Performs quality review oversight visits to HHC owned nursing homes and retirement communities as assigned. May serve as a member of a quality review team or at times may visit assigned facilities as ...
Performs quality review oversight visits to HHC owned nursing homes and retirement communities as assigned. May serve as a member of a quality review team or at times may visit assigned facilities as ...
Performs quality review oversight visits to HHC owned nursing homes and retirement communities as assigned. May serve as a member of a quality review team or at times may visit assigned facilities as ...
Performs quality review oversight visits to HHC owned nursing homes and retirement communities as assigned. May serve as a member of a quality review team or at times may visit assigned facilities as ...
Clinical Quality Review Nurse
Phoenix, AZ · Remote
$41 - $44/hr
CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...
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Clinical Quality Review Nurse
Phoenix, AZ · Remote
$41 - $44/hr
CLINICAL QUALITY REVIEWER (RN or LCSW) Location: USA- Remote in approved states Overview: TEEMA is partnering with a leading organization supporting a large-scale federal healthcare program to ...
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for: * Receive and research all PQI and QR cases as assigned, provide a summary and ...
Reporting to the Manager of Provider Quality Oversight, the Provider Quality Review Nurse, RN is responsible for: * Receive and research all PQI and QR cases as assigned, provide a summary and ...
Temporary Quality Clinical Coordinator (local remote) Tandigm Health, a transformational leader in ... Helps to identify opportunities for collaboration with PCP, specialist, or clinical quality nurse ...
Temporary Quality Clinical Coordinator (local remote) Tandigm Health, a transformational leader in ... Helps to identify opportunities for collaboration with PCP, specialist, or clinical quality nurse ...
HEDIS Review Nurse - Remote - Contract
Dallas, TX · Remote
$42/hr
The review nurse is responsible for medical record abstractions and overreads during the annual ... Perform quality reviews of abstracted medical records as assigned * Ensure open and honest ...
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HEDIS Review Nurse - Remote - Contract
Dallas, TX · Remote
$42/hr
The review nurse is responsible for medical record abstractions and overreads during the annual ... Perform quality reviews of abstracted medical records as assigned * Ensure open and honest ...
RN Quality Review
Mexia, TX · On-site
Job Summary The RN - Quality Review is responsible for supporting the organization's quality and patient safety initiatives through data collection, analysis, and process improvement activities. This ...
RN Quality Review
Mexia, TX · On-site
Job Summary The RN - Quality Review is responsible for supporting the organization's quality and patient safety initiatives through data collection, analysis, and process improvement activities. This ...
Utilization Review Nurse
Houston, TX · On-site
$30 - $40/hr
... for Quality Assurance (NCQA) standards. Responsibilities * Prepare case reviews for Medical ... If eligible, the benefits available for this temporary role may include the following: • Medical ...
Utilization Review Nurse
Houston, TX · On-site
$30 - $40/hr
... for Quality Assurance (NCQA) standards. Responsibilities * Prepare case reviews for Medical ... If eligible, the benefits available for this temporary role may include the following: • Medical ...
Quality Review Coordinator
Birmingham, AL · On-site
BASIC FUNCTION Perform and administer level 2 Medical Review Pre-Determinations according to ... nursing degree program or experience required to obtain Registration (RN) from the state. The ...
Quality Review Coordinator
Birmingham, AL · On-site
BASIC FUNCTION Perform and administer level 2 Medical Review Pre-Determinations according to ... nursing degree program or experience required to obtain Registration (RN) from the state. The ...
Utilization Review Nurse
New Orleans, LA · On-site
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Ensures medically appropriate, high quality, cost effective care through assessing the medical ...
Utilization Review Nurse
New Orleans, LA · On-site
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Ensures medically appropriate, high quality, cost effective care through assessing the medical ...
Quality Review Coordinator
Birmingham, AL · On-site
BASIC FUNCTION Perform and administer level 2 Medical Review Pre-Determinations according to ... nursing degree program or experience required to obtain Registration (RN) from the state. The ...
Quality Review Coordinator
Birmingham, AL · On-site
BASIC FUNCTION Perform and administer level 2 Medical Review Pre-Determinations according to ... nursing degree program or experience required to obtain Registration (RN) from the state. The ...
Temporary Quality Engineer IV
Colorado Springs, CO · On-site
$71K - $91K/yr
The Temporary Quality Engineer IV will support risk analysis, control plans, inspection, and ... reviews of quality concerns, discussions, and presentations; and internal meetings related to ...
