Reporting to the Sr Medical Director, the Nurse Manager, Quality Review provides leadership and oversight of SFHP...'s quality review functions, ensuring timely and compliant resolution of clinical grievances, appeals, potential quality issues...
Reporting to the Nurse Manager, Quality Review, and as a member of the Population Health and Quality department, the... Quality Review Nurse (QRN) will support key clinical quality initiatives at SFHP. The QRN is part of SFHP Health Services...
Reporting to Manager, Clinical Operations Administration, the Clinical Quality and Oversight Nurse is responsible..., adherence to regulatory and contractual standards, and delivery of high-quality, member-centered care. You will partner with the...
Description & Requirements Maximus is currently hiring for a Nurse Manager - Appeals to join our State East - Appeals... team. The Manager is responsible for overseeing a team of clinical staff who are responsible for appeals and case review...
, physicians, the interdisciplinary team, nursing management, quality, ancillary services, third party payers and review agencies... & LICENSURE RN-Registered Nurse of California (required) CCM-Certified Case Manager (preferred) PREFERRED EXPERIENCE...
Manager in an effective and respectful manner as needed. Provide Wellness Coaching (upon completion of Mayo Clinic Wellness... as all appropriate policies and procedures. Complete daily Quality Enhancement reviews to ascertain if the department is meeting state...
of nursing CERTIFICATION & LICENSURE: RN-Registered Nurse of California CCM - Certified Case Manager (certification may... environment. Comprehensive knowledge of Utilization Review, levels of care, and observation status. Working knowledge of laws...
in program development and quality improvement initiatives. The Nurse Case Manager provides age-appropriate assessments...Job Summary The Pediatric Nurse Case Manager coordinates resources and services in response to individual patient...
.CFIsSignOnBonusAvailable-No custom_fields.FacilityServicesandMaterialsManagementTheme-Nursing-Licensed Licensed Nurses & Nurse Practitioners... of strategic plans, providing quality care, and managing cost-effective services which are aligned with federal, state, and local...
One year of continuous, full-time experience in direct patient care practice as a registered nurse within the last five years... Upon hire, the faculty member must be licensed as a registered nurse in California. Evidence of/or potential...
One year of continuous, full-time experience in direct patient care practice as a registered nurse within the last five years... Upon hire, the faculty member must be licensed as a registered nurse in California. Evidence of/or potential...
campaign-Evening hours_per_week-1 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level.... Essential Responsibilities: Specifically and regularly assigned to direct, check, review, assign, organize, coordinate, train...
campaign-Day hours_per_week-1 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level... Responsibilities: Specifically and regularly assigned to direct, check, review, assign, organize, coordinate, train and reporting...
with providing quality care as an Advanced Practitioner Solid knowledge of the clinical and operational issues for nurse... the practice of advanced practice professionals (APP), including nurse practitioners and physician assistants. Ensures...
campaign-Day hours_per_week-40 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level... Responsibilities: Specifically and regularly assigned to direct, check, review, assign, organize, coordinate, train and reporting...
campaign-Day hours_per_week-40 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level... Responsibilities: Specifically and regularly assigned to direct, check, review, assign, organize, coordinate, train and reporting...
campaign-Day hours_per_week-40 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level... Responsibilities: Specifically and regularly assigned to direct, check, review, assign, organize, coordinate, train and reporting...
campaign-Day hours_per_week-40 industry-A01|SEIU|United-Healthcare-Workers-West is_manager-Surg-Tech job_level... Responsibilities: Specifically and regularly assigned to direct, check, review, assign, organize, coordinate, train and reporting...