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Quality Review Nurse jobs

Viewing 1 - 10 of 74,781 jobs

  • Utilization Review-Nurse

    Korak Global Healthcare Services - Glen Burnie, MD

    Multiple positions in Utilization Review/ Case Management Nurse- Appeals & Grievances/Outpatient Nurse/ Inpatient ... MD Job Description Outpatient-The Utilization Review Nurse is responsible for receipt, screening and...

    1 day ago from Korak Global Healthcare Services LLC

  • Clinical Care Reviewer UM, RN

    AmeriHealth - Philadelphia, PA

    Utilization Management, the Clinical Care Review Nurse is responsible for completing medical necessity ... medical information provided does not support the nurse review process for giving an approval of services requested.

    30+ days ago from AmeriHealth

  • Utilization Review/Quality Assurance Registered Nurse

    Medstaff Healthcare Solutions - Zion, IL

    MedStaff has an opportunity in Chicago, IL for a Utilization Review/Quality Assurance Travel Nurse. For over 21 years, MedStaff has been placing travel nurses and healthcare professionals across the USA, offering the best travel nursing...

    3 days ago from MedStaff Healthcare Solutions

  • Utilizat Review LPN

    Novant Health - Charlotte, NC

    necessity, appropriateness of care, level of care, and quality of care medical reviews for hospitalized patients. ... * Licensure/Certification/Registration: Registered or licensed practical nurse currently licensed in working state...

    30+ days ago from Novant Health

  • Registered Nurse (Utilization Review)

    U.S. Department of Veterans Affairs - Saginaw, MI

    Responsibilities of the RUR (Registered Utilization Review) Nurse include but are not limited to: * Pre-certification, ... Documented evidence of dependability and reliability. VA Nurse Qualifications: Nurse I Level I- Associate Degree(ADN) or...

    5 hours ago from U.S. Department of Veterans Affairs

  • Coding Quality Reviewer (337663)

    Northeast Georgia Health System - Gainesville, GA

    and reporting quality statistics to management. The Coding Quality Reviewer is also responsible for communication of ... and/or coding charts as business needs dictate. The Coding Quality Reviewer I is responsible for providing and ensuring...

    30+ days ago from Northeast Georgia Health System


    Mercy Healthcare Sacramento - Sacramento, CA

    for primary review. Incorporates into the utilization review process the ability to access and interpret clinical ... to providing compassionate, high-quality and affordable patient-centered care with special attention to the...

    7 days ago from Mercy Healthcare Sacramento


    Tenet Healthcare - South Carolina

    staff quality program plan and the medical staff peer review process. Qualifications : Education: 1. ... Five years of experience in quality / performance improvement preferred 3...

    30+ days ago from Tenet Healthcare

  • Medical Review Nurse–Licensed Vocational Nurse (LVN)/Registered Nurse (RN)

    Healthcare Scouts - New Braunfels, TX

    quality, efficient and affordable service. The Medical Review Nurse – Licensed Vocational Nurse (LVN)/Registered ... chart review process. Keys to success in the Medical Review Nurse – Licensed Vocational Nurse (LVN)/Registered Nurse...

    4 days ago from HealthCare Scouts

  • Research CT Quality Assurance Reviewer(269205)

    Kaiser Permanente - Pasadena, CA

    Essential Functions: • Conducts on site (including multi-site) clinical trial quality assurance/ compliance monitoring & ... • Assists the CT Quality&Compliance Manager in the development of recommendations to the KPSC CT Quality Committee (CTQC...

    30+ days ago from Kaiser Permanente

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