Top 82 Quality improvement nurse Jobs in Orem Ut

Remote Care Management Nurse
Cambia Health Solutions —Utah
- $38.00 - $41.50 an hour
- Overtime
- Remote
- Background check
- Nursing
- Microsoft Outlook
- Health insurance
- Dental insurance
Quick Apply
Operating Room Nurse
The Plastics Clinic, LLC —Draper, UT
- Part-time
- Anatomy knowledge
- Surgery
- RN License
- Paid holidays
- Disability insurance
Quick Apply
14d
Branch Director, Home Health - Seattle, WA
Centerwell —Provo, UT
- $111,600 - $153,600 a year
- Full-time
- RN License
- Sales
- Physical & Rehabilitation Medicine
- Paid parental leave
- Paid holidays
RN Care Manager
Intermountain Healthcare —Riverton, UT
- $41.20 - $62.17 an hour
- Weekends as needed
- Hybrid work
- Nursing
- RN License
- Hospital
7d
Cert Nurse Assistant Outpatient
Alta View Surgery Center —Sandy, UT
- Full-time
- Surgery
- HIPAA
- Outpatient experience
- Health savings account
- Health insurance
Quick Apply
Manager, Medical Case Management
AmTrust Financial Services, Inc. —South Jordan, UT
- $90,000 - $140,000 a year
- Full-time
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Patient Care Tech
Mountain View Hospital —Payson, UT
- Full-time
- No experience needed
- No travel
- Entry level
- Employee stock purchase plan
- Disability insurance
Quick Apply
As Needed Nurse Practitioner
Crossover Health —Sandy, UT
- Part-time
- 5 years
- BLS Certification
- Primary Care
Per Diem Certified Nursing Assistant (CNA)
BRISTOL HOSPICE LLC —Provo, UT
- $20 - $23 an hour
- PRN
- CPR Certification
- BLS Certification
- Driver's License
- Mileage reimbursement
- Health savings account
Quick Apply
PRN Advanced Practice Provider Hospitalist
Intermountain Healthcare —Provo, UT
- $56.76 - $87.59 an hour
- Part-time
- Acute care
- Hospital
- BLS Certification
RN Mom Baby Nights Part Time
Timpanogos Regional Hospital —Orem, UT
- Part-time
- Mid-level
- Employee stock purchase plan
- Disability insurance
Quick Apply
Nurse Practitioner (part-time)
Comprehensive Rehab Consultants —Orem, UT
- From $75 an hour
- 8 hour shift
- Skilled nursing facility
- Physical & Rehabilitation Medicine
- Mid-level
- Continuing education credits
- 401(k)
Quick Apply
PRN Advanced Practice Provider Hospitalist Riverton
Intermountain Healthcare —Riverton, UT
- $51.61 - $79.62 an hour
- Part-time
- Acute care
- Hospital
- BLS Certification
Director of Nursing (DON)
Youth Care of Utah —Draper, UT
- Full-time
- Nursing
- RN License
- Residential
- Relocation assistance
- Opportunities for advancement
1d
PACU Registered Nurse
Lone Peak Surgery Center —Draper, UT
- Part-time
- Surgery
- Mid-level
- Critical & Intensive Care
- Employee stock purchase plan
- Disability insurance
Quick Apply
PS Nurse Practitioner, General Cardiology, South Jordan Healthcare
University of Utah Health —South Jordan, UT
- $113,043 - $150,033 a year
- Full-time
- Nursing
- BLS Certification
- Pass drug screening
- Retirement plan
Pharmacy Technician / Pharm Tech Apprenticeship
Walgreens —Pleasant Grove, UT
- $17.00 - $20.50 an hour
- Part-time
- Computer literacy
- English
- Fair chance
- Health insurance
- Dental insurance
2d
Behavioral Health Charge Nurse
Intermountain Healthcare —Lehi, UT
- $41.20 - $62.17 an hour
- Part-time
- Hybrid work
- Nursing
- RN License
- PALS Certification
PS Nurse Practitioner, General Cardiology, South Jordan Healthcare
University of Utah —South Jordan, UT
- $113,043 - $150,033 a year
- Full-time
- Nursing
- Certified Nurse Practitioner
- BLS Certification
- Retirement plan
RN/LPN -Heber
ROCKY MOUNTAIN CARE-HEBER LLC —Heber City, UT
- Full-time
- Management
- RN License
- Computer literacy
- Tuition reimbursement
Quick Apply

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Remote Care Management Nurse

Cambia Health Solutions -
Utah

Quick Apply

Job Details

Full-time
$38.00 - $41.50 an hour

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Flexible schedule
Life insurance
Referral program

Qualifications

Microsoft Outlook
RN License
Customer service
Writing skills
Health insurance policy knowledge
Case management
Utilization management
Decision making
Industry trends
Clinical documentation
Time management

Full Job Description

Care Management Nurse
Remote within WA, OR, ID, UT. Candidates outside of these states will not be considered.

