Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

QAPI Clinical Review RN - Hybrid Quality & Compliance

UnitedHealth Group

UnitedHealth Group in Nevada seeks a Clinical Review QAPI RN to support quality initiatives through comprehensive medical record review, OASIS data integrity, and ICD-10 coding accuracy across the network, with a hybrid schedule (3 days in office). You will collaborate with clinical staff and leadership to ensure regulatory compliance and improve patient care outcomes. The role emphasizes implementing agency-wide QAPI programs, preparing reports, and educating physicians, nurses and staff on #J-18808-Ljbffr UnitedHealth Group

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the QAPI Clinical Review RN - Hybrid Quality & Compliance in Las Vegas, NV vacancy
  • $72.8k - $130k

     ...for external candidates! The Clinical Review QAPI RN plays a critical role in supporting healthcare quality initiatives through...  ...and supporting processes and compliance with state and federal regulation...  ...This role will also have a hybrid schedule working 3 days in office... 
    Suggested
    Minimum wage
    Permanent employment
    Full time
    Temporary work
    Work experience placement
    Work at office
    Local area
    Relocation package

    UnitedHealth Group

    Enterprise, NV
    7 hours ago
  • Optum is hiring a QAPI Clinical Review RN in Nevada to support healthcare quality initiatives through comprehensive medical record...  ...care outcomes and maintain compliance with state and federal regulations. The position offers a hybrid schedule (3 days in office, 2 days... 
    Suggested
    Work at office
    Remote work
    Relocation package

    Optum

    Las Vegas, NV
    2 days ago
  • $43 - $63 per hour

     ...Description The Utilization Review Nurse plays a key role...  ...utilization, and compliance with third-party payer...  ...medical records, assessing clinical documentation, and...  ...management teams to support quality standards and...  ...Improvement Active Nevada RN license required Minimum... 
    Suggested
    Relocation package

    Lancesoft INC

    Las Vegas, NV
    6 days ago
  • $42 - $65 per hour

     ...Job Description Utilization Review Nurse Location: Las Vegas,...  ...appropriate resource utilization, and compliance with payer and regulatory...  ...of Nursing. ~ Current RN license in the applicable state...  ...Management, Case Management, or Clinical Documentation Improvement experience... 
    Suggested
    Full time
    Relocation package

    Lancesoft INC

    Las Vegas, NV
    6 days ago
  •  ...rewarding work environment Job Description: To achieve quality healthcare outcomes by establishing a safe,...  ...Experience: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management... 
    Suggested
    Full time
    Local area

    Shea Online

    Las Vegas, NV
    2 days ago
  • $50 per hour

     ...RN Med-Surg Clinical Instructor - Marsha Fuerst School of Nursing - Las Vegas Salary Range $50....  ...health education, and has been offering quality and affordable health care training programs...  ...design protocol and via submission for review and approval. # Identify textbooks... 
    Hourly pay
    Temporary work
    Work at office

    Success Education Colleges

    Las Vegas, NV
    5 days ago
  •  ...rewarding work environment Job Description To achieve quality healthcare outcomes by establishing a safe,...  ...Experience: A minimum three years experience in varied clinical settings. Two years experience in Utilization Review, Utilization Management or Case Management... 
    Full time
    Local area

    American Geriatrics Society

    Las Vegas, NV
    2 days ago
  • The Hospital Clinical Educator is responsible for direction...  ...to ensure training compliance with Joint Commission standards...  ...competencies. Reviews, revises and creates clinical...  ...all clinical staff (RN, LVN, CNA, etc.)...  ...the hospital to promote quality patient care and safety... 
    Temporary work
    Flexible hours

    PAM Health Specialty Hospital of Las Vegas

    Las Vegas, NV
    3 days ago
  •  ...RN Manager Clinical Operations Cleveland Clinic Nevada specializes in collaborative care, providing...  ...effort. Recommends changes to improve quality of care. Participate in departments...  ...Health Care Administration: Please review the Equal Employment Opportunity poster... 
    Monday to Friday

