HEDIS Review Nurse Specialist

Senior Quality Nurse Job DescriptionWe are seeking a highly skilled Senior Quality Nurse to join our team at UnitedHealth Group. As a Senior Quality Nurse, you will play a critical role in driving consistency, efficient processes, and sharing best practices with our provider and large or complex groups.The ideal candidate will have a strong background in...

Transforming Healthcare through Quality ExcellenceThe Sr. Clinical Quality Consultant (CQC) RN at Optum will drive consistency, efficient processes, and share best practices in a collaborative effort with providers and large or complex groups, designed to facilitate a minimum 4 STAR quality performance.Key Responsibilities:Develop business plans to motivate...

Job OverviewMolina Healthcare is seeking a highly skilled Healthcare Quality Improvement Specialist to join our team. As a key member of our Quality Improvement function, you will oversee, plan, and implement new and existing healthcare quality improvement initiatives and education programs specific to the Provider Network.Key ResponsibilitiesAct as a lead...

Job Title: Travel Nurse ICU SpecialistNurse First is seeking a travel nurse ICU specialist for a travel nursing job in a dynamic healthcare setting.Job Description & RequirementsSpecialty: ICU - Intensive Care UnitDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelNurse First offers a competitive pay package based...

Job SummaryWe are seeking a skilled RN to join our Utilization Review team as a Per Diem Case Manager. This role will involve reviewing admissions and continued stays to ensure medical necessity and managing insurance authorization throughout the hospital stay.Key ResponsibilitiesCoordinate all systems and services required for an organized,...

Nurse First is seeking a travel nurse ICU specialist for a travel nursing job.Job DetailsSpecialty: ICU - Intensive Care UnitDiscipline: RNEmployment Type: TravelNurse First Travel Agency is committed to giving travel nurses the best experience possible. Our company's founder was a nurse first, and at our roots, we believe nurses need advocates to help them...

Nurse First is seeking a travel nurse ICU specialist for a travel nursing job in a reputable medical facility.Job DetailsSpecialty: ICU - Intensive Care UnitDiscipline: RNDuration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelNurse First offers a competitive pay package based on 12 hour shifts and 36 hours per week, with a tax-free...

Job SummaryNurse First is seeking a travel nurse ICU specialist to join our team in Albuquerque, New Mexico.Job RequirementsSpecialty: ICU - Intensive Care UnitDiscipline: RNShift: 12 hours, nightsEmployment Type: TravelNurse First Job ID #53424044. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend...

Travel Nurse RN Job OpportunityWe are working with QS Nurses to find a qualified PCU RN in Albuquerque, New Mexico.Pay Information: $2,756 per weekAbout the Position: QS Nurses is looking for a skilled and dedicated RN to join their team.Our recruiters provide personalized support throughout the hiring process, ensuring a seamless experience for our...

Job DescriptionUNM Hospitals participates in the Clinical Advancement Program (CAP) and depending on your Nursing Education and National Certifications, you'll work towards one of five CAP levels that offer increasing compensation. You may earn up to 8.00 in addition to base pay.Sign-on Bonus and Relocation Reimbursement availableAs a Utilization Review...

We are seeking a skilled and dedicated Nurse Specialist to join our team in Albuquerque, New Mexico. This is an exciting opportunity to work in a fast-paced environment and contribute to the well-being of our patients.Compensation: The salary for this position is $2,756 per week, providing a stable and competitive income.About the Position: As a Nurse...

Travel Nurse Source is partnering with Core Medical Group to find a skilled Cardiovascular Nurse Specialist for a position in Albuquerque, New Mexico. The successful candidate will work 10 hour days in a dynamic Catheterization Laboratory environment.New Mexico, a southwestern state known for its diverse terrain and breathtaking landscapes, offers a unique...

About the OpportunityWe’re working with Advantis Medical Staffing to find a skilled Nurse Care Specialist for a 13-week travel assignment in Albuquerque, NM.Job SummaryThis rewarding travel job offers a contract duration of 13 weeks and a Night shift. As a Nurse Care Specialist, you will provide compassionate and high-quality care to patients ensuring...

Job Title: Utilization Management Nurse SpecialistWe are seeking a skilled Utilization Management Nurse Specialist to join our team at Presbyterian Healthcare Services. As a Utilization Management Nurse Specialist, you will play a critical role in ensuring that services rendered to members meet clinical criteria and are delivered in the appropriate...

Job SummaryWe are seeking a skilled Registered Nurse to join our Utilization Review team at the University of New Mexico - Hospitals. As a Utilization Review Registered Nurse, you will play a critical role in reviewing admissions and continued stays to ensure medical necessity and manage insurance authorization throughout the stay.Key...

Are you a skilled nurse looking for a challenging and rewarding career opportunity? Look no further! Travel Nurse Source is partnering with Trustaff to find a qualified Cardiovascular Interventional Nurse Specialist in Albuquerque, New Mexico.About the PositionAs a Cardiovascular Interventional Nurse Specialist, you will play a critical role in assisting...

Job SummaryWe are seeking a highly skilled Registered Nurse to join our Utilization Review team at the University of New Mexico - Hospitals. As a key member of our team, you will play a critical role in ensuring the best possible outcomes for our patients.Key ResponsibilitiesCoordinate patient care and manage the course of treatment in collaboration with...

Prospective candidates for the Nurse Clinical Specialist - General Surgery position at University of New Mexico - Hospitals will have the opportunity to work in a dynamic and patient-focused environment.The estimated salary for this role is $80,000 to $110,000 per year, depending on experience and location.As a Nurse Clinical Specialist in General Surgery,...

Job SummaryThis position is responsible for supervising clinical staff involved in various clinical operations, including risk management and clinical appeals. The ideal candidate will have experience in hiring, training, and performance reviews, as well as pay administration and change management.The successful candidate will be responsible for ensuring...

Job Title: Nurse SpecialistAt HME Specialists LLC, we are seeking a skilled Nurse Specialist to join our team. The ideal candidate will have 3 years of nursing experience, with a focus on infusion therapy, ambulatory infusion, and/or home infusion environment.Key Responsibilities:Provide safe direct and indirect nursing care to patientsImplement physician...