Current BLS certificate upon...Full timePart timeLocal areaShift workNight shift
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