    Cleveland Clinic

    Las Vegas, NV
    1 day ago
  • $65 per hour

     ...nurses in Las Vegas, NV, to assist in training AI models. You will review AI responses, rate their accuracy and safety, and write...  ...learning. Candidates must be verified registered nurses, have recent clinical experience, and possess strong attention to detail. This role... 
    Hourly pay
    Self employment
    Work from home
    Flexible hours

    Prolific

    Las Vegas, NV
    5 days ago
  • $37.45 - $57.29 per hour

     ...Full Time, RN Position Covering 2 Urology Clinic locations opening at Mountain View and Town Center this fall. The Registered Nurse (RN) is a professional...  ...of care with other health team members. Scope Reviews and monitors therapy and treatment plans. Documents... 
    Hourly pay
    Full time
    Shift work

    Intermountain Healthcare

    Las Vegas, NV
    4 days ago
  • $54k - $84k

     ...Description Job Description Clinical Manager – Care (Case)...  ...utilization management, regulatory compliance, and improved patient...  ...care coordination, utilization reviews, authorizations, denials, and...  ...policies. Qualifications ~ RN license and BLS certification... 
    Full time

    Lancesoft INC

    Las Vegas, NV
    a month ago
  •  ...Direct Hire – Utilization Review NurseThis is an onsite...  ...Review Nurse (RN) to review patient admissions...  ...appropriate level of care, and compliance with payer guidelines....  ...works closely with clinical teams to ensure...  ...resource utilization and quality patient outcomes.ResponsibilitiesReview... 

    Fusion HCR

    Las Vegas, NV
    3 days ago
  •  ...Registered Nurse) American Heart Association BLS Preferred Outpatient clinic experience Knowledge of electronic health record operating...  ...health and a safe environment Systematically enhances the quality and effectiveness of nursing practice Attains knowledge and competency... 
    Contract work
    Flexible hours
    Shift work
    Day shift

    Bozeman Health

    Las Vegas, NV
    2 days ago
  • $15k

     ...About the job Utilization Review Nurse Sign on bonus may apply up to $15,000...  ...efficiency of resource utilization and compliance with third party payer requirements. Duties...  ...nursing and five (5) years of acute hospital clinical nursing experience, one (1) year of... 
    Work at office
    Relocation package
    Shift work
    Weekend work

    Global Force

    Las Vegas, NV
    5 days ago
  •  ...We are seeking a skilled and experienced RN/NP Injector to join our growing team at a...  ...and medical standards. Maintain strict compliance with health and safety protocols, including...  ..., nurses, aestheticians, and other non-clinical staff to provide cohesive client care. Build... 
    Daily paid
    For contractors
    Work at office
    Local area

    nursiecosmeticsbeauty

    Las Vegas, NV
    2 days ago
  •  ...Clinical Supervisor Emergency Department Lead a fast-paced Emergency Department as a...  ...support safe staffing, and ensure high-quality care for a diverse patient population. The...  ...quality initiatives, maintaining regulatory compliance, and fostering a culture of teamwork and... 
    Shift work
    Night shift

    Clinical Management Consultants

    Las Vegas, NV
    1 day ago
  •  ...Description – Utilization Review Nurse Position...  ...care. This role evaluates clinical documentation against...  ...appropriateness of care, and compliance with payer guidelines....  ...while supporting quality patient care and organizational...  ...Registered Nurse (RN) license in the State... 
    Full time
    Casual work
    Work at office
    Shift work

    Lancesoft INC

    Las Vegas, NV
    6 days ago
  • $15k

     ...Description Job Description The Utilization Review Nurse plays a critical role in...  ...with case management teams to support compliance and quality standards within acute care settings....  ...with payer guidelines Analyze clinical documentation to verify appropriate resource... 
    Relocation package

    Lancesoft INC

    Las Vegas, NV
    6 days ago
  • $41.2 - $62.17 per hour

    Hybrid Work Nevada Central Office Full time R181841 Job Description: The RN Ambulatory Care Manager I delivers comprehensive...  ...patients. Leveraging clinical expertise, this role...  ..., medical record review, payor models,...  ...the patient receives quality and timely care and resolves... 
    Hourly pay
    Full time
    Work at office
    Monday to Friday
    Shift work

    Intermountain Health

    Las Vegas, NV
    2 days ago
  • Intermountain Health in Las Vegas, NV, invites applications for an RN Ambulatory Care Manager I. This role delivers comprehensive...  ...conducts screenings, and develops patient-centered care plans across clinics and post-acute settings. You will collaborate with care teams,... 

