Quality Assurance Nurse jobs in California

Quality Assurance Nurse evaluates the quality of patient care. Monitors compliance with current laws, process improvements, and implementation of clinical best practices. Being a Quality Assurance Nurse reviews and analyzes customer complaints. May need to help train staff on new or improved clinical practices. Additionally, Quality Assurance Nurse requires an associate's degree/bachelor's degree and is licensed to practice nursing. Typically reports to a manager or head of a unit/department. To be a Quality Assurance Nurse typically requires 2 to 4 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2024 Salary.com)

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Quality Assurance Nurse
  • Reliant Management
  • Riverside, CA FULL_TIME
  • POSITION SUMMARY:

    The Clinical Quality Assurance Nurse reviews cases and ensures all necessary information has been provided and is accurate before sending back to requestor. The Clinical Quality Assurance Nurse will also oversee the facility’s policies and procedures.

    RESPONSIBILITIES/ACCOUNTABILITIES:

    ·       Performs quality assurance review of peer review reports, correspondences, addendums or supplemental reviews.

    ·       Ensures clear, concise, evidence-based rationales have been provided in support of all recommendations and/or determinations.

    ·       Ensures that all client instructions and specifications have been followed and that all questions have been addressed.

    ·       Ensures each review is supported by clinical citations and references when applicable and verifies that all references cited are current and obtained from reputable medical journals and/or publications.

    ·       Ensures the content, format, and professional appearance of the reports are of the highest quality and in compliance with company standards.

    ·       Ensure that the appropriate board specialty has reviewed the case in compliance with client specifications and/or state mandates and is documented accurately on the case report.

    ·       Verifies that the peer reviewer has attested to only the fact(s) and that no evidence of reviewer conflict of interest exists.

    ·       Ensures the provider credentials and signature are adhered to the final report.

    ·       Identifies any inconsistencies within the report and contacts the Peer Reviewer to obtain clarification, modification or correction as needed.

    ·       Assists in resolution of customer complaints and quality assurance issues as needed.

    ·       Ensures all federal ERISA and/or state mandates are adhered to at all times.

    ·       Provides insight and direction to management on consultant quality, availability and compliance with all company policies and procedures and client specifications.

    ·       Promote effective and efficient utilization of company resources.

    ·       Participate in various educational and or training activities as required.

    ·       Perform other duties as assigned.

     

    QUALIFICATIONS/SKILLS:

    ·       LVN License required.

    ·       Must be able to operate a general computer, fax, copier, scanner, and telephone.

     

     

     

     

  • 5 Days Ago

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Quality Assurance Nurse
  • Self-Help for the Elderly
  • San Francisco, CA FULL_TIME
  • Title: Quality Assurance Nurse Department: Home Care & Hospice FLSA Status: Non-Exempt Reports To: Director of Patient Care Services/Administrator Summary: The Quality Assurance Nurse is responsible f...
  • 8 Days Ago

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Clinical Quality Assurance Nurse Auditor
  • Examworks Group, Inc.
  • Redding, CA OTHER
  • Overview Are you an experienced Registered Nurse (RN) looking for your next opportunity? ExamWorks is seeking a Clinical Quality Assurance Nurse Auditor to join our team! This position is 100% remote ...
  • 16 Days Ago

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Registered Nurse / Utilization Review/Quality Assurance
  • Cross Country Healthcare
  • Fremont, CA FULL_TIME
  • Job DescriptionAs a registered nurse (RN), you will provide care for patients dealing with illness or injury. Depending on your role, you'll work at a hospital, outpatient center, private practice, ho...
  • 5 Days Ago

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Quality Assurance
  • Flag Solutions
  • Gardena, CA FULL_TIME
  • Purpose: The Quality Assurance personnel is responsible for customer purchase order data entry to generate shop traveler. Personnel shall ensure customer purchase order, process specification, and pri...
  • 20 Days Ago

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Quality assurance
  • Anheuser-Busch
  • Los Angeles, CA FULL_TIME
  • Dreaming big is in our DNA. Its who we are as a company. Its our culture. Its our heritage. And more than ever, its our future. A future where were always looking forward. Always serving up new ways t...
  • 20 Days Ago

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Quality Coordinator
  • Addiction Recovery Care
  • Bardstown, KY
  • Thank you for considering a career at Addiction Recovery Care, LLC (ARC) We have an exciting opportunity for you! Would ...
  • 3/28/2024 12:00:00 AM

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Licensed Vocational Nurse LVN
  • Active Hospice Care Inc
  • Burbank, CA
  • Job Description Job Description FULL TIME QUALITY ASSURANCE NURSE (LVN) Overview Active Hospice Care is proudly serving ...
  • 3/28/2024 12:00:00 AM

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Quality Coordinator
  • Addiction Recovery Care
  • Louisa, KY
  • Thank you for considering a career at Addiction Recovery Care, LLC (ARC) We have an exciting opportunity for you! Would ...
  • 3/28/2024 12:00:00 AM

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Floating Director of Nursing
  • Freedom Staffing Services
  • Candler, NC
  • Purpose: To assure quality nursing care for patients by directing, coordinating and supervising all nursing personnel. T...
  • 3/28/2024 12:00:00 AM

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Floating Director of Nursing
  • Freedom Staffing Services
  • Fayetteville, NC
  • Purpose: To assure quality nursing care for patients by directing, coordinating and supervising all nursing personnel. T...
  • 3/28/2024 12:00:00 AM

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SUPPORT NURSE (LPN) - LOUISBURG HEALTH & REHAB CENTER
  • Liberty Health
  • Louisburg, NC
  • Liberty Cares With Compassion At Liberty Healthcare and Rehabilitation Services, we promote a challenging, but rewarding...
  • 3/27/2024 12:00:00 AM

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Quality Assurance Manager (LPN/RN)
  • Lakeview Rehabilitation & Nursing Center
  • Chicago, IL
  • Lakeview Rehabilitation & Nursing Center - Lakeview Rehabilitation & Nursing Center is seeking a Full-Time Quality Assur...
  • 3/27/2024 12:00:00 AM

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Quality Assurance Nurse RN
  • PruittHealth
  • Charlotte Hall, MD
  • JOB PURPOSE:Responsible for conducting quality assurance clinical system reviews. Recommends resources in an efficient a...
  • 3/26/2024 12:00:00 AM

California is a state in the Pacific Region of the United States. With 39.6 million residents, California is the most populous U.S. state and the third-largest by area. The state capital is Sacramento. The Greater Los Angeles Area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions, with 18.7 million and 9.7 million residents respectively. Los Angeles is California's most populous city, and the country's second most populous, after New York City. California also has the nation's most populous county, Los Angeles County, and its largest county by area, S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Quality Assurance Nurse jobs
$91,783 to $106,485

Quality Assurance Nurse in Green Bay, WI
The QA Nurse will review all aspects of care provided to our patients and assist us in creating an atmosphere of excellence.
January 13, 2020
The Quality Assurance Nurse will Monitor records and documentation, Identify charts with documentation deficiencies and provide instruction in correct procedures; Assist the Administrator in implementing staff development activities focused on quality improvement; and Monitor and evaluate all aspects of care delivery to ensure that Continuous Quality Improvement Action Plans are implemented and monitored.
February 01, 2020
Quality Assurance Nurse in San Antonio, TX
Assistance with audits, evaluation of provider productivity, and ensure compliance with standards of practices are also key aspects of the Quality Assurance Nurse’s role.
February 19, 2020
Quality Assurance Nurse in Biloxi, MS
The Quality Assurance Nurse will be responsible for developing and implementing a multidisciplinary Quality Assurance Program.
December 22, 2019