- Endeavor Health (Chicago, IL)
- …integration, management , and evaluation of technology/products to promote safety, quality , efficiency, and optimal health outcomes. * Partners in the development ... Position Highlights: Sign on bonus: None Position: RN Clinical Nurse Practice Specialist supporting OB Location: Chicago, IL Part-Time...the system. The CNPS serves as an educator, a consultant , and as a clinical expert. Responsible for ensuring… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- Summary The Registered Nurse , Quality Management Consultant position is located within the Quality and Patient Safety Service at the Phoenix VA ... Health Care | Veterans Affairs Responsibilities The Quality Management (QM) Consultant Registered Nurse (RN) demonstrates leadership, experience, and… more
- 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
- CVS Health (Austin, TX)
- …department.** **Rotational late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant , you will utilize clinical skills ... Social Worker (LCSW) preferred. + Requisition Job Description **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and… more
- CVS Health (Columbus, OH)
- …difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll ... organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high- quality healthcare for members. **Position… more
- CVS Health (Lansing, MI)
- …that promote high- quality healthcare for members. **Position Summary** Join our Utilization Management team as a Nurse Consultant , where you'll apply ... Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care … more
- PruittHealth (Columbia, SC)
- **Description - External** **JOB PURPOSE:** Senior Nurse Consultant assumes responsibility for conducting quality assurance reviews in the assigned ... facilities. Senior Nurse Consultant recommends resources in an efficient and economical manner...* Desired Software: Matrix Care, Point Right, AHT, Abaqis ( Quality Management System), COMS * Expert level… more
- NHS Management, LLC (Fayetteville, AR)
- …the successes they experience along the way. We are in search of a qualified Regional Nurse Consultant : The Regional Nurse Consultant will be responsible ... the dissemination of expert advice and oversight to facility management personnel and line staff to ensure that systems...care facilities to ensure that the highest degree of quality care can be provided to the residents at… more
- CVS Health (Columbus, OH)
- …and external constituents in the coordination and administration of the utilization/benefit management function. * Meet set productivity and quality expectations ... and external constituents in the coordination and administration of the utilization/benefit management function. * Meet set productivity and quality expectations… more
- CVS Health (Harrisburg, PA)
- …external constituents in the coordination and administration of the utilization/benefit management function.* Meet set productivity and quality expectations as ... needs. Specific schedules will be determined in collaboration with management to ensure adequate weekend coverage.Position Summary:Utilize your clinical experience… more
- CVS Health (Austin, TX)
- …external constituents in the coordination and administration of the utilization/benefit management function.* Meet set productivity and quality expectations ... meet operational needs. Specific schedules will bedeterminedin collaboration with management to ensure adequate weekend coverage.Position Summary:Utilize your clinical… more
- HCA Healthcare (Fort Walton Beach, FL)
- …you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Lactation Consultant position and spend more time at the ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA...your career! We are interviewing candidates for our Registered Nurse Lactation Consultant opening. **Apply today and… more
- CVS Health (Trenton, NJ)
- …we do it all with heart, each and every day. **Position Summary** _Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- First Atlantic Health Care (Portland, ME)
- …Learn more about us at https://pcalmaine.com/ POSITION SUMMARY The RN Consultant assists the administrator by performing administrative responsibilities in the ... delivery of care. Meets the responsibilities of the RN Consultant as outlined in the state regulations. The RN...have received appropriate training, orientation, and evaluation to deliver quality care. + Assures all nursing personnel promote and… more
- CVS Health (Phoenix, AZ)
- … organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high- quality healthcare for members. **Position ... Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this role, you'll be at the forefront of clinical… more
- CVS Health (Harrisburg, PA)
- …utilization/benefit management function. + UMNC meets set productivity and quality expectations. + Effective communication skills, both verbal and written + ... products, services and/or benefit programs. + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization. + Consults… more
- CVS Health (Harrisburg, PA)
- …other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and ... constituents in the coordination and administration of the utilization/benefit management function. + Typical office working environment with productivity and… more
- CVS Health (Atlanta, GA)
- …compassionate. And we do it all with heart, each and every day. Active Health Management is seeking a Telephonic Health Coach who has experience with virtual face to ... not apply for this position. **Position Overview:** The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and… more
- Dartmouth Health (Lebanon, NH)
- …of care. * Teaches patient and significant others about chest/breastfeeding self- management . * Documents all aspects of chest/breastfeeding education. * Facilitate ... with others in a cooperative effort to ensure customer satisfaction and continuous Quality Improvement. * Comply with the department and Medical Center safety and… more
- US Tech Solutions (May, OK)
- …unrestricted active license **Responsibilities:** + Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit ... Care/Medicare experience preferred **Position Summary** + Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage… more
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