• QI Nurse - Document Audit Specialist…

    Children's Mercy Kansas City (Kansas City, MO)
    …improve the lives of children beyond the walls of our hospital. Overview The Quality Improvement Nurse - Documentation Audit Specialist, in collaboration ... and regulatory requirements as they pertain to clinical services. The Quality Improvement Nurse - Documentation Audit Specialist is accountable and… more
    Children's Mercy Kansas City (03/21/25)
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  • Quality Management Nurse - Part Time

    Riverside Community Care (Dedham, MA)
    …continuously improving quality across every Riverside division, for all persons served. The Quality Management Nurse will: + audit the medical records of ... Riverside Community Care Love What You Do! Quality Management Nurse - Part Time Riverside Community Care is one of the largest and most respected community-based… more
    Riverside Community Care (04/02/25)
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  • Audit Nurse

    City of New York (New York, NY)
    …develops and oversees the Division's continuum of programming and services. JJPS is seeking an Audit Nurse who will ensure that youth in ACS care and/or custody ... the best possible medical care. In doing so, the Audit Nurse will work closely with operations...to conduct auditing/monitoring and provide technical assistance to ensure quality standards of clinical practice are implemented across the… more
    City of New York (04/25/25)
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  • Associate Compliance Officer (ACO) Clinical…

    Nuvance Health (Danbury, CT)
    *Description* *Summary:* *Associate Compliance Officer ("ACO"), Clinical Audit , Quality and Revenue Cycle* Consistent with legal requirements and compliance ... Works independently with minimal supervision. Supports SACO with performing Clinical Audit Activities across Nuvance Health, ensuring accurate quality processes… more
    Nuvance Health (04/17/25)
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  • Senior Compliance Registered Nurse

    Humana (Frankfort, KY)
    …outcome and metrics of market compliance with NCQA must pass UM elements. + ** Audit Calibration:** Verify findings to maintain data quality and validation for ... and help us put health first** The Senior Compliance Nurse reviews utilization management activities and documentation to ensure...statistical reliability prior to revealing audit results to markets. + **NCQA Fail-factor elements:** Effectively… more
    Humana (05/06/25)
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  • Quality Compliance Nurse

    Humana (Madison, WI)
    …of our caring community and help us put health first** Humana is seeking a Quality Compliance Nurse to support the Wisconsin Medicaid market. This role performs ... (AQR), and External Quality Reviews (EQR). The Quality Compliance Nurse fosters a culture of...the identification of, tracking and analysis, and remediation of quality concerns. + Perform internal audit reviews… more
    Humana (05/09/25)
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  • Quality Assurance Performance Improvement…

    Hartford HealthCare (Watertown, CT)
    …Services / Home Care* **Organization:** **Hartford HealthCare at Home* **Title:** * Quality Assurance Performance Improvement Coordinator (RN, Registered Nurse , ... nurses love about HHCAH: * Automatic enrollment into the Nurse Residency Program for all graduate RNs with less...- movie tickets, pet insurance, travel and more! The Quality Assurance & Performance Improvement ("QAPI") Specialist is an… more
    Hartford HealthCare (02/12/25)
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  • Clinical Quality Nurse Specialist

    Hospice of Michigan (Southfield, MI)
    …in support of the mission of NorthStar Care Community. The Clinical Quality Nurse Specialist is responsible, through monitoring and supporting clinical ... staff, for ensuring quality and compliance with practice standards and regulatory requirements,...clinician following a clinical visit. Communicating results of the audit . Identifying both positive practices as well as areas… more
    Hospice of Michigan (05/10/25)
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  • Admission Quality Nurse

    Help at Home (Indianapolis, IN)
    Title: Admission/ Quality Nurse Date Created: December 20, 2021 Reports to (Title) State Quality & Compliance Lead Direct Reports: None Indirect Reports: N/A ... Exempt/Non-exempt: Exempt Position Overview: Responsible for conducting client admissions and quality reviews in the branch area to ensure the highest level of … more
    Help at Home (04/30/25)
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  • Organizational Quality Nurse

    Hospice of Michigan (Ann Arbor, MI)
    …Federal regulatory guidelines and third party payers; Accreditation standards and quality activities of the organization. Provides leadership and expertise to ... processes in place to monitor and measure all activities related to quality assessment and performance improvement (QAPI). + Provides direction and coordination of… more
    Hospice of Michigan (03/11/25)
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