- 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
- 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
- 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
- AmeriHealth Caritas (Newark, DE)
- **Responsibilities:** Under the direction of a supervisor, the Utilization Management Review Nurse evaluates medical necessity for inpatient and outpatient ... based on clinical criteria. Using professional judgment, the Utilization Management Review Nurse assesses the appropriateness of services, identifies care… more
- 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 (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
- Veterans Affairs, Veterans Health Administration (Los Angeles, CA)
- …Provides critical input for integrating NSO and VHA directives into local surgical quality review processes. Contributes to the administrative management of the ... (GLAHCS), West Los Angeles facility, is seeking a Registered Nurse - Veterans Affairs Surgery Quality Improvement...Rewards Pay: Competitive salary, regular salary increases, potential for performance awards Paid Time Off: 50 days of paid… more
- Veterans Affairs, Veterans Health Administration (MO)
- Summary The Surgical Quality Nurse Consultant (SQNC) demonstrates leadership, experience, and creative approaches to ensure effectiveness of clinical quality ... all aspects of the nursing process to provide optimal quality review of surgical care provided to...level. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …of Quality /Risk and Infection Control. The Quality Assurance (QA) nurse supports the Quality Assurance Performance Improvement Department in the ... processes for clinical performance improvement and peer review . The QA nurse supports concurrent oversight...The QA nurse supports concurrent oversight and review of clinical quality measures and evidence… more
Related Job Searches:
Nurse,
Performance,
Quality,
Quality Review,
Quality Review Nurse,
Review,
Review Nurse