Top 116 Quality improvement rn Jobs in El Paso Tx

Clinical Review Nurse, RN
MotivHealth —Texas
- Full-time
- Remote
- RN License
- Mid-level
- 3 years
- Travel reimbursement
- Wellness program
Quick Apply
15h
Clinical Manager RN, STAR+PLUS - El Paso, TX - Remote
Optum —El Paso, TX
- $91,700 - $163,700 a year
- Full-time
- Spanish
- Nursing
- Clean driving record
Quick Apply
Quality Improvement Coordinator (RN)
The Hospitals of Providence - East Campus —El Paso, TX
- Full-time
- Nursing
- RN License
- Hospital
- Health savings account
- Health insurance
Supervisory Nurse (Admin)
US Military Treatment Facilities under DHA —El Paso, TX
- $104,537 - $131,159 a year
- Weekends as needed
- Background check
- 18 years or older
- Nursing
9d
Quality Measures Analyst - Critical Care, FT Days
EL PASO CHILDRENS HOSPITAL CORPORATION —El Paso, TX
- Full-time
- Spanish
- Nursing
- RN License
Registered Nurse PT
Healogics —El Paso, TX
- $35.68 - $44.97 an hour
- Part-time
- Nursing
- Microsoft Excel
- Microsoft Outlook
Quick Apply
4d
Prgm. Analyst II, Quality Interoperability
University Medical Center of El Paso —El Paso, TX
- Full-time
- Spanish
- Nursing
- RN License
Utilization Rev Nurse Coord , El Paso Health
University Medical Center of El Paso —El Paso, TX
- Full-time
- Spanish
- Nursing
- RN License
RN II, Clinic-NHC Far West
University Medical Center of El Paso —El Paso, TX
- Full-time
- Nursing
- RN License
- Hospital
10d
Clinical Educator - Med Surg
THOP —El Paso, TX
- Full-time
- Classroom
- Nursing
- BLS Certification
- Health savings account
- Health insurance
Nurse II
Health & Human Services Comm —El Paso, TX
- $6,579.41 - $7,761.50 a month
- Extended hours
- 18 years or older
- Nursing
- RN License
- Health insurance
- Opportunities for advancement
Quick Apply
RN II, Clinic-NHC Mobile Rural Clinic
University Medical Center of El Paso —El Paso, TX
- Full-time
- Spanish
- Nursing
- RN License
Dir. Quality Management, NHC Administration
University Medical Center of El Paso —El Paso, TX
- Full-time
- Nursing
- RN License
- Hospital
Clinical Educator - Perinatal Services
THOP —El Paso, TX
- Full-time
- Classroom
- Nursing
- BLS Certification
- Health savings account
- Health insurance
Associate Administrator of Quality
University Medical Center of El Paso —El Paso, TX
- Full-time
- Nursing
- Medicine
- 7 years
Perioperative Services Quality Measures Coordinator, FT Days
EL PASO CHILDRENS HOSPITAL CORPORATION —El Paso, TX
- Full-time
- Spanish
- Nursing
- Surgery
7d
RN Charge Nurse
Avir at Lomaland —El Paso, TX
- Full-time
- Nursing
- RN License
- PALS Certification
Quick Apply
10d
Director of Critical Care Nursing
Las Palmas Medical Center —El Paso, TX
- Full-time
- Ob/Gyn
- Critical & Intensive Care
- Neurology
- Employee stock purchase plan
- Disability insurance
Quick Apply
10h
Charge Nurse (RN) - Cath Lab
The Hospitals of Providence - Trans Mountain Campus —El Paso, TX
- Full-time
- Nursing
- RN License
- Hospital
- Health savings account
- Health insurance
Registered Nurse PICU Transport Team
Las Palmas Medical Center —El Paso, TX
- Full-time
- Mid-level
- 3 years
- Pediatrics
- Employee stock purchase plan
- Disability insurance
Quick Apply

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quality improvement rn jobs near el paso tx

Clinical Review Nurse, RN

MotivHealth -
Texas

Quick Apply

Job Details

Full-time
15 hours ago

Benefits

Travel reimbursement
Wellness program
Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Professional development assistance
Flexible schedule
Life insurance
Referral program
Retirement plan

Qualifications

RN License
Utilization management
Quality improvement
Resource utilization in healthcare
Acute care experience
Nurse Licensure Compact (NLC)

Full Job Description

The Clinical Review Nurse (RN) supports the organization’s care management function by conducting clinical reviews, ensuring appropriate utilization of medical services, and maintaining compliance with regulatory and plan-specific guidelines. This role bridges clinical expertise with administrative processes to promote quality, cost-effective healthcare outcomes for members.

