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Risk Mgmt/UR/QA
California
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Risk Mgmt/UR/QA Nursing Jobs in California

Results: 1 - 42 of 42

Risk Mgmt/UR/QA Nursing Jobs in California

Inpatient Utilization Management Nurse
San Francisco Health Plan   -   San Francisco CA   -   05/04/2016
Do you excel and take pride in your work knowing that thousands of lives are positively impacted? Are you interested in being part of an award-winning Health Plan? Do you…
ER QUALITY NURSE
Bakersfield Memorial Hospital   -   Bakersfield CA   -   05/03/2016
This position reports directly to the Director of Emergency Department. This position supports the Quality Management and Emergency Department by developing and maintaining…
Charge Entry Analyst-Supplemental
Mercy Medical Center Redding   -   Redding CA   -   05/01/2016
Under direct supervision, the incumbentviews 100% of the ER care records to identify level of care, completeimplementation of billable services and utilization of billable…
Director, Performance Excellence
Glendale Memorial Hospital and Health Center   -   Glendale CA   -   05/01/2016
About this opportunity: All employees are expected to perform their duties in alignment with the vision and values of the organization. The person doing this job is…
Quality Consultant
Mercy Medical Center Merced   -   Merced CA   -   05/01/2016
Under the direction of the Quality Director, the incumbent is a frontline member of the Quality Resource Team responsible for supporting hospital-wide leadership and medical…
Performance Excellence Analyst
Dignity Health   -   Sacramento CA   -   05/01/2016
Performance Excellence Analyst Experience using Transformational Care or LEAN tools and processes when leading teams strongly preferred Drive efficient, accurate analysis…
Credentialing Specialist
Dignity Health Medical Foundation   -   Rancho Cordova CA   -   05/01/2016
Coordinates Physician credentialing for Medical Group, Hospitals, Health Plans and all Fee for Service contracts. Works in conjunction with the Chief Medical Officer…
Charge Entry Analyst-Supplemental
Mercy Medical Center Redding   -   Redding CA   -   05/01/2016
Under direct supervision, the incumbentviews 100% of the ER care records to identify level of care, completeimplementation of billable services and utilization of billable…
RN, Outpatient
Mercy Hospitals of Bakersfield   -   Bakersfield CA   -   05/01/2016
The Outpatient Navigator is a Registered Nurse responsible for coordinating and managing the care of complex, High Risk for Readmission patients discharged from Mercy…
Coordinator Quality, (Full Time, Day)
St. John's Hospitals   -   Oxnard CA   -   05/01/2016
St. John's Regional Medical Center
In keeping with the Dignity Health core values, the Quality Coordinator, RNperforms duties and functions to improve and maintain the quality of care given to the patient,…
Accreditation and Regulatory Manager
St. Mary's Medical Center - San Francisco, CA   -   San Francisco CA   -   05/01/2016
Under the direction of the Director of Quality and Care Management, provides hospital-wide leadership for the accreditation and regulatory program. Lead the development and…
Quality Management Nurse
MedProVidex   -   Redlands CA   -   05/01/2016
Under the direction of the MedProvidex (MPV) Chief Financial Officer and Dignity Health Medical Group-Inland Empire (DHMG-IE) and Dignity Health Physician Network Inland…
Senior Director, Quality and Performance Improvement
Saint Francis Memorial Hospital   -   San Francisco CA   -   05/01/2016
Summary: In collaboration with the Chief Operating/Nursing Officer, develops, initiates and oversees the comprehensive quality/performance improvement program in conjunction…
Quality Management Specialist
Dignity Health Medical Foundation   -   Rancho Cordova CA   -   05/01/2016
The Quality Management Specialist is a key member of the Quality Management Department and has responsibility for ensuring all quality management and peer review functions…
Senior Project Manager
Dignity Health Medical Foundation   -   Rancho Cordova CA   -   05/01/2016
The Senior Project Manager is responsible for leading and managing projects/programs of varying degrees of complexity and profile, supporting both Medical Groups and the…
Manager, Risk Management
Saint Francis Memorial Hospital   -   San Francisco CA   -   05/01/2016
Summary Under the direction of the VP of Quality and Performance Improvement, provides hospital-wide leadership for the SFMH Clinical Risk Management Program. Manages…
Vice President, Hospital Medicine
Dignity Health   -   San Francisco CA   -   05/01/2016
The Vice President, Hospital Medicine is a newly created position at Dignity Health. The Vice President will provide support and direction for the performance improvement…
Data Quality Analyst (Full-Time)
French Hospital Medical Center   -   San Luis Obispo CA   -   05/01/2016
About the Position Audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of systems and procedures to provide a…
Director Quality (Full Time/Day)
Community Hospital of San Bernardino   -   San Bernardino CA   -   05/01/2016
TheDirector of Quality oversees quality, infection control, and risk management/ patient relations. This position is responsible for the development of an integrated…
Manager, Quality and Accreditation
Saint Francis Memorial Hospital   -   San Francisco CA   -   05/01/2016
