• Utilization Review - Registered

    Community Health Systems (Naples, FL)
    …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** Under the direction of the UR Director/Manager the UR Nurse reviews all admissions for medical necessity, correct orders based on medical condition… more
    Community Health Systems (07/12/25)
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  • Registered Nurse (Family/Internal…

    Adelante (Goodyear, AZ)
    …Goodyear, AZ Position Type Full Time Job Category Health Care Description POSITION SUMMARY The Registered Nurse ( RN ) will play a pivotal role in guiding ... Registered Nurse (Family/Internal Medicine) - Goodyear,...acting as an advocate for those they serve. The RN will be a vital member of the multidisciplinary… more
    Adelante (07/04/25)
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  • RN

    Catholic Health Services (Melville, NY)
    Overview Position Summary: The Registered Nurse provides safe, direct patient care utilizing the nursing process in the ambulatory setting. The RN provides ... clinical leadership and is a resource for staff. The Registered Nurse must show an uncompromising commitment...in staff meetings and huddles as appropriate. Participates in Hedis , GPRO, and other quality programs as needed Enters… more
    Catholic Health Services (06/18/25)
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  • RN Care Coordinator II

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed About Us Covenant ... a proud member of Covenant Health! Position Summary: The RN Care Coordinator II is responsible for integrating evidenced...coordination services within the scope of practice as a registered nurse meeting all required standards both… more
    Covenant Health Inc. (07/23/25)
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  • Government Business Quality Management Health Plan…

    Elevance Health (Metairie, LA)
    …would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:** + Registered Nurse ( RN ) or Certified Professional Healthcare ... in developing, monitoring, and evaluating Healthcare Effectiveness Data Information Set ( HEDIS ) improvement action plans, year-round medical record review , and… more
    Elevance Health (08/08/25)
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  • 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 and ... facilitate appropriate Health Education opportunities. Additionally, you will performs HEDIS related activities, Pay for Performance activities, Provider Access and… more
    UCLA Health (07/14/25)
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  • Ops Advanced Practice RN Specialist

    MyFlorida (St. Petersburg, FL)
    …and Excellence in all aspects of their work. The OPS Advanced Practice Registered Nurse Specialist is responsible for providing comprehensive health care to ... OPS ADVANCED PRACTICE RN SPECIALIST - 64952403 Date: Jul 11, 2025...Participate in quality assurance activities including meetings and peer review . + Ensure cooperation and coordination between Clinical Services… more
    MyFlorida (07/31/25)
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  • Clinical Quality and Risk Liaison RN

    Dignity Health (Bakersfield, CA)
    …- Minimum of 2 years of relevant clinical experience. - Clear and current CA Registered Nurse ( RN ) license. - Associates of Nursing degree - Supports ... barriers in collaboration with providers. - Performs medical record review or audits as needed. - Document provider, clinic...quality improvement, HEDIS measures and clinical quality initiatives. - Participates in… more
    Dignity Health (08/01/25)
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  • Quality Management, Nurse Consultant

    CVS Health (Oklahoma City, OK)
    …3 years experience in clinical, managed care, or health related field. - State of Oklahoma Registered Nurse ( RN ) license in the state of their residence. - ... with heart, each and every day. **Position Summary** The Quality Management, Nurse Consultant has a key role in developing and implementing data-driven… more
    CVS Health (08/01/25)
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  • Nurse Practitioner - Occupational Health

    ERP International (Barksdale AFB, LA)
    …NP experience after graduation Licensure:** Current, full, active, and unrestricted Registered Nurse license Life Support Certification:** Possess current ARC ... **Overview** ERP International is seeking a ** Nurse Practitioner,** for a Full-Time position supporting **Occupational...deployment status in a private setting. + Conduct pre-deployment review of health record for any conditions that may… more
    ERP International (07/23/25)
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