Quality Nurse Reviewer

Job DescriptionJob DescriptionJob Summary As a Medical Audit Claim Reviewer, you will play a crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies, procedures, and regulatory requirements. You will contribute to the accurate and ethical processing of claims, which is essential for the well-being of our...

Job Summary As a Medical Audit Claim Reviewer, you will play a crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies, procedures, and regulatory requirements. You will contribute to the accurate and ethical processing of claims, which is essential for the well-being of our members and the financial...

Job DescriptionJob DescriptionJob Summary As a Medical Audit Claim Reviewer, you will play a crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies, procedures, and regulatory requirements. You will contribute to the accurate and ethical processing of claims, which is essential for the well-being of our...

About CommuniCare Family of CompaniesCommuniCare Family of Companies is a leading provider of behavioral health services, dedicated to delivering holistic care to individuals in need. Our mission is to inspire hope, restore peace of mind, and heal lives.Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team at Sunrise...

Job Summary As a Medical Audit Claim Reviewer, you will play a crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies, procedures, and regulatory requirements. You will contribute to the accurate and ethical processing of claims, which is essential for the well-being of our members and the financial...

Job DescriptionJob DescriptionJob Summary As a Medical Audit Claim Reviewer, you will play a crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies, procedures, and regulatory requirements. You will contribute to the accurate and ethical processing of claims, which is essential for the well-being of our...

Job Summary As a Medical Audit Claim Reviewer, you will play a crucial role in our organization by reviewing and auditing medical claims to ensure compliance with policies, procedures, and regulatory requirements. You will contribute to the accurate and ethical processing of claims, which is essential for the well-being of our members and the financial...

**Job Summary**CommuniCare Family of Companies is seeking a highly skilled Clinical Utilization Review Specialist to join our team. As a key member of our healthcare team, you will be responsible for coordinating and monitoring the utilization of services throughout the course of treatment for patients admitted to our inpatient programs.**Key...

We have been retained to help one of our growing clients add a Quality Engineer to the team. This is an exciting opportunity to join an industry leading company, dedicated to delivering high-quality products. They are committed to continuous improvement and innovation, ensuring that our products meet the highest standards of quality and are seeking a...

Job DescriptionJob DescriptionJob SummaryProvide behavioral health utilization review and care management in order to ensure timely and appropriate services for the membership while in Behavioral Health acute and intermediate levels of care and to ensure coordination of care. To facilitate coordination and integration of behavioral health, medical...

Job SummaryProvide behavioral health utilization review and care management in order to ensure timely and appropriate services for the membership while in Behavioral Health acute and intermediate levels of care and to ensure coordination of care. To facilitate coordination and integration of behavioral health, medical management, and case management...

JOB TITLE: Perinatal Quality Improvement NurseREPORTS TO: Unit DirectorPOSITION SUMMARY:The Perinatal Quality Improvement Nurse plays a vital role in strategizing, executing, and assessing initiatives aimed at enhancing patient safety and quality within the perinatal care framework. This position is under the supervision of the Unit Director of the Birth...

JOB TITLE: Perinatal Patient Safety and Quality NurseREPORTS TO: Unit DirectorPOSITION OVERVIEW:The Perinatal Patient Safety and Quality Nurse plays a crucial role in the planning, execution, and assessment of patient safety and quality enhancement initiatives to guarantee optimal performance standards. This position collaborates closely with the Unit...

Job SummaryAureus - Nurse Leadership is seeking a highly skilled and experienced Travel Nurse Director of Nursing to join our team.Key ResponsibilitiesLead and manage nursing staff to ensure high-quality patient care and excellent outcomes.Develop and implement nursing policies and procedures to promote a safe and efficient work environment.Collaborate with...

Job DescriptionJob DescriptionSUMMARY OF FUNCTIONS:The Quality Assurance (QA) Manager will oversee the activity of the quality assurance department and staff, developing, implementing, and maintaining a system of quality and reliability testing for the organization’s products and/or development processes. MAJOR DUTIES AND RESPONSIBILITIES:Hires and trains...

Position: Travel Nurse RN - OR - $2,466 per week in Cherokee, IALocation: CherokeeTravel Nurse Source is working with Atlas Med Staff to find a qualified OR RN in Cherokee, Iowa, 51012 Pay Information $2,466 per week About The Position Atlas Medstaff is currently seeking candidates in the RN (OR) profession for a 13 week contract in the Cherokee, Iowa area....

About American Aluminum ExtrusionWe are a leading manufacturer of high-quality aluminum extrusions, committed to delivering exceptional products and services to our customers. Our mission is to provide superior quality, outstanding individualized customer service, and strong, long-term business relationships.Job SummaryWe are seeking a highly motivated and...

Join the team at Avera! Award Winning Health Care:  Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME. Culture:  Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward...

About the RoleWe are seeking an experienced Operational Support Specialist to join our team at BrightSpring Health Services. As an Operational Support Specialist, you will play a critical role in ensuring the success of our operations and driving quality results.Key ResponsibilitiesProvide operational support to critical areas, in alignment with Regional...

Job DescriptionJob DescriptionSummary:The Quality & Weld Trainer will be responsible for performing both hands-on and classroom training of all welders, covering the entire product line's diversity. This position requires a Certified Welding Inspector (CWI) license in good standing to train and certify current and new welders. Formal CWI training at an...