- CVS Health (Frankfort, KY)
- …through integration. + Through the use of clinical tools and information/data review , conducts comprehensive assessments of member's needs and recommends an approach ... meeting needs in alignment with their benefit plan and available internal and external programs and services. + Applies clinical judgment to the incorporation of… more
- Henry Ford Health System (Jackson, MI)
- …between levels of care, including communicating specific patient needs to internal and external team members - Perform other related duties as required to assure ... side effects, and proper administration 3. Ability to maintain quality , safety, and/or infection control standards 4. Ability to...of a PA training program accredited by the Accreditation Review Commission on Education for the PA (ARC-PA) 2.… more
- UTMB Health (Webster, TX)
- Utilization Review Case Mgr CMC- Clear Lake Center **Webster, Texas, United States** **New** Nursing & Care Management UTMB Health Requisition # 2505026 The mission ... (inpatient, outpatient, emergency and infirmary care) with the goal of enhancing quality clinical outcomes, promoting timely access to medical care, and managing… more
- Wolters Kluwer (Colonie, NY)
- …& ReView Manager/Senior Clinical Content Specialists to plan and deliver high quality NCLEX Review services by identifying and assessing client needs and ... preparation for the NCLEX. You will work cross-functionally with internal and external stakeholders to provide updates to NCLEX products and coordinate efforts with… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …mentorship, _development,_ and leadership programs + And more **Description** The **Utilization Review (UR) Specialist** is a Registered Nurse responsible for ... to the provider team, Interdisciplinary Care Team, and patient to explain external UR regulations. + Provides effective and efficient proactive communication to… more
- Virtua Health (Pennsauken, NJ)
- …over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques ... by US News and World Report, we've received multiple awards for quality , safety, and outstanding work environment.In addition to five hospitals, seven emergency… more
- Surgery Care Affiliates (AL)
- …and accreditation programs and processes, including general oversight of required reporting of quality data to external agencies. In addition, works closely with ... regulatory agencies: + Network and build relationships with internal and external resources regarding quality , accreditation, and regulatory opportunities +… more
- Centene Corporation (Columbus, OH)
- …in Health Care Quality and Management (CHCQM) by the American Board of Quality Assurance and Utilization Review Providers prior to employment or within six ... in Health Care Quality and Management (CHCQM) by the American Board of Quality Assurance and Utilization Review Providers prior to employment or within six… more
- Surgery Care Affiliates (Wilsonville, OR)
- …Record Audit reports; Monthly or quarterly data collection from ongoing systematic chart review to assess quality of documentation. + Infection Control reports + ... on high risk, problem prone procedures as appropriate. + Review and revision of the PI Plan on an...Nurse Education, vocational training, and experience: + Registered Nurse with training and experience in quality /performance… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Transplant Quality Coordinator position a registered nurse , responsible for working collaboratively with medical/surgical staff, ... center. + Maintains ongoing clinical data in support of assessment and improvement of quality of care. Prepares internal or external clinical data requests. +… more