RN: Utilization, Quality & Peer Review Lead
careers-centralhealth
careers-centralhealth seeks a Clinical Quality and Utilization Review Specialist to oversee utilization management and peer review. You will coordinate reviews, ensure medical necessity, and lead quality improvement initiatives across inpatient and outpatient settings, collaborating with physicians, APPs, and interdisciplinary teams. The role also involves preparing reports, directing RCA activities, and ensuring compliance with bylaws, policies, and accreditation standards. #J-18808-Ljbffr careers-centralhealth
Vacancy posted 4 days ago
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...position that involves managing admissions and conducting patient reviews in accordance with established regulations. The role... ...California, ideally including a BSN. Experienced candidates in Utilization/Quality/Case Management will thrive in this supportive environment....QualityHourly pay- ...supervision of the Director of Utilization Management, the Clinical Quality and Utilization Review Specialist performs a... ...management and peer review. This position is... ...oversight. In parallel, the RN coordinates peer review... ...action plans. Lead or support quality improvement...QualityWork experience placementWork at office
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...winning team of dedicated professionals committed to compassion, quality, and service! Job Description Responsible for the quality... ...perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service...QualityFull timePart timeWork experience placementLocal areaShift work- ...Nurse Director of Case Management Utilization Review —ignite an impact-driven leadership career in a high-acuity Southern California hospital... ...join an organization consistently recognized by national quality benchmarks for patient safety, clinical effectiveness, and experience...QualityFull timeRelocation packageWeekend work
Clinical Management Consultants
Venice, CAa month ago $3,499 per week
...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare Pay: $3,499 per week Shift Information... ...and dedication are valued and make a real impact. We are a leading healthcare staffing provider, specializing in connecting...Hourly payWeekly payFull timeContract workImmediate startShift workWeekend workTravelNurseSource
Los Angeles, CA1 day ago$3,499 per week
...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare Pay: $3,499 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position **Job Title:...Full timeContract workLocal areaImmediate startShift workDay shiftGQR Healthcare
Los Angeles, CA1 day ago$3,499 per week
...Registered Nurse (RN) | Utilization Review Location: Los Angeles, CA Agency: GQR Healthcare Pay: $3,499 per week Shift Information: Days - 5 days x 8 hours Contract Duration: 13 Weeks Start Date: ASAP About the Position Contract - W...Hourly payWeekly payFull timeContract workImmediate startShift workWeekend workGQR Healthcare
Los Angeles, CA1 day ago- ...Manages the day-to-day operations of the Utilization Management Program in the Service Area... ...Medical Center. Ensures cost effective and quality patient care by appropriate utilization... ...to staff regarding utilization review, care coordination, discharge planning,...QualityLocal area
- Cedars-Sinai in Los Angeles is seeking a Registered Nurse for Utilization Review Case Manager to drive optimal patient care. You will chart... ...determine admission necessity and length of stay, while upholding high quality and patient happiness. #J-18808-Ljbffr Cedars-SinaiQuality
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Compunnel
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Martin Luther King Jr. Community Hospital
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Martin Luther King, Jr. Community Hospital
Los Angeles, CA4 days ago
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