- George C. Grape Community Hospital (Hamburg, IA)
- Quality /Utilization Review Nurse Position...Position Summary: The Quality /Utilization Review Nurse is responsible for evaluating the medical ... 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 ...remotely and achieve target goals. + Proficiency in electronic medical records and computer systems (Microsoft Excel, Teams, Forms,… more
- Zurich NA (Schaumburg, IL)
- Medical Bill Review Senior Nurse 127127 Zurich Insurance is currently looking for a ** Medical Bill Review Senior Nurse ** to work from our ... quickly and completely, provide status updates to ensure customer satisfaction. + Review assigned medical bills, apply technical insights, applying discretion… more
- Ascension Health (Tulsa, OK)
- …compliments, claims, qualityindicators and other risk-related data. + Coordinate the medical staff's professional performance evaluation and peer review programs ... standards related to performance improvement, professional practice evaluation and peer review activities. + Collaborate with Quality /Risk Management to… more
- Brighton Health Plan Solutions, LLC (Chapel Hill, NC)
- …Management services to its clients. The Utilization Management Nurse performs medical necessity and benefit review requests in accordance with national ... * Provides referrals to Case management, Disease Management, Appeals & Grievances, and Quality Departments as needed. * Develop and review member centered… more
- UCLA Health (Los Angeles, CA)
- …including inspections of clinical areas, patient care practices, and administrative processes + Review medical records of services in preparation for health plan ... Description The Quality Management Nurse is responsible for...and safety. In this role, you will supports all Medical Group Health Education & Disease Management Programs utilizing… more
- The County of Los Angeles (Los Angeles, CA)
- …REQUIREMENTS: OPTION I:One year of experience performing the duties of a Utilization Review Nurse * or Medical Service Coordinator, CCS.** -OR- OPTION ... UTILIZATION REVIEW NURSE SUPERVISOR I Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4924333)...needed, and to make recommendations on potential areas for medical care evaluation studies. + Attends Utilization Review… 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...ensuring exam scheduling, appropriate management and processing of all medical records, Quality Assurance (QA) checks are… more
- Veterans Affairs, Veterans Health Administration (Winter Park, FL)
- Summary The Orlando VA Medical Center is seeking a Utilization Review Registered Nurse to join the Orlando VAMC team. The Utilization Review Registered ... quality improvement and outcomes utilization consultation. Responsibilities The Utilization Review Registered Nurse leads the integration of evidence-based… more
- Albany Medical Center (Albany, NY)
- …America) Salary Range: $71,612.39 - $110,999.20 Responsible for Utilization Management, Quality Screening and Delay Management for assigned patients. * Completes ... Utilization Management and Quality Screening for assigned patients.* Applies MCG criteria to monitor appropriateness of admissions and continued stays, and documents… more
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