• RN - Quality Assurance /Utilization…

    Emanate Health (Covina, CA)
    …and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by ... using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity and… more
    Emanate Health (12/06/25)
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  • Sr Specialist | PI - Quality & Safety…

    Sharp HealthCare (San Diego, CA)
    …data collection as well as analyzing, interpreting and presenting clinical quality -related data. + Previous case review experience. **Preferred Qualifications** ... Master's Degree; Bachelor's Degree in Nursing; Certified Professional in Healthcare Quality (CPHQ) - National Association for Healthcare Quality ; Certified… more
    Sharp HealthCare (12/14/25)
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  • Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …including two (2) years of full-time experience in Case Management, Disease Management, Quality Assurance , HEDIS and/or Utilization Review . NECESSARY SPECIAL ... Describe your full-time registered nursing experience with case management, disease management, quality assurance , and/or utilization review . In your… more
    Ventura County (12/07/25)
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  • Nurse Practitioner - Correctional Health

    The County of Los Angeles (Los Angeles, CA)
    …casting. + Evaluates assessment data to define health and developmental problems. + Conducts quality assurance studies of chart documents and the quality ... Please include the exam number and exam title. + Yes + No 08 NURSE PRACTITIONER CANDIDATE ASSESSMENT RATING FORMINSTRUCTIONS Review the four competency areas and… more
    The County of Los Angeles (12/03/25)
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  • Registered Nurse II - Hematology Oncology…

    Ventura County (Ventura, CA)
    …assistance and patient care as indicated and required. + May participate in quality assurance /utilization review or other non-direct patient care nursing ... Registered Nurse II - Hematology Oncology (Regular & Per...staff education in an ambulatory care setting; committee participation; quality assurance monitoring; and provides statistical data… more
    Ventura County (01/10/26)
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  • Wellness Nurse LPN LVN

    Sunrise Senior Living (Carlsbad, CA)
    …communication with resident support services and families, and maintaining clinical quality assurance while leading and demonstrating the Mission for ... part of.** **Job ID** 2026-237293 **JOB OVERVIEW** The Wellness Nurse is responsible for monitoring the health and well-being...medication care managers at the direction of the RCD. ** Quality Assurance and Regulatory Compliance** + Demonstrate… more
    Sunrise Senior Living (01/16/26)
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  • Mental Health Nurse - Hospital

    Ventura County (Ventura, CA)
    …+ Attends department in-services and staff development programs; + May participate in quality assurance /utilization review or other non-direct patient care ... Mental Health Nurse - Hospital Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4964847) Apply  Mental...number of qualified applications to meet business needs. FIRST REVIEW OF APPLICATIONS: July 15, 2025 Examples Of Duties… more
    Ventura County (12/21/25)
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  • Registered Nurse II - Emergency Department…

    Ventura County (Ventura, CA)
    …assistance and patient care as indicated and required. + May participate in quality assurance /utilization review or other non-direct patient care nursing ... Registered Nurse II - Emergency Department (Regular & Per...Nurse will be responsible for providing rapid and high- quality nursing care to patients and to the community… more
    Ventura County (10/31/25)
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  • Registered Nurse II - Pre-op/PACU

    Ventura County (Ventura, CA)
    …attends department in-services and staff development programs; + May participate in quality assurance /utilization review or other non-direct patient care ... Registered Nurse II - Pre-op/PACU Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5088990) Apply  Registered Nurse II - Pre-op/PACU Salary… more
    Ventura County (12/24/25)
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  • Registered Nurse II - ICU/DOU/Telemetry…

    Ventura County (Ventura, CA)
    …assistance and patient care as indicated and required. + May participate in quality assurance /utilization review or other non-direct patient care nursing ... Registered Nurse II - ICU/DOU/Telemetry (Regular & Per Diem)...(Regular & Per Diem) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4887199) Apply  Registered Nurse II - ICU/DOU/Telemetry (Regular & Per Diem) Salary… more
    Ventura County (11/30/25)
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