Under the direction of the Senior Director Quality and Performance Improvement, provides hospital-wide leadership for SFMH accreditation and regulatory readiness program.…
Coordinator-Disease Mgt LVN
Loma Linda University   -   Loma Linda CA   -   04/30/2016
Loma Linda University Health Care
Coordinator-Disease Mgt LVN Division: Management Svcs Organization Department: Quality Management Schedule: Full-Time Shift: AM Hours: Job Details: Job Summary: The LVN…
CARE COORDINATION CASE MANAGER
Health Plan of San Mateo   -   South San Francisco CA   -   03/10/2016
CARE COORDINATION CASE MANAGER The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Care Coordination Case Manager to perform comprehensive…
CARE TRANSITIONS COACH (TWO POSITIONS AVAILABLE)
Health Plan of San Mateo   -   South San Francisco CA   -   03/10/2016
CARE TRANSITIONS COACH (TWO POSITIONS AVAILABLE) The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Care Transitions Coach to perform the…
HEALTH EDUCATOR
Health Plan of San Mateo   -   South San Francisco CA   -   03/10/2016
HEALTH EDUCATOR The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Health Educator to perform the following essential duties &…
QUALITY IMPROVEMENT NURSE
Health Plan of San Mateo   -   South San Francisco CA   -   03/10/2016
QUALITY IMPROVEMENT NURSE The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Quality Improvement Nurse to conduct studies and analyze data to…
CARE COORDINATION TECHNICIAN I
Health Plan of San Mateo   -   South San Francisco CA   -   03/10/2016
CARE COORDINATION TECHNICIAN I The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Care Coordination Technician I to serve as a member…
UM INPATIENT REVIEW & CARE TRANSITION NURSE
Health Plan of San Mateo   -   South San Francisco CA   -   03/10/2016
UM INPATIENT REVIEW & CARE TRANSITION NURSE The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time UM Inpatient Review & Care Transition…
PROGRAM MANAGER – HEALTH SERVICES
Health Plan of San Mateo   -   South San Francisco CA   -   03/10/2016
PROGRAM MANAGER – HEALTH SERVICES The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Program Manager to be responsible for the clinical…
UM INPATIENT REVIEW & CARE TRANSITION NURSE
Health Plan of San Mateo   -   San Mateo CA   -   01/21/2016
UM INPATIENT REVIEW & CARE TRANSITION NURSE The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time UM Inpatient Review & Care Transition…
QUALITY IMPROVEMENT NURSE
Health Plan of San Mateo   -   San Mateo CA   -   12/28/2015
QUALITY IMPROVEMENT NURSE The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Quality Improvement Nurse to conduct studies and analyze data to…
QUALITY IMPROVEMENT SUPERVISOR
Health Plan of San Mateo   -   San Mateo CA   -   10/05/2015
QUALITY IMPROVEMENT SUPERVISOR The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Quality Improvement Supervisor who will be responsible for…
QUALITY IMPROVEMENT NURSE
Health Plan of San Mateo   -   San Mateo CA   -   10/05/2015
QUALITY IMPROVEMENT NURSE The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Quality Improvement Nurse to conduct studies and analyze data to…
CARE COORDINATION NURSE CASE MANAGER (ESRD)
Health Plan of San Mateo   -   San Mateo CA   -   10/05/2015
CARE COORDINATION NURSE CASE MANAGER (ESRD) The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Care Coordination Nurse Case Manager (ESRD) to…
CARE COORDINATION UNIT MANAGER
Health Plan of San Mateo   -   San Mateo CA   -   09/23/2015
CARE COORDINATION UNIT MANAGER The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Care Coordination Unit Manager to manage and provide…
UTILIZATION REVIEW NURSE
Health Plan of San Mateo   -   San Mateo CA   -   09/04/2015
UTILIZATION REVIEW NURSE The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Utilization Review Nurse to perform utilization reviews ensuring…
MEDICAL CLAIMS REVIEW NURSE
Health Plan of San Mateo   -   San Mateo CA   -   09/04/2015
MEDICAL CLAIMS REVIEW NURSE The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Medical Claims Review Nurse to perform utilization/claims…
UTILIZATION REVIEW NURSE
Health Plan of San Mateo   -   South San Francisco CA   -   07/15/2015
UTILIZATION REVIEW NURSE The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Utilization Review Nurse to perform utilization reviews ensuring…
UTILIZATION REVIEW NURSE
Health Plan of San Mateo   -   San Mateo CA   -   06/19/2015
UTILIZATION REVIEW NURSE The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a Utilization Review (UR) Nurse to perform utilization reviews to assure that…
MEDICAL CLAIMS REVIEW NURSE
Health Plan of San Mateo   -   San Mateo CA   -   06/19/2015
MEDICAL CLAIMS REVIEW NURSE The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Medical Claims Review Nurse to perform utilization/claims…
UTILIZATION REVIEW NURSE (RETROSPECTIVE REVIEWS)
Health Plan of San Mateo   -   San Mateo CA   -   05/21/2015
UTILIZATION REVIEW NURSE (RETROSPECTIVE REVIEWS) The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Utilization Review Nurse to perform…
QUALITY IMPROVEMENT MANAGER
Health Plan of San Mateo   -   South San Francisco CA   -   04/28/2015
QUALITY IMPROVEMENT MANAGER The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Quality Improvement Manager to perform and manage all…
UM INPATIENT REVIEW & CARE TRANSITION NURSE
Health Plan of San Mateo   -   San Mateo CA   -   03/26/2015
UM INPATIENT REVIEW & CARE TRANSITION NURSE The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time UM Inpatient Review & Care Transition…

Results: 1 - 42 of 42