• Quality Improvement Spec - RN…

    Guthrie (Sayre, PA)
    Position Summary: The Quality Improvement Specialist-Registered Nurse (QIS-RN) supports the administration of The Guthrie Clinic's Nursing Quality ... or in a healthcare setting preferred. + Demonstrated execution of quality improvement projects specifically relevant to improvements that addressed … more
    Guthrie (05/21/25)
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  • Revenue Cycle Management Quality Assurance…

    Genesis Healthcare (PA)
    …communities we serve. Responsibilities The Manager of Revenue Cycle Management Quality Assurance/Performance Improvement is responsible for supporting and ... in development of RCM business processes that promote continuous improvement and quality results throughout the revenue...degree with a minimum of 5 years experience in nursing home bookkeeping. 2. Bachelor's degree is preferred. 3.… more
    Genesis Healthcare (06/13/25)
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  • Improvement Specialist OB Units

    UPMC (Pittsburgh, PA)
    …our team.** **What can you Expect as an Improvement Specialist?** The Improvement Specialist supports quality improvement initiatives to achieve the ... outcomes and assist in developing, implementing, and evaluating performance improvement projects. **Responsibilities:** + Skills to understand and interpret data… more
    UPMC (06/11/25)
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  • Registered Nurse - Quality Assurance

    Trinity Health (Philadelphia, PA)
    …experienced **Registered Nurse - Quality Assurance** to join our Quality Improvement team. This role supports hospital-wide performance improvement ... performance improvement programs under the Director of Quality Improvement + Conduct medical record reviews...annual reviews **Minimum Qualifications:** + Bachelor of Science in Nursing (BSN) required + Active RN license in the… more
    Trinity Health (07/25/25)
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  • Quality Data Quality and Informatics…

    The Cigna Group (Philadelphia, PA)
    …Serve as point of contact for potential incoming projects specific to clinical quality improvement that will impact resources; work with appropriate matrix ... trends, learning sessions, etc. + **Management:** Directs all operations relative to Clinical Quality Improvement to assure that Cigna operates in an environment… more
    The Cigna Group (07/30/25)
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  • Director, Clinical Quality

    Evolent (Harrisburg, PA)
    …Director, Clinical Quality is a pivotal role, spearheading continuous clinical quality improvement initiatives and managing high-priority quality ... analytics, partner operations, strategic accounts, and leadership to ensure alignment on quality improvement priorities and goals. o Synthesize and present… more
    Evolent (06/05/25)
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  • Quality Management Coordinator

    Highmark Health (Pittsburgh, PA)
    …Collect and present accurate and timely data to display the results of quality improvement efforts. + Through continual assessment of internal and external ... environments, contribute to the establishment and prioritization of quality improvement activities. + Consult with essential stakeholders as appropriate to… more
    Highmark Health (08/01/25)
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  • RN - Registered Nurse Clinical…

    Geisinger (Danville, PA)
    …of training tools for all staff and other employees in regard to quality documentation and coding improvement and further communicates the ongoing improvements ... (Required), Bachelor's Degree- Nursing (Preferred) Experience Minimum of 3 years- Nursing (Required) Certification(s) and License(s) Licensed Registered Nurse … more
    Geisinger (06/11/25)
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  • Quality Management Clinician

    UPMC (Media, PA)
    …to product and participating providers. + Responsible for preparing monthly and quarterly quality improvement reports to the Board. + Responsible for specified ... Quality Management Clinician is responsible for performing functions related to quality management and improvement in compliance with NCQA, HEDIS, URAC, and… more
    UPMC (07/17/25)
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  • Quality Clinical Reviewer…

    Magellan Health Services (Somerset, PA)
    …data following established procedures and analyzes findings for purposes of continuous quality improvement and for internal and external reporting. Interacts ... bachelor's degree and RN licensure. Experience working with total quality improvement or a behavioral healthcare background...of Education and Work Experience May Be Considered. - Nursing , Bachelor's - Nursing , Master's - Behavioral… more
    Magellan Health Services (07/22/25)
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