• Northwell Health (New York, NY)
    …(5+) years of experience in care/case management, disease management, population health management, utilization review , quality assurance , or discharge ... delivery model. Escalates questions or concerns during the assessment to the quality review team to ensure appropriate completion of UAS-NY and handling of… more
    Upward (06/21/25)
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  • Tenet Health (Detroit, MI)
    …and universities. Assists management in department functions and special projects, ie, utilization review , quality assurance , program development ... and committee work. Conducts studies and research projects as requested. Performs all the duties/responsibilities of a Physical Therapist, as required. Qualifications: 1. Bachelors degree in Physical Therapy or a certification in Physical Therapy from an… more
    Upward (07/03/25)
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  • Tenet Health (Harlingen, TX)
    … conferences and staffing Assists the physician as follows, but not limited to Utilization Review , Quality Assurance , Program Evaluation, Infection ... Control, Safety Committee activities Adhere to the established policies and procedures of Tenet Physician Resources Orders and interprets the results of laboratory tests as part of the physical examination and health management. Perform and oversee testing and… more
    Upward (07/03/25)
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  • Weis Markets (Lusby, MD)
    …accuracy and appropriateness of all prescriptions filled by completing Drug Utilization Review and Final Quality Assurance , applicable to state and ... federal Board of Pharmacy regulations. Build profitable business and script growth through recommended clinical programs including appropriate immunization and when available MTM (Medication Therapy Management) and all ongoing other programs as identified.… more
    Upward (07/11/25)
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  • Above and Beyond Therapy (Lakewood, NJ)
    …care, and ethical practice. As we grow, we are seeking a dedicated ABA Quality Assurance Specialist to help uphold the highest clinical standards in our ... documentation and service delivery. The ABA Quality Assurance Specialist plays a critical role...of $95k - $110k!! Board Certified Behavior Analyst (BCBA) Utilization Specialist Responsibilities and Duties Review BCBA… more
    Upward (07/16/25)
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  • All Ways Caring HomeCare (Chattanooga, TN)
    …current knowledge of area program regulatory and company requirements to ensure accurate quality assurance review Follows company procedure and practice for ... completing various program quality assessment audits Completes Utilization Reviews on...area program regulatory and company requirements to ensure accurate quality assurance review Provides in-services… more
    Upward (07/17/25)
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  • Crane Solutions LLC (Lockbourne, OH)
    GENERAL DESCRIPTION The Quality Assurance Manager will be responsible for the quality management program and ongoing maintenance/adherence to said program ... procedures and client needs. ESSENTIAL JOB FUNCTIONS Conduct weekly reviews to ensure quality is being maintained and review with Operations Manager. Establish … more
    Upward (07/02/25)
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  • KA Recruiting, Inc. (Tallahassee, FL)
    …in Healthcare Quality ) OR CHCQM (Diplomate in American Board of Quality Assurance and Utilization Review Physicians) Click APPLY today. If you are ... Position Summary: The Director of Quality assists in the overall coordination of the...teamwork with physicians and all health-care providers in achieving Quality benchmarks. Responsible to provide comprehensive assessment, planning, monitoring,… more
    Upward (07/21/25)
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  • Dignity Physician Careers (Salt Lake City, UT)
    …in the State of Utah Certification by American Board of Quality Assurance & Utilization Review Physicians (ABQAURP), preferred. Physical Requirements ... status, manage/prevent denials, manage length of stay, meet licensure, compliance, quality and utilization management requirements to ensure optimal patient… more
    Upward (07/03/25)
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  • Team Select Home Care (Conshohocken, PA)
    …in clinical record/ utilization review of medical records and quality assurance and performance improvement (QAPI) quarterly and as assigned. ... Reports/records all applicable infections, occurrences, and complaints Submits documentation within 24 hours or per state requirements Maintains confidentiality of patient, employee, and agency matters Takes on-call duty nights, weekends, and holidays, as… more
    Upward (06/26/25)
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