- 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
- Veterans Affairs, Veterans Health Administration (Cincinnati, OH)
- …VA Medical Center, is seeking one well-qualified Registered Nurse to work as a Quality Management Consultant for our Mental Health Care Line. If you are ... do in our dynamic river region!https://www.frommers.com/destinations/cincinnati Registered Nurse - Quality Management Consultant for Mental Health Care… more
- CVS Health (Frankfort, KY)
- …are Monday through Friday, 8am to** **5pm in time zone of residence.** As a QM Nurse Consultant you will be responsible for the review and evaluation of clinical ... 5+ years of clinical experience required + 2+ years of experience as a Registered Nurse + Must have active, current and unrestricted Compact RN licensure in state of… 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 (Marion, IL)
- …Veterans. Responsibilities The Marion Illinois, VMAC is seeking a full time Quality Management (QM) Consultant Registered Nurse (RN) to join Quality ... and/or employees. The QM Consultant is assigned responsibility for their assigned quality management program area activities for the Medical Center and all… more
- CVS Health (Trenton, NJ)
- …convenient and affordable. **Position Summary** This is a full-time remote Utilization Management Nurse Consultant opportunity. Utilization management ... Work schedules may include weekends and holidays and evening rotations. As a Utilization Management Nurse Consultant , you will utilize clinical skills to… more
- State of Colorado (Denver, CO)
- NURSE CONSULTANT Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4715738) Apply NURSE CONSULTANT Salary $98,448.00 - $137,844.00 ... and unit director to develop new and improved review methodologies + Quality Assurance/ Consultant type background + History of working independently, managing… more
- PruittHealth (Atlanta, GA)
- …and quality improvement practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required systems ... regulations and quality outcomes. The Assisted Living Nurse Consultant will conduct mock surveys and...by providing feedback to supervisor and director of policy management regarding policies & procedures, forms, initiatives, etc. Assures,… more
- Veterans Affairs, Veterans Health Administration (Palo Alto, CA)
- Summary The Accreditation Consultant is an expert nurse who is responsible for leading, managing, coordinating, monitoring, and responding to continuous ... ensures follow up to survey recommendations. Responsibilities The Accreditation Consultant demonstrates effective administration of substantive functions that include,… more
- CVS Health (Columbus, OH)
- …and work schedules may include weekends, holidays, and evening hours_ As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization/benefit management program. + Utilizes clinical experience and skills in a collaborative process… more
- CVS Health (Albany, NY)
- …and work schedule may include weekends, holidays and evening hours._ 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 (Charleston, WV)
- …personal, convenient and affordable. **Position Summary** This is a fully remote Utilization Management Nurse Consultant opportunity. The schedule is Monday ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- Humana (Spring Hill, FL)
- …health first** The Nurse Senior Stars Improvement, Clinical Professional/ Consultant contributes to the development, implementation, and management of the ... Data and Information Set (HEDIS), Patient Safety, and Patient Experience. The Nurse Senior Stars Improvement, Clinical Professional / Consultant focuses on… 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
- CVS Health (Columbus, OH)
- …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
- ProMedica Health System (Toledo, OH)
- The RN/IBCLC Breastfeeding Supporter is a registered nurse and certified lactation consultant responsible for promoting, supporting, and protecting breastfeeding ... successful breastfeeding outcomes Perform clinical breast assessment and provide evidence-based management for common issues such as engorgement and nipple pain… more
- CVS Health (Austin, TX)
- …make health care more personal, convenient and affordable. **Position Summary** Utilization management is a 24/7 operation. Work schedules will include a minimum of ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- CVS Health (Raleigh, NC)
- …make health care more personal, convenient and affordable. **Position Summary** _Utilization Management is a 24/7 operation and work schedules may include weekends, ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
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