• LVN - Quality Assurance…

    Emanate Health (Covina, CA)
    …Education Requirement:** **Minimum Experience Requirement:** Minimum of three years of utilization management experience. Experience in quality - related job ... States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by… more
    Emanate Health (04/23/25)
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  • LVN - Urology Float Pool- SRS Frost Street…

    Sharp HealthCare (San Diego, CA)
    …and/or failed to pass testing on second attempt = Needs Improvement + Quality InitiativesCompletes Quality Assurance (QA) assignments and ensures overall ... (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; Vocational… more
    Sharp HealthCare (04/03/25)
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  • LVN - Pediatric Float Pool - SRS Downtown…

    Sharp HealthCare (San Diego, CA)
    …Testing and/or failed to pass testing on second attempt= Needs Improvement. + Quality InitiativesCompletes quality assurance assignments as directed and ... **FTE** 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; AHA Basic… more
    Sharp HealthCare (04/29/25)
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  • LVN - Pediatrics After Hour - SRS…

    Sharp HealthCare (San Diego, CA)
    …and/or failed to pass testing on second attempt = Needs Improvement + Quality initiativesCompletes Quality Assurance (QA) assignments and ensures overall ... Certification) - Various-Employee provides certificate; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians;… more
    Sharp HealthCare (05/04/25)
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  • Utilization Management

    Dignity Health (Rancho Cordova, CA)
    …Excel, Access, PowerPoint) **Preferred:** + Clinical experience with quality assurance /improvement is desirable, preferably as an RN, LVN , Pharmacist, ... to collaborate with members of NSSA Regional Health Services Research (HSR), Utilization Management, Quality Management and various other departments, in the… more
    Dignity Health (03/15/25)
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  • RN Clinical Review Clinician - Appeals

    Centene Corporation (Sacramento, CA)
    …for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards. + Prepares case reviews for Medical ... of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** + LPN - Licensed Practical… more
    Centene Corporation (04/04/25)
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