LoginRegister

Quality Review Nurse jobs

Now available 192 results are consistent

Sort by:relevance - date

QUALITY REVIEW NURSE

Contributes to the achievement of established goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Completes annual Code of Conduct, Compliance, and other mandatory training...

CompanyMedstar Health
AddressMaryland, United States
CategoryManufacturing
Job typePart-time
Date Posted 3 weeks ago See detail

Quality Review Nurse

Medstar Health

Maryland, United States

Contributes to the achievement of established goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Completes annual Code of Conduct, Compliance, and other mandatory training...

3 weeks ago seen See more...

Utilization/Quality Review Nurse

Beacon Health System

Granger, IN

$48.7K - $61.6K a year

MISSION: We deliver outstanding care, inspire health, and connect with heart. VALUES: Trust. Respect. Integrity. Compassion. SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Maintaining accurate records...

2 months ago seen See more...

REMOTE Registered Nurse (Utilization Review/MEDCOMPASS EXP REQUIRED) New

A-Line Staffing Solutions

Atlanta, GA

Start Date: ASAP/TBD. Potential for Direct Hire?: YTBD. $36.21 p/hr, paid biweekly. Benefits are available after 90 days and include health, optical, dental, life, and short-term disability insurance. To be eligible for benefits y...

2 hours ago seen See more...

Quality Analyst - Medical Bill Review (Remote) 2023-1273 New

Managed Care Advisors

Orlando, FL

* Provides input to SGS managers and teams regarding analysis, updates, and recommendations for modifications for procedures and processes to continually improve operations and protocols. Citizenship * Prior to hiring and training...

2 hours ago seen See more...

Registered Nurse RN Coordinator Quality & Safety

Osf Healthcare

ROCKFORD, IL

Is responsible to coordinate implementation efforts required to operationalize local corrective action plans and sustain solutions. Works in the Quality and Safety department and works collaboratively with facility leadership, Mis...

yesterday seen See more...

Registered Nurse Quality Reviewer

Unitypoint Health

West Des Moines, IA

$69.6K - $88.2K a year

Culture At UnityPoint Health, you Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve. Benefits Our competitive Total Reward...

4 weeks ago seen See more...

Quality Review - Registered Nurse | Hybrid

Sera Healthcare Solutions

Brooklyn, NY

$100,000 - $110,000 a year

NYS RN License. No Quality Reviewer experience required; We will train the right person. Oasis experience. Excellent verbal, written & communications skills. 401(k). Dental insurance. Health insurance. Life insurance. Paid time of...

2 months ago seen See more...

Registered Nurse - Quality Management Coordinator

Department Of Veterans Affairs

Ann Arbor, MI

Competitive

The incumbent is responsible for working closely with Service Leadership to develop and implement a performance improvement plan and related activities. The incumbent is responsible for the following: monitoring, trending, and ana...

2 days ago seen See more...

Registered Nurse-Chief, Quality and Patient Safety

Department Of Veterans Affairs

Battle Creek, MI

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

2 days ago seen See more...

Clinical Review Nurse - Prior Authorization

Bcforward

Indianapolis, IN

Clinical Review Nurse - Prior AuthorizationBC Forward is looking for Clinical Review Nurse - Prior Authorization (Remote Work) Position Title: Clinical Review Nurse - Prior Authorization (Remote Work) Locations: Remote IN (Local t...

6 days ago seen See more...

Sr. Biodefense Regulated Quality Review Specialist

Alakaina Family Of Companies

Frederick, MD

Work with Chief, RRA, study directors, principal investigators, and other key staff to perform Quality Reviews of documents and records associated with nonclinical studies, to include those conducted under FDA Good Laboratory Prac...

7 days ago seen See more...

Clinical Quality Coordinator, Licensed Practical Nurse- Internal Medicine

Pix11

New York, NY

Based on Dashboard Metrics, reviews each patient's plan of care to ensure that all quality metrics are being met, including those related to Preventive Measures, Disease Management, Gaps in care, medications, diagnostic testing, e...

5 days ago seen See more...

Nurse Manager - Quality Management

Department Of Veterans Affairs

Columbia, MO

Competitive

U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. All applicants tentatively selected for VA employment in a testing designated position are su...

7 days ago seen See more...

Clinical Review Nurse I (US)

Elevance Health

Waukesha, WI

Assesses the necessity and reasonableness of the items supplied in a valid claim through the use of medical policy and other materials. . Requires AS in nursing and minimum of 1 year of clinical experience; or any combination of...

2 weeks ago seen See more...

Quality Review RN or LPN - CHHA

Wellbound Certified Home Health Agency

Brooklyn, NY

$70,000 - $100,000 a year

Utilize clinical expertise to conduct Quality Reviews to determine deviation from standards of care. Review documentation for the necessity of services, accuracy, appropriateness, quality of care, and compliance with physician ord...

2 weeks ago seen See more...

Insurance Premium Auditor/Quality Reviewer (1099) - REMOTE

Sedgwick

Remote

$67K - $84.8K a year

Physical Ideal for complex or large accounts, test audit states, new businesses or businesses undergoing changes in operations or scope. Virtual Meets the requirements for a physical audit and offers a cost-effective option in...

2 weeks ago seen See more...

Premium Audit Quality Reviewer

Encova Insurance

Charleston, WV

Your recruiter can share more information about the specific salary range during the hiring process.This role will work in the Charleston, WV OR Columbus, Ohio office and report to the Assistant Vice President, Premium Audit Opera...

