• RN - Quality Assurance…

    Emanate Health (Covina, CA)
    …States, and the #19 ranked company in the country. **J** **ob Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity ... Requirement :** **Minimum Experience Requirement :** Minimum of three years of utilization management experience. Experience in quality - related job preferred.… more
    Emanate Health (04/23/25)
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  • Utilization Management Nurse…

    LA Care Health Plan (Los Angeles, CA)
    …verbal and written communication skills. Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or ... Utilization Management Nurse Specialist RN...health plan compliance with UM or CM. Licenses/Certifications Required Registered Nurse ( RN ) - Active,… more
    LA Care Health Plan (03/27/25)
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  • Registered Nurse Resident

    Ventura County (Ventura, CA)
    …5/5/2025 5:00 PM Pacific + Description + Benefits + Questions Description THE PURPOSE The Registered Nurse ( RN ) Residency Program is for new graduate ... Registered Nurse Resident Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4855288) Apply...in-services and staff development programs; + May participate in quality assurance / utilization review or other… more
    Ventura County (04/22/25)
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  • Registered Nurse II - Emergency…

    Ventura County (Ventura, CA)
    …Health Care Agency - Ventura County Medical Center/ Santa Paula Hospital APPROXIMATE SALARIES: Registered Nurse II ( RN II): $51.30 - $61.35 per hour ... Registered Nurse II - Emergency Department...care as indicated and required. + May participate in quality assurance / utilization review or other… more
    Ventura County (04/24/25)
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  • Registered Nurse II…

    Ventura County (Ventura, CA)
    …assistance and patient care as indicated and required. + May participate in quality assurance / utilization review or other non-direct patient care nursing ... Registered Nurse II - ICU/DOU/Telemetry (Regular & Per Diem) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4887199) Apply  Registered … more
    Ventura County (05/03/25)
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  • RN Case Manager

    Amergis (San Leandro, CA)
    …entitlements, resources, information, and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed ... Salary: $2859 / Week The RN Case Manager is responsible for coordinating continuum...of care activities for assigned patients and ensuring optimum utilization of resources, service delivery, and compliance with medical… more
    Amergis (04/12/25)
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  • SRS - RN - Primary Care Central - Nursing…

    Sharp HealthCare (San Diego, CA)
    …Association; ACLS Certification (Advanced Cardiac Life Support) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... nursing expert for assigned areas. **Required Qualifications** + California Registered Nurse ( RN ) - CA...pass testing on second attempt = Needs Improvement. + Quality InitiativesCompletes Quality Assurance (QA)… more
    Sharp HealthCare (05/04/25)
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  • SRS - RN -Triage - Nursing Float Pool…

    Sharp HealthCare (Chula Vista, CA)
    …Professional (AHA BLS Healthcare) - American Heart Association; Bachelor's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered ... nursing expert for assigned area. **Required Qualifications** + California Registered Nurse ( RN ) - CA...pass testing on second attempt = Needs Improvement. + Quality InitiativesCompletes Quality Assurance (QA)… more
    Sharp HealthCare (04/26/25)
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  • SRS- RN - Gastro Dept. - Full Time - Day…

    Sharp HealthCare (San Diego, CA)
    …End Time** ACLS Certification (Advanced Cardiac Life Support) - American Heart Association; California Registered Nurse ( RN ) - CA Board of Registered ... RN experience in related clinic area. + California Registered Nurse ( RN ) - CA...pass testing on second attempt = Needs Improvement. + Quality initiativesCompletes Quality Assurance assignments… more
    Sharp HealthCare (05/04/25)
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  • RN Case Manager II, Acute Float

    Sutter Health (Los Altos, CA)
    …in Nursing Other: Graduate of an accredited school of nursing **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California BLS-Basic Life Support A plus ... Services (GR) Grouper (CMS), Department of Managed Health Care, National Committee for Quality Assurance (NCQA). + A broad knowledge base of outpatient, acute,… more
    Sutter Health (04/30/25)
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