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Quality Of Care Rn Jobs

Quality Mentor - Rn
By Beecan Health At Lakewood, CO, United States
Knowledge, Skills, Abilities & Qualifications
Responsible for pressure management oversight.
Responsible for fall management oversight.
Oversees management of psychotropic medications.
Guidance and skill development training abilities
Ensure that the employee skills, competency, and evaluations are within compliance.
Rn Director Of Resident Care
By Saint Elizabeth Community At Providence, RI, United States
Minimum of one year experience in a clinical hospital setting, skilled nursing facility or home health care agency.
Complete all residents' non-skilled treatments as ordered.
Attend and assist with all in-service education programs.
Reinforce in-service education programs and assure staff attendance.
Participate in programs of continuing education (seminars, training programs, etc.)
Blue Cross Blue Shield Health Insurance & Delta Dental Insurance offered for employees working 20+ hours/week
Clinical Quality Rn - State Of Louisiana
By UnitedHealthcare At , Metairie, 70002
Time Management- Must manage time appropriately, efficiently, and effectively
Provides individual and group education/training to clinical providers and staff related to clinical practice guidelines
Supports the Clinic Manager in efforts associated with responding to quality improvement initiatives by managed care plans
Conducts New Hire and Annual Skills training and assessment of Medical Assistants and LPNs
Analytical/Problem solving skills- identifies and resolves problems in a timely manner. Must be a strategic thinker
Planning/organizational skills- prioritizes and plans work activities, uses time efficiently and develops realistic actions plans
Rn-Quality Jobs
By Eisenhower Health At , Rancho Mirage, 92270
Preferred: Experience in performance / quality improvement activities
Performs post-discharge patient call backs to gage patient experience, address inquiries and remind patients of follow up appointments.
Vice President of Medical Affairs
Required: Minimum 3 years as a RN
Preferred: One year Nursing Inpatient
Interprets laboratory and test results and communicates abnormal findings to attending physician as needed.
Transition Of Care Coach (Rn)
By Molina Healthcare At , San Diego $26.41 - $51.49 an hour

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees:

Transition Of Care Coach Rn, Lpn, Sw, Lcsw
By Molina Healthcare At , Bothell, Wa $49,930 - $97,363 a year

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.*

To all current Molina employees:

Review Assistant - Quality Of Care (Remote)
By Acentra Health At Harrisburg, PA, United States
1-2 years of experience in administrative or records management.
Are you an experienced Review Assistant looking for a new challenge?
Associate’s Degree and/or equivalent work experiences related to medical, behavioral, or social/support settings.
Knowledge of general review of records, claims or requests in a healthcare related field.
Knowledge the organization of medical records, medical terminology, disease process.
Working knowledge of software with healthcare or insurance application.
Rn Care Coordinator - Remote For Residents Of Or, Wa, Id, Az, Fl, Tx & Ak
By Moda Health At United States
Investigates opportunities for health care alternatives and prepares cost effective plans to offer patients, families, and providers.
Refers appropriate cases to Case Manager RNs for assessment.
Must have 3 years recent hospital, home health, or acute care experience.
Strong analytical, problem solving, memory retention, organizational and detail-oriented skills.
Excellent communication skills with the ability to interact with all levels of staff, members and providers as needed.
Medical, Dental, Vision, Pharmacy, Life, & Disability
Supervisor Quality Of Care/Immediate Advocacy
By Kepro At Denver, CO, United States
Previous workload management experience strongly preferred.
Do you value care management and quality improvement?
Are you an experienced Supervisor of Quality of Care/Immediate Advocacy looking for a new challenge?
Assures accuracy and timeliness of all applicable review type cases within contract requirements.
ASN or equivalent nursing education required. BSN preferred.
Knowledge of current NCQA/URAC/CMS standards preferred.
Director Of Quality - Rn
By Louis A Weiss Memorial Medical Center, LLC At , Chicago, Il
Weiss Memorial Hospital is growing. We seek an Experienced Director of RN Quality Management.
2. 3-5 years of progressive clinical and management experience in health care
13. Maintains current knowledge of regulatory requirements and ensures that these are followed.
5. Excellent interpersonal skills with demonstrated mentoring and coaching capabilities
1. Develops the Patient Quality Plan in keeping with the Hospital’s quality mission and regulatory requirements.
3. Excellent analytical ability and strategic planning skills
Rn Director Of Care Management (Remote In Ca)
By Molina Healthcare At , San Diego, Ca $88,453 - $172,484 a year

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

To all current Molina employees:

Quality Of Care Rn
By WellSense Health Plan At , Boston, Ma
Knowledge of managed care, utilization management, and quality management
Maintains current knowledge of State, Federal and other applicable regulatory/accrediting agency requirements as they apply to department functions
Demonstrate and maintain current working knowledge of the required systems, procedures, forms and manuals
2 years of experience as practicing RN in hospital/healthcare setting
2+ years of experience in health insurance field
2+ years of experience processing potential quality inquiries