- 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 (Tampa, FL)
- Summary James A Haley Veterans Hospital and Clinics has a Registered Nurse Quality Management consultant for the External Peer Review Program (EPRP). ... Quality Management (QM) Consultant Registered Nurse (RN) focus on individual growth and development in practice with increased levels of self-direction in… more
- CVS Health (Tallahassee, FL)
- …years of clinical experience required - 2+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in state of residence ... 5:00pm in time zone of residence **Preferred Qualifications** - Utilization Management review - Managed Care experience - Client processing experience **Education**… 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 (Phoenix, AZ)
- …**Must reside in Arizona, preferably in the Phoenix Metro area.** **Hours: Monday- Friday 8:00am-5:00pm** Responsible for the review and evaluation of clinical ... information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues.… more
- CVS Health (Columbus, OH)
- …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
- 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
- Novant Health (Wilmington, NC)
- …Consultant is desired. Remarkable Care. Remarkable Careers. Why become a Registered Nurse , RN- Lactation Consultant at Novant Health? + Clinical Ladder ... to assist the patient in navigating their health journey. The Registered Nurse accepts responsibility, authority, and accountability for management and provision… more
- CVS Health (High Point, NC)
- …of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... make health care more personal, convenient and affordable. **Position Summary** This UM Nurse Consultant position is part of Aetna's Commercial Care … more
- CVS Health (Topeka, KS)
- …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. + Utilizes clinical experience and skills in a collaborative process… more
- CVS Health (Austin, TX)
- …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 (Olympia, WA)
- …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
- CVS Health (Phoenix, AZ)
- …and UMNC participating in non-traditional, weekend shift rotation. As a Utilization Management Nurse Consultant you will utilize clinical experience ... other products, services and/or programs - Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization - Consults and… more
- PruittHealth (Savannah, 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
- HCA Healthcare (El Paso, TX)
- …you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Lactation Consultant PRN position and spend more time at ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Las...your career! We are interviewing candidates for our Registered Nurse Lactation Consultant PRN opening. **Apply today… more
- HCA Healthcare (Hendersonville, TN)
- …**Are you passionate about delivering patient-centered care?** Submit your application for Lactation Consultant Nurse position and spend more time at the bedside ... to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at TriStar Hendersonville Medical… 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
- Truman Medical Centers (Kansas City, MO)
- …(http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Corporate Clinical Nurse Consultant for Ambulatory Services (FT 8:00am - ... and Pharmacy. A 547-bed, not-for-profit health system, UH delivers the highest- quality medical care for our patients, with compassion, empathy, and unparalleled… 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