This is a remote role open to candidates residing in Utah, Texas, or Arizona.

HOW YOU’LL MAKE AN IMPACT:

Clinical Review & Case Management

Perform prospective, concurrent, and retrospective medical necessity reviews for inpatient, outpatient, and ancillary services.
Apply evidence-based guidelines (e.g., MCG, InterQual) to determine medical necessity and appropriateness of care.
Collaborate with physicians, providers, and other healthcare professionals regarding clinical determinations.

Utilization Management

Ensure timely processing of pre-certification, prior authorization, and concurrent review requests.
Document clinical findings and review outcomes accurately within utilization management systems.
Identify potential quality-of-care issues and escalate appropriately.

Member Advocacy & Coordination

Support case management teams in coordinating care for members with complex health needs.
Assist in transitions of care to reduce unnecessary readmissions.
Provide education to members and providers on coverage, benefits, and clinical guidelines.

Compliance & Quality

Ensure adherence to regulatory requirements (state, federal, ERISA) and accreditation standards (URAC, NCQA, etc.).
Maintain confidentiality of Protected Health Information (PHI) in compliance with HIPAA.
Participate in audits, quality improvement initiatives, and staff training.

WHAT YOU BRING:

A Current, unrestricted Registered Nurse (RN) license for Utah or compact license.
Minimum 3+ years of clinical experience(acute care, utilization review, or case management preferred).
Prior Utilization Management experience in a TPA or health plan setting strongly desired
Working knowledge of medical necessity criteria (MCG, InterQual) preferred.
Familiarity with ERISA, DOL, and state/federal regulations governing TPA operations a plus.
Strong clinical assessment, critical thinking, and decision-making skills.
Excellent written and verbal communication skills.
Proficiency in EMR/UM software and Microsoft Office Suite.

HOW WE SUPPORT YOU:

5% annual bonus based on company profitability
Affordable health, vision, and dental insurance for you and your family
Company contributes up to $2,300 to Health Savings Account annually
Wellness program that contributes additional money towards your HSA
Automatic 3% contribution into retirement plan
Career development and growth opportunities
15 days paid time off & 10 paid holidays per year

MotivHealth is a dynamic and mission-driven health insurance company dedicated to disrupting the status quo by making healthcare simpler and more affordable for our members. We believe in empowering our members to take control of their health and financial well-being. Our innovative approach requires a team of passionate, talented individuals who aren't afraid to challenge conventional thinking and build solutions that truly make a difference. If you're looking to contribute your skills to a company that values innovation and positive impact, MotivHealth is the place for you.

Job Type: Full-time

Benefits:

401(k)
401(k) matching
Dental insurance
Disability insurance
Employee assistance program
Flexible schedule
Flexible spending account
Health insurance
Health savings account
Life insurance
Paid time off
Professional development assistance
Referral program
Retirement plan
Travel reimbursement
Vision insurance

Experience:

Utilization management: 3 years (Required)

License/Certification:

Registered Nurse License (Required)

Work Location: Remote

Quick Apply

Refine Your Search

quality improvement rn jobs in el paso tx

Clinical Review Nurse, RN

Clinical Manager RN, STAR+PLUS - El Paso, TX - Remote

Quality Improvement Coordinator (RN)

Supervisory Nurse (Admin)

Quality Measures Analyst - Critical Care, FT Days

Registered Nurse PT

Prgm. Analyst II, Quality Interoperability

Utilization Rev Nurse Coord , El Paso Health

RN II, Clinic-NHC Far West

Clinical Educator - Med Surg

Nurse II

RN II, Clinic-NHC Mobile Rural Clinic

Dir. Quality Management, NHC Administration

Clinical Educator - Perinatal Services

Associate Administrator of Quality

Perioperative Services Quality Measures Coordinator, FT Days

RN Charge Nurse

Director of Critical Care Nursing

Charge Nurse (RN) - Cath Lab

Registered Nurse PICU Transport Team

I want to receive the latest job alert for quality improvement rn in el paso tx

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