Temporary Quality Engineer IV
Colorado Springs, CO · On-site
$71K - $91K/yr
The Temporary Quality Engineer IV will support risk analysis, control plans, inspection, and ... reviews of quality concerns, discussions, and presentations; and internal meetings related to ...
Utilization Review Nurse
New Orleans, LA · On-site
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Ensures medically appropriate, high quality, cost effective care through assessing the medical ...
Utilization Review Nurse
New Orleans, LA · On-site
The Utilization Review Nurse ensures appropriate utilization of health services by performing ... Ensures medically appropriate, high quality, cost effective care through assessing the medical ...
NY · On-site
$80 - $100/hr
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...
NY · On-site
$80 - $100/hr
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...
Temporary Quality Engineer IV
Colorado Springs, CO · On-site
$96K - $120K/yr
The Temporary Quality Engineer IV will support risk analysis, control plans, inspection, and ... reviews of quality concerns, discussions, and presentations; and internal meetings related to ...
Temporary Quality Engineer IV
Colorado Springs, CO · On-site
$96K - $120K/yr
The Temporary Quality Engineer IV will support risk analysis, control plans, inspection, and ... reviews of quality concerns, discussions, and presentations; and internal meetings related to ...
REMOTE RN - Quality Review
Phoenix, AZ · Remote
$42 - $43.50/hr
Bachelor's degree in Nursing or healthcare-related field * Experience in clinical quality, utilization review, or case review * Familiarity with federal or government healthcare programs * Experience ...
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REMOTE RN - Quality Review
Phoenix, AZ · Remote
$42 - $43.50/hr
Bachelor's degree in Nursing or healthcare-related field * Experience in clinical quality, utilization review, or case review * Familiarity with federal or government healthcare programs * Experience ...
Concurrent Review Nurse
Doral, FL · On-site
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...
Concurrent Review Nurse
Doral, FL · On-site
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...
Concurrent Review Nurse
Doral, FL · On-site
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...
Concurrent Review Nurse
Doral, FL · On-site
Oversee the quality, accuracy, and timeliness of prior authorization reviews and ensure appropriate ... Bachelor's degree in Nursing required Experience * Minimum of two (2) years of experience in ...
Quality Engineer II (Temporary/Contractor)
San Diego, CA · On-site
$45.67 - $52.88/hr
Review completed records for completeness, accuracy, data integrity, and adherence to applicable procedures and regulatory expectations. * Support collection, compilation, and trending of quality ...
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Quality Engineer II (Temporary/Contractor)
San Diego, CA · On-site
$45.67 - $52.88/hr
Review completed records for completeness, accuracy, data integrity, and adherence to applicable procedures and regulatory expectations. * Support collection, compilation, and trending of quality ...
Concurrent Review Nurse
Houston, TX · On-site
Identify opportunities to improve quality, efficiency, and appropriate utilization of healthcare ... If eligible, the benefits available for this temporary role may include the following: • Medical ...
Concurrent Review Nurse
Houston, TX · On-site
Identify opportunities to improve quality, efficiency, and appropriate utilization of healthcare ... If eligible, the benefits available for this temporary role may include the following: • Medical ...
Temporary Quality Review Nurse information
See salary details
$29.5K - $42.3K
2% of jobs
$42.3K - $55K
0% of jobs
$66.3K is the 25th percentile. Wages below this are outliers.
$55K - $67.8K
26% of jobs
The median wage is $76.8K / yr.
$67.8K - $80.6K
31% of jobs
$80.6K - $93.4K
11% of jobs
$98K is the 75th percentile. Wages above this are outliers.
$93.4K - $106.1K
11% of jobs
$106.1K - $118.9K
5% of jobs
$118.9K - $131.7K
7% of jobs
$131.7K - $144.5K
2% of jobs
$144.5K - $157.2K
1% of jobs
$157.2K - $170K
2% of jobs
$29.5K
$90.3K
$170K
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States with the most job openings for Temporary Quality Review Nurse jobs include:
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The top searched job categories for Temporary Quality Review Nurse jobs are:
- Associate Remote Healthcare Quality Assurance
- Utilization Review Nurse Consultant
- Remote Utilization Review Nurse Practitioner
- Inpatient Review Nurse
- Optum Utilization Review Nurse
- Review Nurse
- Rn Utilization Review Nurse
- From Home International Utilization Review Nurse
- Remote Preservice Review Nurse
- International Utilization Review Nurse

Job description
Health and Hospital Corporation is an organization that celebrates diversity, and seeks to employ a diverse workforce. We actively encourage all individuals to apply for employment and to seek advancement opportunities. Health and Hospital Corporation also provides reasonable accommodations to qualified individuals with disabilities as required by law. For additional questions please contact us at: hrmail@hhcorp.org.