    Intermountain Health

    Las Vegas, NV
    2 days ago
  • $40 - $63 per hour

     ...Description Job Description Utilization Review Nurse (RN) Las Vegas, NV | Full-Time Salary...  ...appropriate resource utilization, and compliance with payer guidelines. Analyzes...  ...records to ensure care meets established clinical and regulatory standards.... 
    Full time
    Work at office
    Shift work
    Weekend work

    Access Healthcare Staffing & Recruitment

    Las Vegas, NV
    27 days ago
  • $63 per hour

     ...Job Description Title: Utilization Review Nurse (RN) Department: Case Management Job...  ...Efficient resource utilization Compliance with insurance/payer requirements Main...  ...Experience Required: ~5 years acute-care clinical RN experience ~ Minimum 1 year in:... 
    Hourly pay
    Full time

    Lancesoft INC

    Las Vegas, NV
    more than 2 months ago
  •  ...We are hiring!! Position: Utilization Review Nurse Location: Las Vegas, NV **This...  ...efficiency of resource utilization and compliance with third party payer requirements. Duties...  ...and five (5) years of acute hospital clinical nursing experience, one (1) year of which... 
    Full time
    Relocation
    Relocation package

    Global Force USA

    Las Vegas, NV
    a month ago
  •  ...Adjunct Clinical Nursing Faculty Position Grand Canyon University has an opening for Adjunct...  ...field of nursing practice Maintain compliance with requirements for program...  ...An active, current, and unencumbered RN license in the state of Nevada Must successfully... 
    Work experience placement
    Relief

    Grand Canyon Education, Inc.

    Las Vegas, NV
    2 days ago
  • $72.8k - $130k

     ...Clinic Case Manager $10,000 Sign-on Bonus for External Candidates...  ...families to ensure a maximum quality of life. Interacts and collaborates...  ...duties within the scope of a RN license of the applicable...  ...board of nursing. Ensures compliance to contractual and service standards... 
    Minimum wage
    Full time
    Work experience placement
    Second job
    Local area
    Relocation package

    Reliant Medical Group

    Las Vegas, NV
    5 days ago
  • $110.24k - $181.9k

     ...established evidence-based clinical practice standards. The...  ...Investigational Review Board approval for treatment...  .... Maintains compliance with established University...  ...policies and procedures, quality assurance, safety, environmental...  ...as a Registered Nurse (RN) Req Nurse... 
    Full time
    Work experience placement
    Work at office
    Local area
    Rotating shift

    University of Southern California (USC)

    Las Vegas, NV
    4 days ago
  •  ...Participates in the Hospice’s QAPI program. Promotes the Hospice’...  ...experience as a Registered Nurse in a clinical care setting and one (1) year...  ...Electronic Health Record, and review, assess, record or type data...  ...resources needed to provide quality patient care. Ability to... 
    Full time
    Relief
    Work at office
    Flexible hours

    Infinity Hospice Care Las Vegas

    Las Vegas, NV
    1 hour ago
  •  ...Qualifications Must be a graduate of an approved school of clinical education. Must be licensed in the state where they...  ...Experience as a licensed professional may be deferred with a review and approval from the regional vice president or regional director... 
    Full time
    Flexible hours

    Enhabit Home Health & Hospice

    Las Vegas, NV
    3 days ago
  • $50 - $56 per hour

     ...candidates with recent L&D experience . The RN will provide specialized care to laboring...  ...procedures, and collaborate with the clinical team to ensure safe maternal and neonatal...  ...this local W2 L&D assignment and reviewing qualified candidates now. Equal Employment... 
    Hourly pay
    For contractors
    Local area
    Flexible hours
    Shift work
    Night shift
    Weekend work

    ATC Healthcare

    Las Vegas, NV
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to QAPI Clinical Review RN - Hybrid Quality & Compliance. Be the first to apply!