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Quality Review Nurse jobs

Viewing 1 - 10 of 74,343 jobs

  • Lead Claims Review Analyst (Nurse Reviewer)

    Ces - Des Moines, IA

    At least 5 years utilization/quality assurance review and ICD-9-CM/CPT coding experience DRG codes. Knowledge ... and assignments Experience- Previous Medicare Medical Review experience is preferred. Experience reviewing medical...

    5 days ago from CES, LLC

  • RN Utilization Review Per Diem Siena campus

    St Rose Dominican - Siena - Henderson, NV

    criteria. Job Summary: The Utilization Review Nurse is responsible for coordinating healthcare services across ... of diagnosis and treatment. Nurses continually evaluate quality and effectiveness of nursing practice and seek to...

    4 days ago from St Rose Dominican - Siena

  • RN Manager Utilization Review (232492-005)

    Concentra - Fort Lauderdale, FL

    This position has oversight responsibilities for the quality of provided service delivery and overall performance review ... Registered Nurse • 3+ years’ experience in Utilization and Quality Improvement • HEDIS experience • Strong...

    30+ days ago from Concentra

  • Coord Util Review PRN as needed .001 (01345-3568)

    HCA Healthcare - Plantation, FL

    PRN Utilization Review Coordinator Plantation, FL Responsible for the implementation of the review process. ... of hospitalization, identifies and evaluates quality of care, infection control, safety hazards,...

    3 days ago from HCA Healthcare

  • Retro reviewCase Manager- LVN- Utilization Review - Varied Shifts( Full Time)posted 5/7/14

    Tenet Healthcare - Fountain Valley, CA

    This position complies with the scope of services defined by the Licensed Vocational /Practical Nurse LVN/LPN state lic ... is required. Department orientation includes review and instruction regarding Tenet Case Management and...

    30+ days ago from Tenet Healthcare

  • Quality Improvement Nurse - CLINICAL EXCELLENCE (69598)

    Advocate Health Care Network - Aurora, IL

    The Quality Improvement Nurse is responsible for comprehensive Clinical Integration program oversight (reporting, ... the Clinical Integration Measures. 3. Performs quality review, analyzes statistical data, and trends in issues...

    30+ days ago from Advocate Health Care

  • Utilizat Review LPN

    Novant Health - Charlotte, NC

    necessity, appropriateness of care, level of care, and quality of care medical reviews for hospitalized patients. ... LPN must have two years UM experience. * Licensure/Certification/Registration: Registered or licensed practical nurse cu...

    30+ days ago from Novant Health

  • Continuing Care Utilization Review Coordinator RN(237109)

    Kaiser Permanente - Union City, CA

    process. Essential Functions: • Conducts utilization review for in-house patients and/or members who have been ... and assimilating clinical data to enhance the quality of services. • Generates quality improvement results. •...

    19 days ago from Kaiser Permanente


    U.S. Department of Veterans Affairs - New Orleans, LA

    Serves as the Lead Nurse/VIP Liaison, Utilization Review for the Office of Cultural Transformation ... Most Recent SF-50 (if applicable) * 1-Full-Time * 0610-Nurse * Active * * 15317-Perma...

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

  • Continuing Care Utilization Review Coordinator RN(264480)

    Kaiser Permanente - Union City, CA

    and assimilating clinical data to enhance the quality of services. • Generates quality improvement results. • ... includes utilization, quality, discharge planning, and after care in Continuum of Care. • Conducts the reviews in the...

    19 days ago from Kaiser Permanente

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