19 Quality Standards jobs

United States (Remote)

Overview and responsibilities: Coordinates efforts to obtain and maintain certifications of excellence including Heart Failure and Stroke.

United States (Remote)

$62.7–97.2K / year

Company : Highmark Inc.

United States (Remote)

$47.00 – $63.00 / hour

Thank you for considering a career at Ensemble!

United States (Remote)

$80K / year

Applicants must reside in: Michigan, Florida, Idaho, Texas, Minnesota or Illinois.

United States (Remote)

$83–132.8K / year

Job Summary: The Manager, Clinical Appeals is responsible for the oversight of all clinical appeals activities ensuring consistency of services and…

United States (Remote)

$97.5–105K / year

About Eleanor Health At Eleanor Health we are helping people affected by addiction live amazing lives.

United States (Remote)

$23.00 – $27.00 / hour

Scope: The Medical Review Coordinator will perform her/his duties in accordance with MedWatch procedures, MedWatch review standards, URAC standards…

United States (Remote)

$75.3–135.4K / year

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members.

United States (Remote)

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here .

United States (Remote)

$70–75K / year

The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state…

United States (Remote)

$70–75K / year

The Utilization Management Registered Nurse is responsible for performing utilization review activities in compliance with federal and state…

United States (Remote)

$50.00 / hour

POSITION: The West Region Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with…

United States (Remote)

$50.00 / hour

POSITION: The Midwest Region Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with…

United States (Remote)

Overview HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an…

United States (Remote)

$50.00 / hour

POSITION: The Northeast Region Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with…

United States (Remote)

$34.00 / hour

Overview Carenet Health is not authorized to hire in certain states due to internal business considerations: IL, AK, CA, MA, MI, MN, NY, NV, NJ, OR,…

United States (Remote)

$50.00 / hour

POSITION: The Southeast Region Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with…

United States (Remote)

$65–70K / year

Scope: The Medical Review Specialist is a Registered Nurse who conducts the Utilization Review process by obtaining medical information and…

United States (Remote)

$50.00 / hour

POSITION: The 50 State Licensed Nurse Practitioner (NP) is responsible for ensuring direct patient care is evidence-based and aligns with SimpliFed's…