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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 2 months 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...

Registered Nurse - Quality Management Specialist New

Department Of Veterans Affairs

North Chicago, IL

Competitive

The QMS is assigned responsibility for their assigned Quality Management program area activities for the Medical Center and all off-site locations. The QMS demonstrates performance that improves the care for a group of patients. T...

Outpatient Utilization Review Nurse

Johns Hopkins Health Plans

Hanover, MD

$81.2K - $103K a year

Work-life balance - This is a remote role!. Medical, Dental, and Vision Insurance. 403B Savings Plan w/employer contribution. Paid Time off & Paid holidays. Employee and Dependent Tuition assistance benefits. Health and wellness p...

Clinical Review Nurse I - Medicare Part B (US)

Elevance Health

Atlanta, GA

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...

Insurance Premium Auditor/Quality Reviewer (1099) - Peoria, IL

Sedgwick

Peoria, IL

$64.7K - $82K 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...

Clinical Nurse Review - II

Progressive Technology Solutions

Owings Mills, MD

$35 - $39 an hour

8 hour shift. Owings Mills, MD 21117: Relocate before starting work (Required)....

Registered Nurse Utilization Review

Distinctive Home Care Inc

Bethesda, MD

$80.4K - $102K a year

Degree: Associates Degree of Nursing. Education: Graduate from a college or university accredited by National League for Nursing Accrediting Commission (NLNAC), or The Commission on Collegiate Nursing Education (CCNE). Experience:...

Quality Nurse Consultant

Kaiser Permanente

Walnut Creek, CA

Acts as a consultant for quality, AR&L, risk, patient safety, and infection prevention activities and programs. Assists with quality management studies through data collection, data input and report development. Analyzes, interpre...

Registered Nurse - Utilization Review Coordinator

Exeter Hospital

Exeter, NH

$71.6K - $90.7K a year

1-3 years experience RN license - NH or other Compact State. Utilization Management Certified within 1 year of hire. Reviews all admissions and provides clinical information to third party payors as required by contracts. Maintain...

Medical Review Nurse

Provider Resources, Inc.

Fargo, ND

$51.7K - $65.4K a year

Understand and represent PRI?s mission, vision, and values to all internal and external customers. Engage clients in appropriate communication that manages client expectations and builds a collaborative relationship with the clien...

Registered Nurse - Quality Management Consultant (SAIL/EPRP/Process Improvement)

Department Of Veterans Affairs

Walla Walla, WA

Competitive

Leading effort to identify SAIL/EPRP challenges, priorities for improvement, and opportunities for disseminating and sustaining best practices. Leading project SAIL/EPRP teams through designed brainstorming sessions to develop sol...

Insurance Premium Auditor/Quality Reviewer (1099) - Trenton, NJ

Sedgwick

Trenton, NJ

$64.8K - $82.1K 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...

Nurse Practitioner (NP) Director of Clinical Quality (REMOTE)

Vesta Healthcare

Remote

$145,000 - $165,000 a year

Develop, design, revise, and execute our comprehensive Clinical Quality program and educate the team on continuous quality improvements. Collaborate extensively with Nurse Practitioners, collaborating physicians, nursing staff, ot...

Quality and Patient Safety (QPS) Registered Nurse

Department Of Veterans Affairs

Richmond, VA

Competitive

Collects data, monitors staff compliance with relevant policies, directives, and standards, provides reports detailing trends. Provides direct staff support to all services in planning, designing, integrating, implementing, modify...

Quality Improvement Nurse Manager

Rochester Rlc

Rochester, MN

$68.2K - $86.4K a year

Utilize clinical assessment and critical thinking skills for MOVE FORWARD Program tools. Provide program education to staff, resident and family members. Lead the MOVE FORWARD Teams and provide direction, support and resources as...

Registered Nurse (RN) Quality Advisor

Olmsted Medical Center

Rochester, MN

$74.6K - $94.4K a year

Medical Insurance. Dental Insurance. Vision Insurance. Basic Life Insurance. Tuition Reimbursement. Employer Paid Short-Term Disability and Long-Term Disability. Adoption Assistance Plan. Minnesota Registered Nurse required. Proce...

Quality Review Manager - New York, United States - VNS Health

Vns Health

New York, NY

Attractive sign-on bonus and referral bonus opportunities. Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays. Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life...

Registered Nurse - Deputy Chief of Quality Management

Department Of Veterans Affairs

New Orleans, LA

Competitive

Assumes a leadership role in facilitating regulatory compliance for internal and external oversight bodies (i.e., The Joint Commission (TJC), Commission on Accreditation of Rehabilitation Facilities (CARF), Veterans Health Adminis...

Insurance Premium Auditor/Quality Reviewer (1099) - Akron, OH

Sedgwick

Akron, OH

$62.9K - $79.6K 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...

Insurance Premium Auditor/Quality Reviewer (1099) - Nashua, NH

Sedgwick

Nashua, NH

$64.7K - $81.9K 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...

Quality Review Specialist Part-Time Home Care

Adventhealth Home Care Central Florida

Orlando, FL

$35.16 - $52.74 an hour

Commitment to whole-person care, giving you the opportunity to help heal people in mind body and spirit. Fulfilling work with people who treat you like family. Excellent benefits, market-driven wages and career development opportu...

Quality Nurse Consultant - San Francisco, United States - Kaiser

Kaiser

United States

Consults on quality, risk management, patient safety, and infection prevention activities. Assists in quality management studies, data analysis, and report development. Organizes and coordinates project planning, training, and tec...

Registered Nurse- Risk Manager Clinical Reviewer

Department Of Veterans Affairs

Martinsburg, WV

Competitive

Demonstrates knowledge in the interpretation and application of accrediting body standards and other agency requirements. Assists with monitoring of various aspects of care provided to Veterans and the analysis and interpretation...

Quality Management Nurse I

University Health

San Antonio, TX

POSITION SUMMARY/RESPONSIBILITIESCoordinates and collaborates with Community First Health Plans, Inc. (Community First), various departments to ensure that contractual, regulatory, and accreditation requirements, including Nationa...

Deputy Chief Quality Patient Safety Nurse

Department Of Veterans Affairs

Phoenix, AZ

Competitive

Planning, designing, integrating, implementing, modifying, and administering the enterprise risk management and quality management programs with the focus on evaluating and continuously improving services provided for the Veteran...

Quality Nurse Consultant

Kaiser Permanente

Vallejo, CA

Acts as a consultant for quality, AR&L, risk, patient safety, and infection prevention activities and programs. Assists with quality management studies through data collection, data input and report development. Analyzes, interpre...

Quality Nurse Consultant

Kaiser Permanente

Oakland, CA

Acts as a consultant for quality, AR&L, risk, patient safety, and infection prevention activities and programs. Assists with quality management studies through data collection, data input and report development. Analyzes, interpre...

Quality Nurse Consultant

Kaiser Permanente

San Francisco, CA

Acts as a consultant for quality, AR&L, risk, patient safety, and infection prevention activities and programs. Assists with quality management studies through data collection, data input and report development. Analyzes, interpre...

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...

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...