- 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
- 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 (Fredericksburg, VA)
- Summary The Quality Management (QM) Nurse is a registered professional nurse , qualified by education and experience. The QM Nurse will be aligned ... and leadership for implementation of the medical center's Quality Management Program. Responsibilities The QM Consultant brings principals and theory… 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 ... Consultant is assigned responsibility for their assigned quality management program area activities for the...lead. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- Summary The Accreditation and Quality Specialist (AQS) Consultant Nurse demonstrates leadership in providing continuous readiness for accreditation and ... Hines Jr., VA Medical Center. Responsibilities The Accreditation and Quality Specialist (AQS) Consultant Nurse ... serves as a Specialist within the Accreditation & Quality Management Programs. Serves as the point… more
- Veterans Affairs, Veterans Health Administration (Hines, IL)
- …Disease physician to create a safe and clean environment for patient care. Quality management duties shall include engaging in investigative and/ or audit ... Summary The Infection Prevention Consultant (IP) is a professional registered nurse...Hines Infection Control Program, which is aligned under the Quality and Patient Safety (QPS) Service. Responsibilities The Infection… 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 (Jefferson City, MO)
- …Work schedules may include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant you will be responsible for the review ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- CVS Health (Trenton, NJ)
- …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
- PruittHealth (Athens, GA)
- …and quality improvement practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required systems ... **JOB PURPOSE:** Senior Nurse Consultant serves as a member...achieve and sustain compliance with all applicable regulations and quality outcomes. **KEY RESPONSIBILITIES:** * Annually in collaboration with… more
- CVS Health (Phoenix, AZ)
- …per the need of the department. 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
- 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
- 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
- CVS Health (Columbus, OH)
- …make health care more personal, convenient and affordable. **Position Summary** _Utilization Management is a 24/7 operation and work schedule may include weekends, ... holidays and evening hours._ This is a fulltime remote Utilization Management opportunity. + Utilizes clinical experience and skills in a collaborative process to… more
- CVS Health (Tallahassee, FL)
- …make health care more personal, convenient and affordable. **Position Summary** _Utilization Management is a 24/7 operation and the work schedule may include ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- CVS Health (Jefferson City, MO)
- …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 (Raleigh, NC)
- …convenient and affordable. **Position Summary** **This is a fully remote Utilization Management opportunity.** Utilization management is a 24/7 operation. Work ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more