• Quality Management Nurse

    CVS Health (Phoenix, AZ)
    …care more personal, convenient and affordable. **Position Summary** This is a fulltime Quality Management Nurse Consultant opportunity within Arizona. ... of 60 miles) about 25-50% of the time. The QM Nurse Consultant is a...limited to member services, provider relations and integrated care management ) to achieve the common goal of improving member… more
    CVS Health (10/26/24)
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  • Quality Management Nurse

    CVS Health (Tallahassee, FL)
    …more personal, convenient and affordable. **Position Summary** This is a full-time remote Quality Management Nurse Consultant opportunity. Working ... hours, as needed. This position reports to the Potential Quality of Care (PQOC) nurse investigator team...Experience working Grievance cases + Appeals experience + Case Management or Utilization Management experience + Managed… more
    CVS Health (11/26/24)
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  • Quality Management Nurse

    CVS Health (Trenton, NJ)
    …health care more personal, convenient and affordable. **Position Summary** This is a fulltime Quality Management Nurse Consultant position in New Jersey. ... an RN with unrestricted active license. Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit determinations.… more
    CVS Health (11/21/24)
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  • Registered Nurse , Quality

    Veterans Affairs, Veterans Health Administration (Bonham, TX)
    Summary The Registered Nurse , Quality Management Consultant position is located in Quality and Patient Safety service at the Bohham, TX VA Clinic. ... a 90-day detail opportunity. Responsibilities The Quality Management Consultant , Registered Nurse collaborates...and practice changes for individuals, groups, and populations. The QM Consultant , Registered Nurse is… more
    Veterans Affairs, Veterans Health Administration (11/26/24)
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  • Registered Nurse - Quality

    Veterans Affairs, Veterans Health Administration (Reno, NV)
    …Responsibilities Major Duties include but not limited to: Quality Management { QM ) Consultant Registered Nurse {RN) focus on individual growth and ... of activities impacting patients and/or employees. Assigned responsibility for their assigned quality management program area activities for the Medical Center… more
    Veterans Affairs, Veterans Health Administration (11/26/24)
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  • Quality Management Nurse

    US Tech Solutions (RI)
    …support as required. **Responsibilities:** + Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit ... Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION... review. + MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. + MUST HAVE… more
    US Tech Solutions (10/18/24)
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  • Registered Nurse ( Quality

    Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
    Summary The QM /HRO Consultant is assigned responsibility for their assigned quality management program area activities for the VA Medical Center and all ... off-site locations. The QM /HRO Consultant collects data, monitors staff compliance...include, but are not limited to: Provides HRO program management /administration to ensure that programs/initiatives align directly with the… more
    Veterans Affairs, Veterans Health Administration (11/26/24)
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  • Nurse IV (Deputy Chief of Quality

    Veterans Affairs, Veterans Health Administration (Kings County, NY)
    …frequent interactions with other service chiefs. The Nurse IV Deputy Chief of Quality Management ( QM ) functions as an advisor, administrator, educator, ... or Scope of Assigned Duties: The Deputy Chief of Quality Management ( QM ) is a...measures. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more
    Veterans Affairs, Veterans Health Administration (11/06/24)
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  • Case Manager

    Ellis Medicine (Schenectady, NY)
    …pathway data, management , coordination, and communication. Responsible for quality management data, concurrent collection and intervention with departments. ... transfers. Understands the needs over continuum to plan best management plan. * Ensures effective concurrent Quality ...the systems in which we work. * Serves as nurse consultant for Social Worker cases with… more
    Ellis Medicine (09/20/24)
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  • Clinical Appeals Manager - RN (Hybrid)

    CareFirst (Baltimore, MD)
    …leadership experience. + Master's in Science Nursing or related field, Legal Nurse Consultant , Utilization Management , and Government Program experience ... of members for Maryland Medicaid, Maryland Medicare including (EGWP, DSNP, MAPD). Ensures quality management of the clinical appeal process to reduce the risk… more
    CareFirst (11/09/24)
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  • Quality Improvement Specialist Registered…

