- 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 (Woonsocket, RI)
- …it all with heart, each and every day. **Position Summary** The **Utilization Management Clinical Nurse Consultant ** utilizes clinical skills to coordinate, ... document, and communicate all aspects of the utilization/benefit management program. **Job duties include (but are not limited to):** + Applies critical thinking and… more
- Fujifilm (Providence, RI)
- …customers. + Ensure compliance with all applicable requirements of the company's quality management system. + Maintains effective communications and working ... **Position Overview** The Clinical Consultant , MI - I shall be responsible for... products and services. + Understand and apply appropriate quality management system processes. + Promote Company… more
- Oracle (Providence, RI)
- …Oracle's solutions. Using Oracle's implementation approach and methodology, the Clinical Consultant will assist in change management , help identify opportunities ... as we are to improving health equity and delivering quality care across the globe. If you're excited about...you've come to the right place. As a Clinical Consultant , you are responsible for driving the customer through… more
- Oracle (Providence, RI)
- …Oracle's solutions. Using Oracle's implementation approach and methodology, the Clinical Consultant will assist in change management , help identify opportunities ... as we are to improving health equity and delivering quality care across the globe. If you're excited about...you've come to the right place. As a Clinical Consultant , you are responsible for driving the customer through… more
- Elderwood (Wakefield, RI)
- …staff with disciplinary actions and maintain awareness of all performance concerns. Quality Management + Actively participate in and promote facility-wide ... support key clinical staff, including the ADON/Day Supervisor, Head Nurse , Evening Supervisor, Night Supervisor, Medical Records Assistant, and...Quality Management programs aimed at continuous improvement in resident care… more