- CVS Health (Phoenix, AZ)
- …care more personal, convenient and affordable. **Position Summary** This is a fulltime Quality Management Nurse Consultant opportunity within Arizona. ... 60 miles) about 25-50% of the time. The QM Nurse Consultant is a work at home...limited to member services, provider relations and integrated care management ) to achieve the common goal of improving member… more
- 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 (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
- 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. ... This position is a 90-day detail opportunity. Responsibilities The Quality Management Consultant , Registered Nurse collaborates in the development,… more
- Veterans Affairs, Veterans Health Administration (Reno, NV)
- …of care. Responsibilities Major Duties include but not limited to: Quality Management {QM) Consultant Registered Nurse {RN) focus on individual growth ... of activities impacting patients and/or employees. Assigned responsibility for their assigned quality management program area activities for the Medical Center… 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
- 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 with relevant policies, directives and standards, provides reports detailing… more
- Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
- …and analysis of all programmatic outcomes and makes recommendations to management . Develops process improvement projects to address any deficiencies Provides ... improvement projects, team training, and SAIL/EPRP metrics. Promotes a culture of quality and safety within the facility and partners with clinical and operational… more
- Veterans Affairs, Veterans Health Administration (Fort Meade, SD)
- …Healthcare system is seeking to fill a Registered Nurse (RN) - VA Surgical Quality Improvement Program (VASQIP) Quality Consultant position. As the RN - ... VA Surgical Quality Improvement Program Quality Consultant you will utilizes all aspects...practice. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more
- CVS Health (Columbus, OH)
- …per year).** There is no travel expected with this position. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... make health care more personal, convenient and affordable. **Position Summary:** This Utilization Management (UM) Nurse Consultant role is fully remote and… more
- CVS Health (Harrisburg, PA)
- …shift is approximately 1 per month.** No travel is required. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... to make health care more personal, convenient and affordable. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and… more
- HCA Healthcare (Richmond, VA)
- …us apart from any other healthcare provider. We are seeking a(an) Lactation Consultant Registered Nurse RN to join our healthcare family. **Benefits** Henrico ... and empowers their passion for patient care. Apply today for our Lactation Consultant Registered Nurse RN opportunity. **Job Summary and Qualifications** At… more
- CVS Health (Albany, NY)
- …Work schedules may include weekends and holidays and evening rotations. As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization/benefit management program. You would be responsible for ensuring the member is receiving the… more
- CVS Health (Jefferson City, MO)
- …sign up to work one major and one minor holiday yearly. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... make health care more personal, convenient and affordable. **Position Summary:** Utilization Management is a 24/7 operation and work schedules may include weekends,… more
- HCA Healthcare (Frisco, TX)
- …Medical City Frisco have the opportunity to make a real impact. As a Lactation Consultant Registered Nurse you can be a part of change. **Benefits** Medical City ... want your knowledge and expertise! **Job Summary and Qualifications** The Lactation Consultant Registered Nurse enhances professional practice and the provision… more
- CVS Health (Phoenix, AZ)
- …3 weeks training required 100% participation during 8:30am-5pm EST Monday-Friday As a UM Nurse Consultant you will work in a clinical telephone queue working ... to coordinate, document and communicate all aspects of the utilization/benefit management program. + Utilizes clinical experience and skills in a collaborative… more
- The Joint Commission (Oakbrook Terrace, IL)
- …years of progressively more responsible experience in senior health care management or quality /performance improvement. Maintains current and relevant knowledge ... to use the internet and web-based tools and resources such as Client Relationship Management and Consultant Knowledge Center required. 9. Ability to lift 25… more
- Indian Health Service (IN)
- …and related services in collaboration with and as delegated by the Forensic Nurse Consultant . Provide recommendations to supervisors and senior leaders on ... health related matters for forensic healthcare in conjunction with the Forensic Nurse Consultant . Research and analyze product problems caused by controversial,… more
- CVS Health (Austin, TX)
- …make health care more personal, convenient and affordable. **Position Summary:** This Utilization Management (UM) Nurse Consultant role is fully remote and ... both) per the needs of the team.** The UM Nurse Consultant job duties include (not all...coordinate, document and communicate all aspects of the utilization/benefit management program. + Utilizes clinical experience and skills in… more
- CVS Health (Columbus, OH)
- …the US Hours of operation/work schedule - M-F 8:00AM-5:00PM EST. As a Utilization Management (UM) Nurse Consultant , you will utilize clinical skills to ... and is detail oriented and highly organized. The UM Nurse Consultant reviews services to assure medical...management function. + There are standard productivity and quality expectations. + Work requires the ability to perform… more
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