    McLaren Health Care (Flint, MI)
    …- 3:30pm **Scheduled Biweekly Hours:** 80 **Position Summary:** Acts as a quality consultant and subject matter expert. Responsible for uncovering opportunities ... **Department:** Quality Improvement **Shift:** Days **Daily Work Times:** 7:00am...assigned clinical outcomes. Assists with, and coordinates, ongoing data management and monitoring of clinical performance and compliance with… more
    McLaren Health Care (11/20/24)
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  • Sr Clinical Consultant , Cardio

    Fujifilm (Columbus, OH)
    …satisfaction. + Ensure compliance with all applicable requirements of the company's quality management system. + All other functions and responsibilities that ... highest quality products and services. + Understand and apply appropriate quality management system processes. + Promote Company standards of business… more
    Fujifilm (11/21/24)
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  • Lead Tech Clinical Consultant , Cardio

    Fujifilm (Columbus, OH)
    …modules. + Compliance with respect to all applicable requirements of the company's quality management system. + All other functions and/or responsibilities that ... highest quality products and services. + Understand and apply appropriate quality management system processes. + Promote Company standards of business… more
    Fujifilm (10/20/24)
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  • Clinical Effectiveness Consultant IV,…

    Sutter Health (Modesto, CA)
    …health care delivery and quality improvement is required, including clinical care management and/or quality management . + Knowledge of lean performance ... and facilitates the development, deployment, and monitoring of clinical quality improvement projects, patient safety improvement initiatives, and organization… more
    Sutter Health (10/25/24)
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  • Registered Nurse Risk Manager

    Veterans Affairs, Veterans Health Administration (San Diego, CA)
    …outpatient care, include all healthcare specialties and are integrated into the Quality Management Service. Demonstrates knowledge of current concepts and ... appropriate staff throughout the organization. Serves as a risk management resource/ consultant at the facility and Network...and conducts education and training programs related to risk management and related quality management more
    Veterans Affairs, Veterans Health Administration (11/10/24)
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  • Chief Nurse -Sterile Processing Service

    Veterans Affairs, Veterans Health Administration (Harlingen, TX)
    …and maintenance of reprocessing equipment, staff education program for RMDs, and quality management of SPS. The incumbent is responsible for assessing, ... storage, biological monitoring, and high-level disinfection monitoring through an SPS Quality Management System. Additionally, the incumbent maintains oversight… more
    Veterans Affairs, Veterans Health Administration (11/23/24)
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  • Chief Nurse - Sterile Processing Service…

    Veterans Affairs, Veterans Health Administration (East Orange, NJ)
    …and maintenance of reprocessing equipment, staff education programs for RMDs, and quality management of SPS. Assessing, monitoring, developing, and implementing ... Summary The Nurse IV Chief of Sterile Processing Service (SPS)...biological monitoring, and high-level disinfection monitoring through an SPS Quality Management System. Maintaining oversight and availability… more
    Veterans Affairs, Veterans Health Administration (11/17/24)
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  • PS Nurse Practitioner

    University of Utah (Salt Lake City, UT)
    …visits. g. Attends and participates in Burn Trauma ICU Interdisciplinary Quality Management Committee meetings; meeting the 50% attendance requirement ... Details **Open Date** 07/17/2024 **Requisition Number** PRN39254B **Job Title** PS Nurse Practitioner **Working Title** PS Nurse Practitioner **Job Grade** UGR… more
    University of Utah (10/17/24)
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  • Patient Safety Coordinator Registered Nurse

    HCA Healthcare (Richmond, VA)
    …the program. + Along with other clinical disciplines-medical staff, clinical staff, quality management , infection prevention, and risk management - ... We are seeking a highly-skilled Patient Safety Coordinator Registered Nurse RN to join our quality team....patient safety activities and act as a resource, internal consultant , and educator for patient safety issues. + You… more
    HCA Healthcare (08/29/24)
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  • Nurse Practitioner

    ChenMed (Louisville, KY)
    …directors to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required ... for health: The PCP acts as a health coach, rather than just a consultant for sickness, by helping patients set short and long-term health goals, partners with… more
    ChenMed (11/13/24)
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