• UM Prior Authorization Review Nurse

    UCLA Health (Los Angeles, CA)
    Description At UCLA Health, the Utilization Management (UM) Review Nurse plays a vital role in ensuring the delivery of high- quality , evidence-based care. This ... position is responsible for reviewing and evaluating clinical documentation related to prior authorization requests for medical services. The UM Review Nurse more
    UCLA Health (10/03/25)
    - Related Jobs
  • Clinical Review Nurse - Prior

    Centene Corporation (New York, NY)
    …New York to be eligible for consideration. **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate ... benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care. + Performs medical necessity… more
    Centene Corporation (11/27/25)
    - Related Jobs
  • Registered Nurse (RN) - Quality

    Veterans Affairs, Veterans Health Administration (Indianapolis, IN)
    …VAMC Indianapolis, IN within the Quality , Safety Value Service. The Nurse Quality Manager demonstrates leadership, experience, and creative approaches to ... improvement in quality -of-care outcomes. Demonstrates performance and leadership that is broad...Nursing may have opportunity to become registered as a nurse with a state licensing board prior more
    Veterans Affairs, Veterans Health Administration (11/25/25)
    - Related Jobs
  • Registered Nurse (Chief of Quality

    Veterans Affairs, Veterans Health Administration (Leeds, MA)
    Summary This Registered Nurse (Chief of Quality Management) position is located in the Quality and Patient Safety Services at the Leeds, MA location and is a ... You will provide program oversight, coordination and leadership in quality and performance management processes throughout the facility. You...Nursing may have opportunity to become registered as a nurse with a state licensing board prior more
    Veterans Affairs, Veterans Health Administration (11/21/25)
    - Related Jobs
  • Registered Nurse - Quality

    Veterans Affairs, Veterans Health Administration (Colorado Springs, CO)
    Summary The Quality Management (QM) Consultant-Regulatory Compliance Registered Nurse (RN) demonstrates leadership, experience, and creative approaches to ... improvement in quality of-care outcomes. The QM Consultant-Regulatory Compliance demonstrates performance...Nursing may have opportunity to become registered as a nurse with a state licensing board prior more
    Veterans Affairs, Veterans Health Administration (11/21/25)
    - Related Jobs
  • Registered Nurse , Quality

    Veterans Affairs, Veterans Health Administration (Tucson, AZ)
    Summary The Registered Nurse , Quality Management Coordinator will be responsible for providing leadership in the aspects of assessment, measurement, and process ... and coordinate facility-wide accreditation and performance. Responsibilities The Registered Nurse , Quality Management Coordinator is a professional registered… more
    Veterans Affairs, Veterans Health Administration (12/02/25)
    - Related Jobs
  • Registered Nurse ( Quality

    Veterans Affairs, Veterans Health Administration (Clarksville, TN)
    … (RN) demonstrates leadership, experience, and creative approaches to improvement in quality -of-care outcomes. The Nurse Quality Management (QM) ... to improve the care for a group of patients. Nurse Quality Management (QM) Consultant-Patient Safety Registered...Nursing may have opportunity to become registered as a nurse with a state licensing board prior more
    Veterans Affairs, Veterans Health Administration (12/02/25)
    - Related Jobs
  • Registered Nurse - Office of Director…

    Veterans Affairs, Veterans Health Administration (St. Cloud, MN)
    Summary Join the St. Cloud VA Health Care System as a Office of Director Quality Coordinator Registered Nurse and take on a high-visibility role that shapes how ... of care Veterans receive every day. Responsibilities The Quality Coordinator Registered Nurse plays a pivotal...Nursing may have opportunity to become registered as a nurse with a state licensing board prior more
    Veterans Affairs, Veterans Health Administration (12/02/25)
    - Related Jobs
  • Registered Nurse - Quality

    Veterans Affairs, Veterans Health Administration (Miami, FL)
    …to our Veterans within Quality & Safety Management Service. Responsibilities Quality Management (QM) Specialist Registered Nurse (RN) focus on individual ... development in practice with increased levels of self-direction in quality - of-care outcomes. The QM Specialist brings principals and...Nursing may have opportunity to become registered as a nurse with a state licensing board prior more
    Veterans Affairs, Veterans Health Administration (12/02/25)
    - Related Jobs
  • Nurse ( Quality Management…

    Veterans Affairs, Veterans Health Administration (Portland, OR)
    …both within city limits and in the nearby Columbia River Gorge. The Nurse Quality Management Consultant (QMC) is assigned responsibility for their assigned ... Care System (VAPORHCS), Portland, Oregon, is hiring a Registered Nurse (RN) Quality Management Consultant (QMC) who...Nursing may have opportunity to become registered as a nurse with a state licensing board prior more
    Veterans Affairs, Veterans Health Administration (12/02/25)
    - Related Jobs