Healthcare Quality Reviewer

At BCforward, we're committed to delivering top-notch quality services to our clients. As a Quality Review Specialist, you'll play a crucial role in ensuring that our analysts meet the highest standards of quality.With a strong focus on quality assurance, you'll be responsible for reviewing and assessing the work of our analysts, identifying areas for...

**Join Our Team at BCforward**As a Quality Control Analyst, you will play a critical role in maintaining our high standards of quality and customer satisfaction.We are a dynamic and growing organization, committed to excellence in our services and delivery.About the Role:You will be responsible for reviewing and assessing the quality of reviews performed by...

**Job Summary:**The Care Manager (RN) at Protouch Staffing partners with external providers to enhance the quality of care delivered to members. This role involves identifying, developing, and implementing clinical quality and service improvement projects.**Key Responsibilities:**Coordinate and promote assigned clinical quality and/or service improvement...

**Transforming Healthcare at NeueHealth**We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all. Our goal is to provide high-quality, coordinated healthcare to all populations.**Key Responsibilities:**Facilitate collaboration and coordination across settings to promote quality,...

The Bay Area Air Quality Management District is a regional government agency committed to protecting public health and the environment. The district's primary goal is to achieve clean air through regulation of industrial facilities, outreach programs, and incentives.Located in the San Francisco Bay Area, the district serves seven counties: Alameda, Contra...

**About the Role**The Bay Area Air Quality Management District is seeking a highly skilled and motivated individual to join our team as an Air Quality Specialist I/II. This is a unique opportunity to work in a dynamic and inclusive culture where your contributions are celebrated, and your growth is nurtured.In this role, you will perform a variety of...

The Bay Area Air Quality Management District is a regional government agency dedicated to achieving clean air for the public's health and environment. As Supervising Air Quality Specialist, you will oversee programs in inspection, investigation, air monitoring instrument operation, and enforcement operations. This position requires using independent judgment...

About Equus Workforce SolutionsWe are a leading provider of workforce development services in North America, dedicated to delivering demand-driven workforce solutions by focusing on industry best practices.Our team is passionate about making a lasting impact on the lives of others, and we strive to create a work environment where everyone feels included and...

Job SummaryThe Bay Area Air Quality Management District is seeking a highly skilled Principal Air Quality Engineer to join our Engineering Division. As a key member of our team, you will be responsible for performing complex and specialized air quality engineering work, including processing permit applications, analyzing air emissions, and evaluating program...

Job DescriptionThe Bay Area Air Quality Management District is seeking a highly skilled Environmental Quality Engineering Manager to join our team in the Engineering Division.About the PositionThis is an open recruitment for one (1) vacancy which is a full-time, represented position. The AB617 Principal Engineer (AB617 Role) will contribute to the successful...

About the RoleAs a Senior Air Quality Specialist at the Bay Area Air Quality Management District, you will play a crucial role in achieving clean air to protect public health and the environment. You will lead direction and perform complex assignments in areas such as inspection, investigation, air monitoring instrument operation, air quality planning, rule...

Job Description:We are seeking a skilled Healthcare Services Manager to lead our radiology operations in San Francisco. The successful candidate will be responsible for overseeing daily operations, managing staff, and ensuring compliance with company policies and regulations.Responsibilities:- Develop and implement effective strategies to improve patient...

We are expanding our panel of specialty reviewers and seeking physicians to join us as independent contractors. Dane Street, an Independent Review Organization, offers a unique opportunity for non-traditional physician work and supplemental income through telehealth reviews.As a telehealth reviewer with Dane Street, you will provide medical necessity reviews...

Job OverviewWe are seeking a skilled Clinical Pulmonologist to join our team as an independent contractor. In this role, you will utilize your expertise to review medical records and address client inquiries. As a Clinical Pulmonologist Reviewer, you will provide interpretations of the medical necessity of services provided by other healthcare...

Japanese Language Document Review OpportunityWe are seeking a highly skilled Japanese language expert to join our document review team as a Japan Expert Document Review Attorney.About the Role:This is a challenging and rewarding opportunity for a motivated individual with excellent language skills, experience in document review, and knowledge of electronic...

About the RoleAs a Quality Improvement Advisor, you will lead improvement work within the UCSF Benioff Children's Hospitals in Oakland and San Francisco, across all care settings. You will work in close partnership with physicians, nursing, and administrative leadership to improve quality and safety.About the DepartmentThe Benioff Children's Hospital Quality...

We are seeking a highly skilled Utilization Review and Management Specialist to join our team at Vivo HealthStaff in San Francisco. This full-time role involves 1-2 days of on-site work per week.Key Responsibilities:Concurrent and retrospective medical record reviews to determine medical necessity, service authorization, and denials management.Collaboration...

Healthcare Staffing Plus is looking for a qualified Travel Registered Nurse to fill a position in San Diego, California, United States.Job Type: Full-time, contractWork Hours: Evening or night shifts, 36 hours/week, rotating weekends.Assignment Duration: 13 weeks.Estimated Salary: $60-$90/hour + OT ($108), approximately $2,160-$2,520/week.About the...

Job Summary:We are seeking a highly skilled Healthcare Quality Assurance Specialist to join our team at San Francisco Health Plan. The ideal candidate will have experience in auditing daily processed claims, maintaining and reporting claim samples, and interpreting Medi-Cal and Medicare contracts.This is a hybrid position that requires on-site work in our...

About the Opportunity:This is a full-time opportunity with Scripps Health, located in Central San Diego County. As a Quality Coordinator RN, you will play a critical role in ensuring the delivery of high-quality patient care.Your Key Responsibilities:Manage publicly reported quality measures and performance improvement for assigned service lines in...