• Utilization Management Reviewer

    AmeriHealth Caritas (Washington, DC)
    …utilization review processes, including medical necessity criteria, care coordination, and regulatory compliance . + Demonstrated ability to meet productivity ... + Analyze medical records and clinical data to ensure compliance with regulatory and payer guidelines +...fast-paced, high-volume environment. **Licensure:** + An active and unencumbered Registered Nurse license in the District of… more
    AmeriHealth Caritas (09/01/25)
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  • Emergency Department Manager, Full Time

    Cabinet Peaks Medical Center (Libby, MT)
    …months of hire. Experience Minimum of three (3) years of clinical experience as a Registered Nurse in the Emergency Department. Two (2) years experience as an ... ensures compliance with all CPMC policies & procedures, laws, regulatory requirements, Medicare Conditions of Participation, etc. Develops and maintains current… more
    Cabinet Peaks Medical Center (08/31/25)
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  • System CDI Quality Team Leader Educator

    AdventHealth (Altamonte Springs, FL)
    …and policies and procedures, continually ensuring quality documentation and regulatory compliance . Actively participates in outstanding customer service ... judgment in decision making keeping reimbursement considerations in balance with regulatory compliance . + Transcribes documentation clarifications as appropriate… more
    AdventHealth (08/07/25)
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  • Clinical Risk Management Specialist

    Rochester Regional Health (Rochester, NY)
    …or a related field required. + For those with a BSN; valid NYS Registered Nurse License is required. + Certification in quality improvement, safety, clinical ... individual is responsible for identifying, assessing, and mitigating clinical risks, ensuring compliance with regulatory standards, and promoting a culture of… more
    Rochester Regional Health (09/17/25)
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  • Assistant Clinical Service Director

    CenterLight Health System (Flushing, NY)
    …the highest levels of quality. + Participates in all quality assurance and regulatory compliance activities to ensure appropriate regulatory certifications. ... clinical documentation. + Participate in all quality assurance and regulatory compliance activities to ensure appropriate ...and registration in New York State required as a Registered Nurse . Additional Requirements: + Proficient in… more
    CenterLight Health System (09/09/25)
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  • Clinical Coordinator - Labor and Delivery

    Prime Healthcare (Denville, NJ)
    …Coordinator will oversee the delivery of optimal, safe, quality nursing care and regulatory compliance while providing leadership to staff by being an effective ... 1. Must have current and valid license as a Registered Nurse issued by the state. 2....by the state. 2. Bachelor's degree in Nursing (BSN) preferred 3. BLS (AHA) upon hire and maintain current.… more
    Prime Healthcare (09/17/25)
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  • Nurse Assistant 4 South SCH

    Catholic Health (Buffalo, NY)
    …to 7:00pm Summary: The Nurse Assistant (NA), under the direct supervision of the registered nurse , assists in providing patient care. The NA Updates RN ... with timely information regarding status of patient in compliance with hospital and regulatory agency requirements. The NA participates in quality improvement… more
    Catholic Health (09/17/25)
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  • Director Nursing

    Dignity Health (Rancho Cordova, CA)
    …Business or a related field + Clear and current CA Registered Nurse ( RN ) license. ** Preferred Qualifications:** + Certification in Ambulatory Care ... adherence to federal, state and local healthcare related laws and regulatory requirements, and to accreditation standards as appropriate. Maintains current knowledge… more
    Dignity Health (09/15/25)
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  • Clinical Documentation Improvement Manager

    Cleveland Clinic (Cleveland, OH)
    …(CCDS-O) from the Association of Clinical Documentation Integrity Specialists (ACDIS) OR Registered Nurse ( RN ) + Knowledge of coding classification ... and provider queries. + Perform and/or monitor quality reviews to ensure compliance with regulatory requirements, accreditation standards and industry best… more
    Cleveland Clinic (09/12/25)
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  • VP of Resident Services

    Allegro Management Company Llc (Clayton, MO)
    …to ensure company-wide consistent standards of quality care and nursing services, regulatory compliance , and optimized service revenues. Areas of Responsibility ... and commitment to fostering a resident-first culture. + Active RN license required. Allegro , Voted Great Place to...accredited school of nursing and current licensure as a registered nurse in Florida required. + Three… more
    Allegro Management Company Llc (09/12/25)
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