- CVS Health (Harrisburg, PA)
- …from multiple system applications and internal sources to assess for potential quality of care issues, barriers and opportunities for improvement. Analyzes and ... **Required Qualifications** + Must reside in Pennsylvania + Active and unrestricted Registered Nurse in PA + 3+ years of clinical experience + 1+ year(s) of… more
- CVS Health (Springfield, IL)
- …Components/Expectations * Serve as an incident reporting expert for Aetna Care Management . * Lead and demonstrate the How We Work Behaviors (specifically ... * Mentor the care team regarding best practice standards, quality of interventions, problem resolution and critical thinking and...OH is required. + 3+ year(s) of experience Care Management + 2+ year(s) of experience with documenting in… 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 (Aurora, CO)
- …of activities impacting patients and/or employees. Assigned responsibility for their assigned quality management program area activities for the Medical Center ... in planning, designing, integrating, implementing, modifying, and administering, a comprehensive quality management program area. Participate in several health… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …Completes orientation according to expected standards Collaborates with the Quality Manager, Risk Manager, Patient Safety Manager, Systems Redesign Coordinator, ... Directives and Handbooks. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for… more
- Veterans Affairs, Veterans Health Administration (West Palm Beach, FL)
- Summary The Quality Management Consultant Registered Nurse demonstrates leadership, experience, and creative approaches to improvement in quality ... of planning, organization, development, direction, and evaluation of the quality program for the facility. The QM Consultant...CB VA offers a comprehensive total rewards package: VA Nurse Total Rewards The Registered Nurse demonstrates… 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 (Olympia, WA)
- …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 but… more
- State of Colorado (Pueblo, CO)
- Nurse Consultant : RN Investigator - CMHHIP Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4768206) Apply Nurse Consultant : RN ... investigation and after all information has been gathered, the Nurse Consultant will continue to analyze the...and documenting findings. + Works closely with Human Resources, Quality Management , and other relevant departments 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
- HCA Healthcare (Fort Walton Beach, FL)
- …Walton-Destin Hospital have the opportunity to make a real impact. As a(an) Registered Nurse Lactation Consultant you can be a part of change. **Benefits** HCA ... positive outcomes for your patients as a (an) Registered Nurse Lactation Consultant . We want your knowledge...Development Educator enhances professional practice and the provision of quality patient care by providing evidence-based quality … 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 (Austin, TX)
- …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 (Tallahassee, FL)
- …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 (Harrisburg, PA)
- …convenient and affordable. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization management ... 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
- Customs and Border Protection (Bloomington, MN)
- …extend the closing date to 12/27/2024. Responsibilities The position serves as a Lead Nurse Consultant within Customs & Border Protection (CBP) and will allow ... US Customs and Border Protection, Office of Human Resources Management ; Talent Management Directorate; CBP Hiring Center....and effectively perform the duties of their position Performing quality review on the work completed by the team… 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 (Little Rock, AR)
- …make health care more personal, convenient and affordable. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends, ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more