3 weeks ago seen See more...

Registered Nurse OASIS/Utilization Review Home Health - Lehi, UT

Impact Healthcare Llc

Lehi, UT

Taking inbound calls to review clinical assessments completed upon admission, recertification, evaluation, change of condition, and transfers. Review key OASIS data items and provide education on accurate data collection, utilizat...

2 weeks ago seen See more...

Registered Nurse Clinical Reviewer PRN

Corpus Christi Medical Center Bay Area

Corpus Christi, TX

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transporta...

2 weeks ago seen See more...

Nurse Reviewer I (NCLEX)

Elevance Health

San Juan, PR

Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review. Conducts initial medical necessity r...

2 weeks ago seen See more...

Preservice Review Nurse RN - Remote

Unitedhealth Group

Cypress, CA

Generally work is self-directed and not prescribed. Works with less structured, more complex issues. Serves as a resource to others. Assesses and interprets customer needs and requirements. Identifies solutions to non-standard req...

3 weeks ago seen See more...

Clinical/Utilization Review Nurse

Aspirion Health Resources Llc

Remote

From $68,000 a year

Manages complex and robust queue according to Aspirion and client needs. Queue size varies weekly. Reviews insurance denials, including but not limited to, medical necessity denials, patient status denials (i.e., Inpatient vs. Out...

3 weeks ago seen See more...

Utilization Review Nurse (RN)

Managed Resources, Inc

Remote

$38 - $42 an hour

401(k). 401(k) matching. Dental insurance. Disability insurance. Employee assistance program. Flexible spending account. Health insurance. Life insurance. Paid time off. Referral program. Vision insurance. Pet Insurance. Monthly I...

3 weeks ago seen See more...

Registered Nurse-Review Analys

Veerteq Solutions Inc.

Detroit, MI

Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal...

2 weeks ago seen See more...

Insurance Premium Auditor/Quality Reviewer (1099) - Pensacola, FL

Sedgwick

Pensacola, FL

$64.4K - $81.6K a year

Physical Ideal for complex or large accounts, test audit states, new businesses or businesses undergoing changes in operations or scope. Virtual Meets the requirements for a physical audit and offers a cost-effective option in...

3 weeks ago seen See more...

Fraud and Abuse Review Nurse

Gainwell Technologies Llc

Kansas, United States

$61,500 - $87,900 a year

Ability to interact with customers and agencies to interpret Medicaid coverage. Strong written/oral communication skills. Ability to read, understands, and interprets complex regulatory and procedural documents. Extensive PC skill...

3 weeks ago seen See more...

Insurance Premium Auditor/Quality Reviewer (1099) - Lafayette, LA

Sedgwick

Lafayette, LA

$64.9K - $82.2K a year

Physical Ideal for complex or large accounts, test audit states, new businesses or businesses undergoing changes in operations or scope. Virtual Meets the requirements for a physical audit and offers a cost-effective option in...

3 weeks ago seen See more...

Insurance Premium Auditor/Quality Reviewer (1099) - Gulfport, MS

Sedgwick

Gulfport, MS

$64.6K - $81.8K a year

Physical Ideal for complex or large accounts, test audit states, new businesses or businesses undergoing changes in operations or scope. Virtual Meets the requirements for a physical audit and offers a cost-effective option in...

3 weeks ago seen See more...

Concurrent Review Nurse (Active CA RN License)

Zempleo Inc

California, United States

$55 - $62 an hour

100% remote role. Work Schedule: 8:00am 5:00pm Pacific Time. Ensures proper procedure and diagnosis codes are reviewed for submitted procedures/claims. Solicits support from SME's, leads, and managers as appropriate. Triages and...

3 weeks ago seen See more...

Utilization Review Nurse

American Health Plans Llc

Franklin, TN

$57.9K - $73.4K a year

Affordable Medical/Dental/Vision insurance options. Generous paid time-off program and paid holidays for full time staff. TeleDoc 24/7/365 access to doctors. Optional short- and long-term disability plans. Employee Assistance Plan...

3 weeks ago seen See more...

see more

What should I search to find Quality Review Nurse jobs?

People who searched for Quality Review Nurse jobs also searched for Nursing Supervisor, Registered Nurse Virtual, Quality Engineering Manager, Private Duty Registered Nurse, Quality Assurance Tech, Nurses Aide, Clinical Nurse Manager, Quality Assurance Advisor, Nursing Home, Registered Nurse Home Health, Practical Nurse, Clinical Quality, Quality Assurance Test Engineer, Data Quality Analyst, Licensed Practical Nurse Medical Surgical, . If you're getting few results, try a more general search term. If you're getting irrelevant result, try a more narrow and specific term.

Top Jobs

Mental Health Nurse Practitioner, Production jobs, Chemist, Relationship Banker, Maintenance Worker, Teller, Clerk, Engineer Maintenance, Manufacture Engineer, Maintenance Manager, Assistant Executives, Broil / Grill, Safety Program Manager, Mailing Clerk, Health Club Manager,

What are the top cities open Quality Review Nurse jobs?

There are open Quality Review Nurse jobs in several cities including Indianapolis, Alameda, Rancho Cucamonga, Morgantown, Port Saint Lucie,

What companies are hiring for Quality Review Nurse jobs?

The top companies hiring now for Quality Review Nurse jobs are Inland Empire Health Plan,

Fastest job search tips

Search on Google

"Keyword" + 123work.net

For example: Quality Review Nurse jobs 123work.net

Home
Create Cover Letter
Create Resume
Account
More