- 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
- Aspen Medical (Aurora, CO)
- JOB AD: Registered Nurse - Utilization Management Introduction : Aspen Medical has an exciting opportunity for Registered Nurses to partner with us in ... Quality and Management (HCQM) through American Board of Quality Assurance and Utilization Review...full, active, and unrestricted license to practice as a Registered Nurse as required in the TO… more
- Matrix Providers (Aurora, CO)
- …(PTO) + Paid Holidays (Outlined in Handbook) + 401(k) Plan Minimum Requirements Registered Nurse ( RN ) Utilization Management: Degree/Education: ... Utilization Review Nurse ( RN )...Quality and Management (HCQM) through American Board of Quality Assurance and Utilization Review… more
- 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
- 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 (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
- Hartford HealthCare (Watertown, CT)
- …at Home* **Title:** * Quality Assurance Performance Improvement Coordinator ( RN , Registered Nurse , QA, PI) - HomeCare* **Location:** ... nurses love about HHCAH: * Automatic enrollment into the Nurse Residency Program for all graduate RNs with less...- movie tickets, pet insurance, travel and more! The Quality Assurance & Performance Improvement ("QAPI") Specialist… more
- SUNY Upstate Medical University (Syracuse, NY)
- Job Summary: The Utilization Review/ Quality Assurance Sr. Coordinator will be responsible for providing clinical information to managed care companies as ... agencies, and other health care related entities. Preferred Qualifications: Utilization Review/Managed Care/ Quality Assurance experience. Experience… more
- Humana (New Orleans, LA)
- …in Health Care Quality and Management (CHCQM) by the American Board of Quality Assurance and Utilization Review Providers. + 5+ years of management ... your skills to make an impact** **Required Qualifications** + Master's Degree + Louisiana-licensed registered nurse OR advanced practice registered nurse … more
- FlexStaff (Tarrytown, NY)
- …years of experience in care/case management, disease management, population health management, utilization review, quality assurance , or discharge planning ... **Req Number** 148876 FlexStaff is seeking a Registered Nurse (Field Clinical Assessments/UAS) to...candidate would have a nursing degree, a valid NYS RN License and minimum of one (1) year of… more