• Quality Management Clinical Nurse…

    UCLA Health (Los Angeles, CA)
    Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards ... involves evaluation clinical practices, identifying areas for improvement, and implementing quality improvement initiatives to enhance patient care and safety. In… more
    UCLA Health (07/14/25)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333) Apply  UTILIZATION REVIEW NURSE ... regarding County employee benefits. DHS is seeking dedicated Utilization Review Nurse Supervisors to join our team....Determines need for and conducts in-service training to improve quality of admission and continued stay reviews, and to… more
    The County of Los Angeles (05/22/25)
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  • Utilization Review Nurse (40 Hour)

    State of Connecticut, Department of Administrative Services (New Haven, CT)
    Utilization Review Nurse (40 Hour) Office/On-Site Recruitment # 250715-5612FP-001 Location New Haven, CT Date Opened 7/22/2025 12:00:00 AM Salary $78,480 - ... is seeking a highly motivated and compassionate U tilization Review Nurse (https://www.jobapscloud.com/CT/specs/classspecdisplay.asp?ClassNumber=5612FP&R1=&R3=) to join our team!… more
    State of Connecticut, Department of Administrative Services (07/23/25)
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  • Utilization Review Nurse Supervisor…

    The County of Los Angeles (Los Angeles, CA)
    UTILIZATION REVIEW NURSE SUPERVISOR II Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/2784979) Apply  UTILIZATION REVIEW NURSE ... performance of subordinate supervisors and reviews their evaluations of Utilization Review Nurses; counsels subordinates on their performance . + Develops… more
    The County of Los Angeles (06/28/25)
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  • Utilization Review Nurse…

    Houston Methodist (Houston, TX)
    At Houston Methodist, the Utilization Review Nurse (URN) position is a licensed registered nurse (RN) who comprehensively conducts point of entry and ... concurrent medical record review for medical necessity and level of care using...resolve progression-of-care barriers through appropriate administrative and medical channels. ** QUALITY /SAFETY ESSENTIAL FUNCTIONS** + Participates in quality … more
    Houston Methodist (05/20/25)
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  • Utilization Review Nurse

    CDPHP (Albany, NY)
    …these values and invites you to be a part of that experience. The Utilization Review (UR) Nurse is responsible for the clinical review and documentation ... physician-founded, member-focused, and community-based not-for-profit health plan that offers high- quality affordable health insurance to members throughout New York.… more
    CDPHP (07/23/25)
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  • Quality and Safety Chief Nurse…

    Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
    …for planning, designing, integrating, implementing, modifying, and administering a Quality and Performance Management Program which assesses, evaluates, ... package: VA Nurse Total Rewards The Chief Nurse for Quality and Safety reports directly...but are not limited to: Oversees the facility overall performance and quality programs to assure they… more
    Veterans Affairs, Veterans Health Administration (07/24/25)
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  • Registered Nurse (Chief Quality…

    Veterans Affairs, Veterans Health Administration (Fort Harrison, MT)
    Summary The Registered Nurse (RN) Chief Quality and Patient Safety executes leadership that is characterized by substantial and continuous responsibility and ... quality care that is consistent with external benchmarks. Leads performance improvement initiatives by identifying quality metrics, trending data,… more
    Veterans Affairs, Veterans Health Administration (07/22/25)
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  • Utilization Management Review Nurse

    AmeriHealth Caritas (LA)
    …Medicaid industry standards. + Maintain productivity and efficiency by meeting established performance metrics, turnaround times, and quality standards in a ... When necessary, cases are escalated to the Medical Director for further review . The reviewer independently applies medical and behavioral health guidelines to… more
    AmeriHealth Caritas (06/25/25)
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  • Utilization Management Review Nurse

    AmeriHealth Caritas (Washington, DC)
    …Medicaid industry standards + Maintain productivity and efficiency by meeting established performance metrics, turnaround times, and quality standards in a ... When necessary, cases are escalated to the Medical Director for further review . The reviewer independently applies medical and behavioral health guidelines to… more
    AmeriHealth Caritas (06/03/25)
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