Assists the Vice President of Long Term Care and other department personnel in the review and analysis of care and services provided by HHC owned nursing homes and licensed residential facilities. Performs on site and office review of various clinical resident care services and nursing management operations at the long term care facilities and prepares related reports for the long term care department, individual facilities and the contract management company. Assists in the analysis of various aspects of nursing home operations using professional standards of practice and industry benchmarks and in the preparation of reports for the HHC Board of Directors' Planning Committee. This position is responsible for promoting health and wellbeing of long term care residents of Health and Hospital Corporation Marion County nursing facilities by promoting preventive, therapeutic, and supportive care based on standards of practice and in compliance with all applicable regulatory requirements.
Responsibility 1: 70%
- Performs quality review oversight visits to HHC owned nursing homes and retirement communities as assigned. May serve as a member of a quality review team or at times may visit assigned facilities as the sole representative from the HHC Long Term Care Department. Maintains a professional and supportive role when interacting with the nursing home and licensed residential facility staff providing helpful observations and suggestions.
- Performs various auditing/review activities during the site visits including but not limited to: medication administration observations, wound care and treatment administration, personal care services, meal service, clinical record reviews and review of nursing management records. At times may assist the other members of the quality review team to complete their assigned tasks. Other review tasks may include: resident or family interviews, review of quality assurance records, in-service training records, personnel files, incident report logs, professional facility consultant reports and other records as assigned. Must be knowledgeable and mindful of potential liability and other risk management issues and methods for taking appropriate preventative or corrective action.
- Participates in the exit conferences held with facility management and the quality reviewers and provides summary information regarding significant observations during the facility visit including specific resident and employee identification when possible. When requested, participates in taking notes at the exit conference for exit conference reports.
- Prepares a written site visit report following each facility visit in cooperation with other quality review team members who participated in the facility visit. Reviews report for accuracy, and clarity. Distributes reports in a confidential manner to all parties and maintains HHC records.
- Assures the retention and confidentiality of all data materials from facility visits and forwards to the department Executive Assistant for proper storage/retention.
Responsibility 2: 30%
- Participates in the compilation and completion of quarterly and other reports prepared for the HHC Board of Directors' Planning Committee.
- May attend HHC Planning Committee meetings as assigned to represent the Long Term Care Department or to present a special report.
- Assists in the completion and follow up of any requests or directives resulting form the Planning Committee meetings as assigned.
- Accepts phone calls from residents, family members and interested parties in the absence of other Long Term Care Department staff or as assigned. Receives concerns or information in a manner that reflects good customer service practices and prepares detailed written information for the Vice President's review and processing.
- Attends community and professional association functions and meetings representing HHC Long Term Care division as requested.
- Participates in the development of educational materials and staff training programs relative to long term care.
- Assists in development of departmental policies, procedures and forms for use in the departmental functions.
- In the absence of the Executive Assistant, makes travel arrangements/reservations for department staff conducting out of town facility site visits.
- Must be able to communicate effectively in verbal and written communications and able to adhere to deadlines and interruptions and frequent assignment changes, etc. Must have good customer service skills for interacting with facility residents and personnel on site visits as well as the general public.
- Graduate of an approved school of nursing (diploma, associate or B.S. degree).
- Access to own vehicle and current automobile insurance.
- 5 - 10 years of previous experience in long term care in a nursing management role.
- Knowledge of local/State/Federal laws and regulations applicable to state licensure of nursing homes and residential nursing facilities, federal regulations for skilled nursing homes and participation in Medicare and Medicaid programs, communicable disease control, and other applicable long term care requirements.
- Licensed Registered Nurse (Indiana).
- Valid Indiana Driver's license.
- Unconfined sitting 75%
- Confined sitting 15%
- Standing or walking 10%
- Steady use of hands or fingers - Typing and filing 85%
- Lift, carry, etc. with arms and legs - Carrying small boxes to meetings 15%
- Ability to perform driving functions in normal course of work day with confined sitting for several hours at times.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
About HHC
Sourced by ZipRecruiter
Industry
Software development
Company size
1 - 10 Employees
Headquarters location
Fairfax, VA, US
Year founded
2001