• Utilization Management Analyst, Denials Analysis

    Minnesota Visiting Nurse Agency (Minneapolis, MN)
    …bridges clinical and revenue cycle operations by evaluating payer denials, coordinating peer -to- peer reviews, and working closely with physician advisors, case ... supporting a denials prevention program * Collaborate with UM staff to review for medical necessity and authorization-related denials to determine appeal potential… more
    Minnesota Visiting Nurse Agency (08/28/25)
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  • Regulatory Readiness Coordinator - RN V

    State of Massachusetts (Boston, MA)
    …and applicable state and federal laws, including HIPAA and confidential peer review regulations./*__*/ /*_Schedule:_*//**/ Monday - Friday 8:00AM-4:30PM ... join our team under the direction of the Chief Quality Officer. In this critical role, you will lead...for TJC Accreditation and CMS Condition of Participation. * Review incidents and compliance/risk calls; conduct risk investigations and… more
    State of Massachusetts (08/23/25)
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  • Ops Advanced Practice RN Specialist - 1 1 1 1 1 1

    MyFlorida (Clearwater, FL)
    …and accurate manner. + Completes training to promote professional growth. + Participates in peer review and provider, team, and other meetings as assigned + ... Specific Responsibilities: This position is an Advanced Practice Registered Nurse who will provide health care services to the...all UDS measures, clinical standards and selected goals for quality of care. + Provides excellent customer service. +… more
    MyFlorida (09/17/25)
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  • Physician - Surgery Specialty Care Integrated…

    Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
    …mortality and morbidity review conferences. Collaborating with the facility surgical quality nurse to ensure the validity of surgical data entered into ... operating room. Coordinating ongoing functions of the facility surgical quality nurse , including timely VA Surgical ...to Process Improvement Action Teams, Root Cause Analysis, and Peer Review . Exhibits leadership in initiating change… more
    Veterans Affairs, Veterans Health Administration (08/23/25)
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  • Emergency Veterinary Nursing Supervisor, UVES

    Ethos Veterinary Health (Greenville, SC)
    …platform with RACE approved CE + Recover CPR certification initiatives + Ethos Peer -to- Peer Mentorship Networks for continued LVT growth and aspiring VTS team ... performance management, and strategic planning to enhance department efficiency and care quality . Position Responsibilities include but are not limited to: + Oversee… more
    Ethos Veterinary Health (09/12/25)
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  • Case Manager (RN) | Case Management & Social Work

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Case Manager (CM) position is a registered nurse (RN) responsible for comprehensively planning for case management, which includes care ... interprofessional health care team to facilitate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The CM position… more
    Houston Methodist (08/30/25)
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  • Advanced Practice Provider (NP/PA/APP)…

    University of Virginia (Charlottesville, VA)
    …and medical students), interns, and residents, as appropriate. * Participates in group, peer and other review activities as requested. * Prepares and attends ... for which a motivated APP will have robust opportunities in research and Quality Improvement. The position offers the opportunity to bill for evaluation and… more
    University of Virginia (06/27/25)
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  • Primary Care Physician (PCP)

    STG International (Corona, CA)
    …patient safety. *Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... in the orientation of clinical staff physicians, physician assistants and nurse practitioners. *Provide leadership to CBOC clinicians. *Evaluate the effectiveness of… more
    STG International (09/17/25)
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  • Primary Care Physician (PCP) - PRN

    STG International (Springville, NY)
    …safety. * Participates in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. * Provide leadership to CBOC clinicians. * Evaluate the… more
    STG International (09/14/25)
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  • Physician - PRN

    STG International (Watertown, NY)
    …safety. + Participate in quality improvement, care management, risk management, peer review , utilization review , clinical outcomes, and health ... Participate in the orientation of clinical staff physicians, physician assistants and nurse practitioners. + Provide leadership to CBOC clinicians. + Evaluate the… more
    STG International (08/08/25)
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