- Spectraforce Technologies Inc (Atlanta, GA)
- Title: Quality Assurance Nurse Reviewer (Overread Team), (100% Remote) Duration: 5 Months Job Description The Healthcare Effectiveness Data and ... assurance reviews on medical records. The HEDIS Quality Assurance Nurse Reviewer...LPN/LVN license required 3-5 years HEDIS recent experience preferred Quality improvement or medical record review experience… more
- HealthTrust Workforce Solutions (Dallas, TX)
- …and procedure metrics * Review performance data and metrics (financial, quality assurance , infection prevention, response time, etc.) to monitor and measure ... Entrust Your Career to HealthTrust! Registered Nurse (RN) - Vascular Access Supervisor- Full Time...maximize operating efficiency * Establish and maintain controls for quality assurance and cost containment * Providing… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …checklist and provides feedback to unit leadership for performance reviews.Supports quality assurance activities as demonstrated by compliance with established ... Job Category:Nursing - Registered Nurse Work Shift/Schedule:8 Hr Morning - AfternoonNortheast Georgia...of a specific patient population. Promotes the delivery of quality nursing care. Proficient in providing and managing complex… more
- Blanchard Valley Hospital (Findlay, OH)
- …of cases with no lapse of greater than six months. Duty 8: Participates in monthly quality assurance chart and photograph review process as determined by the ... PURPOSE OF THIS POSITION The Forensic Nurse will provide timely, non-judgmental, compassionate care to...trafficking and sexual assault. Exams performed by the forensic nurse may include a medical-forensic exam, prophylaxis for pregnancy… more
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …use in automated dispensing machines. Maintain/Monitor Pacmed production during batch.Perform quality assurance methods to ensure medications are prepared, ... department email(s) (ie: communication) upon receipt of such communication. Review email at a minimum of once per shift....inventory areas are adequately stocked at all times.Utilize all quality assurance methods to assure medications are… more
- Northern Light Health (South Portland, ME)
- …Hours Per Week: 40.00 Work Schedule: 8:00 AM to 5:00 PM Summary: The Quality Assurance Nurse exercises independent judgement in analyzing clinical ... care, clinical orders and State and federal regulations. The Quality Assurance Nurse collaborates with...changes to appropriate staff + Collaborates with others to review CMS additional documentation requests, monitor for trends and… more
- PruittHealth (Kernersville, NC)
- **JOB PURPOSE:** Responsible for conducting quality assurance clinical system reviews. Recommends resources in an efficient and economical manner to enable each ... Documents findings and composes accurate, detailed reports of each facility review . **KEY RESPONSIBILITIES:** 1. Able to provide support to Administrator, Medical… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Clinical Quality Nurse Reviewer RN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... achieve that purpose. Job Summary The Utilization Management Clinical Quality Nurse Reviewer RN II,...well as make recommendations, to submit to the department's Quality Assurance Team and UM Management. Duties… more
- Brighton Health Plan Solutions, LLC (New York, NY)
- …and positive with all customers and fellow employees. + Adheres to established quality assurance standards and MagnaCare policies and procedures. + Participates ... Health and Workers' Compensation and other Casualty clients. The Workers' Compensation Nurse Case Reviewer collaborates with medical care providers, employers,… more
- Kepro (ND)
- …Preferred Qualifications/Experience: + Knowledge of current National Committee for Quality Assurance (NCQA)/Utilization Review Accreditation Commission ... in the public sector. Acentra is looking for a Nurse (RN) Clinical Reviewer to join our...growing team. Job Summary: Our Nurse Clinical Reviewer will use clinical expertise for the review… more