Primary Job Purpose

The Care Management Nurse provides clinical care management (such as case management, disease management, and/or care coordination) to best meet the member’s specific healthcare needs and to promote quality and cost-effective outcomes. Oversees a collaborative process with the member and those involved in the member’s care to assess, plan, implement, coordinate, monitor and evaluate care as needed.

General Functions and Outcomes

Responsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation.
Assessment: collection of in-depth information about a member’s situation and functioning to identify individual needs.
Planning: identification of specific objectives, goals, and actions designed to meet the member’s needs as identified in the assessment.
Implementation: execution of the specific case management activities that will lead to accomplishing the goals set forth in the plan.
Coordination: organization, securing, integrating and modifying resources.
Monitoring: gathering sufficient information to determine the plan’s effectiveness and the evaluation phase should determine the effectiveness of reaching the desired outcomes.
Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care.
Utilizes evidence-based criteria that incorporates current and validated clinical research findings. Practices within the scope of their license.
Consults with physician advisors to ensure clinically appropriate determinations.
Serves as a resource to internal and external customers.
Collaborates with other departments to resolve claims, quality of care, member or provider issues.
Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts.
Responds in writing or by phone to members, providers and regulatory organizations in a professional manner while protecting confidentiality of sensitive documents and issues.
Provides consistent and accurate documentation.
Plans, organizes and prioritizes assignments to comply with performance standards, corporate goals, and established timelines.

Minimum Requirements

Knowledge of health insurance industry trends, technology and contractual arrangements.
General computer skills (including use of Microsoft Office, Outlook, internet search). Familiarity with health care documentation systems.
Strong oral, written and interpersonal communication and customer service skills.
Ability to interpret policies and procedures, make decisions, and communicate complex topics effectively.
Strong organization and time management skills with the ability to manage workload independently.
Ability to think critically and make decision within individual role and responsibility.

Normally to be proficient in the competencies listed above

Care Management Nurse would have a/an Associate or Bachelor’s Degree in Nursing or related field and 3 years of case management, utilization management, disease management, or behavioral health case management experience or equivalent combination of education and experience.

Required Licenses, Certifications, Registration, Etc.

Must have licensure or certification, in a state or territory of the United States, in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice for the discipline (e.g. medical vs. behavioral health) and at least 3 years (or full time equivalent) of direct clinical care

Must have at least one of the following: Certification as a case manager from the URAC-approved list of certifications; or Bachelor’s degree (or higher) in a health or human services-related field (psychiatric RN or Master’s degree in Behavioral Health preferred for behavioral health care management); or Registered nurse (RN) license (must have a current unrestricted RN license for medical care management)

The expected hiring range for a Care Management Nurse is $38.00 - $41.50 an hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history. The bonus target for this position is 10% .  The current full salary range for this role is $33.80 - $55.00 an hour.

At Cambia, we take a variety of factors into account when creating a job offer, including your skills, experience, education, and training; relevant licensure / certifications; performance history; and work location. While we offer competitive salaries, in general, we do not hire candidates at or near the top of the pay range.

We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]
. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy
. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers
site.

Job Type: Full-time

Pay: $38.00 - $41.50 per hour

Expected hours: 40 per week

Benefits:

401(k)
401(k) matching
Dental insurance
Employee assistance program
Flexible schedule
Flexible spending account
Health insurance
Life insurance
Paid time off
Referral program
Tuition reimbursement
Vision insurance

Supplemental Pay:

Bonus opportunities
Overtime pay

Application Question(s):

Do you have a valid RN license in ID, OR, WA or UT?
Do you have at least 3 years clinical experience working directly with patients?

Location:

Utah (Required)

Work Location: Remote

Quick Apply

Refine Your Search

quality improvement nurse jobs in orem ut

Remote Care Management Nurse

Operating Room Nurse

Branch Director, Home Health - Seattle, WA

RN Care Manager

Cert Nurse Assistant Outpatient

Manager, Medical Case Management

Patient Care Tech

As Needed Nurse Practitioner

Per Diem Certified Nursing Assistant (CNA)

PRN Advanced Practice Provider Hospitalist

RN Mom Baby Nights Part Time

Nurse Practitioner (part-time)

PRN Advanced Practice Provider Hospitalist Riverton

Director of Nursing (DON)

PACU Registered Nurse

PS Nurse Practitioner, General Cardiology, South Jordan Healthcare

Pharmacy Technician / Pharm Tech Apprenticeship

Behavioral Health Charge Nurse

PS Nurse Practitioner, General Cardiology, South Jordan Healthcare

RN/LPN -Heber

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