Quality Assurance Nurse jobs in Temecula, CA

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)

R
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

B
Quality Assurance Manager
  • Banza
  • Riverside, CA FULL_TIME
  • Virginia Park Foods is the premier private label and contract manufacturer of gluten-free pasta in the United States. Virginia Park Foods is an equal opportunity employer. Employment decisions are mad...
  • 20 Days Ago

B
Lead Quality Assurance Analyst
  • Bankjoy
  • Ontario, CA FULL_TIME
  • Despite our name, Bankjoy is not a bank! We are a silicon valley backed FinTech. Check out our investors Y Combinator and Bessemer Venture Partners and the impressive list of companies they have inves...
  • 20 Days Ago

V
Hospice Quality Assurance
  • Vital Hospice
  • Montclair, CA FULL_TIME
  • We are seeking a quality assurance nurse to join our team of medical professionals. The successful candidate will be responsible for QAPI related activities in hospice settings. The ideal candidate sh...
  • 21 Days Ago

E
Quality Assurance Coordinator
  • EVERIDGE
  • Rancho Cucamonga, CA OTHER
  • Job Details Job Location: Rancho Cucamonga (CA) - Rancho Cucamonga, CA Salary Range: Undisclosed DescriptionThe Quality Assurance Coordinator will ensure products and services meet quality standards a...
  • 23 Days Ago

M
PAID INTERNSHIP - Quality Assurance
  • Monster Energy
  • Corona, CA FULL_TIME
  • Position Summary: Under the general direction of the Quality Assurance Director, the Quality Assurance Intern is responsible for maintaining programs that ensure Monster Energy is compliant with all f...
  • Just Posted

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Quality Assurance Nurse jobs found in Temecula, CA area

C
Nurse Manager of Ambulatory Clinic
  • Clinical Management Consultants
  • Anza, CA
  • A fantastic career opportunity with a prestigious and financially stable Medical Center in beautiful and warm Southern C...
  • 3/29/2024 12:00:00 AM

H
Registered Nurse
  • Health Right 360
  • Escondido, CA
  • Job Description Job Description HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by provi...
  • 3/29/2024 12:00:00 AM

S
Vista PACE - Nurse Practitioner
  • San Ysidro Health Center
  • Vista, CA
  • Position Summary: Assists the Primary Care Physicians in providing medical services to patients in specialized areas suc...
  • 3/28/2024 12:00:00 AM

N
Risk Manager
  • Neighborhood Healthcare
  • Escondido, CA
  • Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live...
  • 3/28/2024 12:00:00 AM

U
LEAD RN- Full Time
  • UHS
  • Corona, CA
  • Responsibilities Come and join the RMC Family! We have been in the community since 1935. Our mission is to provide compr...
  • 3/27/2024 12:00:00 AM

T
Per Diem Admissions RN
  • The Elizabeth Hospice
  • Escondido, CA
  • Overview The Elizabeth Hospice is San Diego's oldest non-profit hospice of 45 years. We are growing and looking for tale...
  • 3/27/2024 12:00:00 AM

S
Vista PACE - Nurse Practitioner
  • San Ysidro Health
  • Vista, CA
  • Position Summary: Assists the Primary Care Physicians in providing medical services to patients in specialized areas suc...
  • 3/26/2024 12:00:00 AM

S
Vista PACE - Physician
  • San Ysidro Health Center
  • Vista, CA
  • Position Summary: Manages and provides acute, chronic, preventive, curative and rehabilitative medical care to patients ...
  • 3/26/2024 12:00:00 AM

Temecula /təˈmɛkjʊlə/ is a city in southwestern Riverside County, California, United States. The city is a tourist destination, with the Temecula Valley Wine Country, Old Town Temecula, the Temecula Valley Polo Club, the Temecula Valley Balloon & Wine Festival, the Temecula Valley International Film Festival, championship golf courses, and resort accommodations for tourists which contribute to the city's economic profile. The City of Temecula, forming the southwestern anchor of the Inland Empire region, is approximately 58 miles (93 km) north of downtown San Diego and 85 miles (137 km) southea...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Quality Assurance Nurse jobs
$89,502 to $103,839
Temecula, California area prices
were up 3.0% from a year ago

Quality Assurance Nurse in Albuquerque, NM
The Clinical Quality Assurance RN will also create, analyze, report and maintain metrics and processes in support of department and all relevant NYS programs and product lines.
December 03, 2019
Quality Assurance Nurse in Huntington, NY
The QA Nurse must be a registered nurse in the state of Connecticut and have at least three years of experience in regulatory readiness, adverse event review, and quality improvement.
February 19, 2020
Quality Assurance Nurse in Reading, PA
The Clinical Quality Assurance RN will review for to confirm accuracy and monitor timeliness in accordance with the Fidelis Care’s policies and regulatory standards, ensuring adherence to departmental and regulatory data integrity standards and requirements including contractual obligations with State and Federal agencies such as New York State Department of Health (NYDOH), County Department of Health (CDOH), Local Department of Social Services and Center for Medicare & Medicaid Services (CMS).
February 16, 2020