• Quality Assurance Nurse

    Sunnyside Nursing and Post-Acute Care (Torrance, CA)
    …and presentations. + Monitoring State and regulatory survey compliance. + Investigating Quality Assurance issues related to grievances coming from residents, ... compliant with the regulatory guidance + Management of (QASP) quality assurance surveillance plan - review the...findings by providing education as needed + Regulatory Compliance Nurse - assist in reviewing, updating, and/or revising the… more
    Sunnyside Nursing and Post-Acute Care (09/04/25)
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  • RN - Quality Assurance /Utilization…

    Emanate Health (Covina, CA)
    …ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by applying clinical ... Minimum of three years of utilization management experience. Experience in quality - related job preferred. Computer proficiency is required. Excellent customer… more
    Emanate Health (09/06/25)
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  • Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …two (2) years of full-time experience in Case Management, Disease Management, Quality Assurance , HEDIS and/or Utilization Review. NECESSARY SPECIAL REQUIREMENTS ... + Certified in Case Management, CCM. + Experience with Utilization Management and/or Quality Assurance in a Managed Health Care Plan. + Experience working… more
    Ventura County (11/07/25)
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  • Clinical Nurse V

    Alameda Health System (Oakland, CA)
    …accrediting agencies. Monitors the regularity of programs providing for infection control, quality assurance , continuity of care, teaching of patients, and ... Clinical Nurse V + Oakland, CA + Highland General...and implementation of patient care and documentation standards and quality assurance program criteria and monitors the… more
    Alameda Health System (11/17/25)
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  • Physician Assistant/ Nurse Practitioner…

    Alameda Health System (Oakland, CA)
    …findings. 6. Provides and evaluates patient care according to protocol's and quality assurance program criteria. 7. Teaches patients, families and staff; ... Physician Assistant/ Nurse Practitioner (PA/NP) - Highland Hospital, Oakland, CA...Physician Assistant issued by the California Board of Medical Quality Assurance . + A valid Drug Enforcement… more
    Alameda Health System (10/10/25)
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  • LVN UM Delegation Oversight Nurse Remote…

    Molina Healthcare (Long Beach, CA)
    …for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), ... as necessary to comply with state, federal and National Committee for Quality Assurance (NCQA) guidelines, and other applicable requirements. * Distributes… more
    Molina Healthcare (11/21/25)
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  • Physician Assistant/ Nurse Practitioner…

    Alameda Health System (Oakland, CA)
    …findings. 6. Provides and evaluates patient care according to protocol's and quality assurance program criteria. 7. Teaches patients, families and staff; ... Physician Assistant/ Nurse Practitioner (PA/NP) - Trauma - Highland Hospital...of care to all patients, Alameda Health System delivers high- quality , accessible care to our community's most vulnerable patients.… more
    Alameda Health System (11/21/25)
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  • Physician Assistant/ Nurse Practitioner…

    Alameda Health System (Oakland, CA)
    …findings. 6. Provides and evaluates patient care according to protocol's and quality assurance program criteria. 7. Teaches patients, families and staff; ... Physician Assistant/ Nurse Practitioner (PA/NP) - Eastmont Wellness Center -...Physician Assistant issued by the California Board of Medical Quality Assurance . _PAY RANGE: $121.15 - $134.60/HR_… more
    Alameda Health System (11/07/25)
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  • LVN UM Delegation Oversight Nurse Remote in

    Molina Healthcare (Los Angeles, CA)
    …for overseeing delegated activities to ensure compliance with National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), ... JOB DESCRIPTION **Job Summary** The Delegation Oversight Nurse provides support for delegation oversight quality...to comply with state, federal and National Committee for Quality Assurance (NCQA) guidelines, and other applicable… more
    Molina Healthcare (11/23/25)
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  • Registered Nurse II - Hematology Oncology…

    Ventura County (Ventura, CA)
    …patient and staff education in an ambulatory care setting; committee participation; quality assurance monitoring; and provides statistical data information; may ... Registered Nurse II - Hematology Oncology (Regular & Per...care as indicated and required. + May participate in quality assurance /utilization review or other non-direct patient… more
    Ventura County (11/19/25)
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