- George C. Grape Community Hospital (Hamburg, IA)
- Quality /Utilization Review Nurse Position Summary: The Quality /Utilization Review Nurse is responsible for evaluating the medical necessity, ... nursing experience (acute care preferred). o Prior experience in utilization review , case management, quality improvement, and infection control strongly… more
- Naven Health (Nashville, TN)
- …to our customers, our teammates, and the patients we serve. **Job Description Summary:** The Quality Assurance Chart Review Nurse is responsible for the ... review of assigned clinical records. The Quality Assurance Chart Review Nurse works closely with the Quality Assurance Team to identify documentation… more
- Ascension Health (Tulsa, OK)
- …standards related to performance improvement, professional practice evaluation and peer review activities. + Collaborate with Quality /Risk Management to ... **Details** + **Department:** Total Quality Management + **Schedule:** FT, Monday-Friday, 8am-4:30pm +...the activities and flow of work for the peer review program. + Collect, evaluate, and maintain practitioner-specific data… more
- 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
- 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
- STG International (Rockville, MD)
- STGi is currently seeking a Registered Nurse -Case Review Specialist . The position is remote and open to candidates nationwide. JOB SUMMARY: Provides direct ... with FOH Business Operations team. Serves as a Registered Nurse Case Review Specialist for the case...fellow team members, internal, and external customers. Exam Processing Quality and Safety + Ensure case review … more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Utilization Review Specialist Nurse (URSN) 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...the plan of care and services provided are patient-focused, high- quality , efficient, and cost-effective. Serves as a preceptor and… more
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
- …may require up to*Every Other Weekend*coverage/. *_SPECIFIC RESPONSIBILITIES:_* The Utilization Review (UR) Registered Nurse is responsible for evaluating the ... guidelines and evidence-based practice * Quality of Practice*: * Promotes quality through evidence-based utilization review processes and actively contributes… more
- 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 ... administrative and technical supervision over the nursing staff engaged in utilization review activities at Los Angeles General Medical Center, one of the largest… more
- CDPHP (Latham, 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