Quality Management Nurse Specialist in Los Angeles, CA for UCLA

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Radiation Oncology

UCHealth

Loveland, Colorado

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Utilization Management Manager, Medicare Advantage - RN

UCLA

Los Angeles, California

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CARDIAC ANESTHESIA OPPORTUNITY with IU HEALTH in the HOME OF PURDUE UNIVERSITY

Indiana University Health

Lafayette, Indiana

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Licensed Clinical Social Worker Care Management Emergency Department

AdventHealth

Bolingbrook, Illinois

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Registered Nurse RN - Medical Intermediate Care Unit MIMCU - PT Nights

Northeast Georgia Health System

Gainesville, Georgia

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Physician- PRN Acute Care Surgery with Mercy in Rogers, AR.

Mercy

Rogers, Arkansas

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Physician (Medical Director Wade Park Primary Care)

Veterans Affairs, Veterans Health Administration

Cleveland, Ohio

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Medical Director, Psychiatry-Inpatient

WakeMed Health & Hospitals

Raleigh, North Carolina

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Registered Nurse Critical Care Angio Lab (Interventional Rad)

AdventHealth

Ocala, Florida

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RN, Care Manager II - Case Management

CHRISTUS Health

Corpus Christi, Texas

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Trauma and Acute Care Surgery - Physician

Carle Health

Urbana, Illinois

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Registered Nurse RN Home Health Care Manager Weekend

AdventHealth

Shawnee Mission, Kansas

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Physician (Home Based Primary Care Medical Director) with Recruitment/Relocation Incentive

Veterans Affairs, Veterans Health Administration

Amarillo, Texas

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Emergency Department Care Manager - Care Management

CHRISTUS Health

Corpus Christi, Texas

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Lenexa City Center, Social Worker - MSW

AdventHealth

Lenexa, Kansas

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Family Medicine

UCHealth

Windsor, Colorado

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Care Manager II - Case Management - Full Time

CHRISTUS Health

Longview, Texas

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Rheumatology

UCHealth

Colorado Springs, Colorado

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Health Plan Representative - Denver Health Medical Plan (*Colorado State Applicants Only*)

Denver Health

Denver, Colorado

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Clinical Pharmacist

University of Maryland Medical System

Bel Air, Maryland

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Pharmacist Resident - Medical Network

Cedars Sinai

Los Angeles, California

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Financial Clearance Specialist, Evenings Labor and Delivery

University of Maryland Medical System

Towson, Maryland

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Hand Surgeon

WMCHealth

Valhalla, New York

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Medical Director

Wexford Health Sources

Barboursville, West Virginia

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Value-Based Business Information Analyst

Nemours

Wilmington, Delaware

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Quality Management Nurse Specialist

DescriptionThe Quality Management Nurse Specialist serves as the key resource for the investigation of member complaints, grievances, quality of care and access-related patient issues through collaboration with providers, health plans and other departments. The incumbent will conduct routine as well as ad hoc medical record and office site audits as required. As a member of the QM Team, this position assists with quality improvement studies through data collection, data input and report development. The QM Nurse Specialist will adhere to NCQA, State, Federal and other Regulatory agency standards. Additional areas of responsibility include tracking and trending complaint and grievance data to identify and r

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