- 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
- 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 ... Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric...of efficiency of operations and customer service while providing quality care to a designated patient population. Serves as… more
- 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 ... (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; Pediatric… more
- Molina Healthcare (Davenport, IA)
- …overseeing delegated activities to ensure compliance with the National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), ... as necessary to comply with state, federal and National Committee for Quality Assurance (NCQA) guidelines, and other applicable requirements. + Distributes… more
- 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; IV… more
- 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; ACLS… more
- Hospice Of San Joaquin (Stockton, CA)
- …of assigned staff, as well as ensuring the compliance of patient visit schedules, quality assurance activities, and coordination of care in the absence of the ... assist with care coordination as requested, back up the LVN Supervisor in the receipt of patient phone calls...Ensures compliance with the Hospice program plan by assuring quality service, appropriate utilization of resources, and… more
- Centene Corporation (Jefferson City, MO)
- …necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards. This is a 100% remote position, ... of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. **License/Certification:** RN - Registered Nurse -… more
- Centene Corporation (Trenton, NJ)
- …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