- 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 (Austin, TX)
- …department.** **Rotational late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant , you will utilize clinical skills ... Social Worker (LCSW) preferred. + Requisition Job Description **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and… more
- CVS Health (Austin, TX)
- …department.** **Rotational late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant , you will utilize clinical skills ... And we do it all with heart, each and every day. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate… more
- CVS Health (Baton Rouge, LA)
- …do it all with heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for NICU Concurrent Review conducts ... in UM systems, ensuring data integrity and compliance. * Participate in quality improvement, policy review, and education related to NICU and special populations… more
- HCA Healthcare (Fort Walton Beach, FL)
- …you passionate about delivering patient-centered care?** Submit your application for Registered Nurse Lactation Consultant position and spend more time at the ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA...employment start date + (IBCLC) International Board Certified Lactation Consultant + (RN) Registered Nurse + Certificate… more
- HCA Healthcare (Brooksville, FL)
- …you passionate about delivering patient-centered care?** Submit your application for RN Registered Nurse Lactation Consultant position and spend more time at the ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA...**Job Summary and Qualifications** We are seeking a Lactation Consultant Registered Nurse for our Obstetrics Unit.… more
- PruittHealth (Columbia, SC)
- **Description - External** **JOB PURPOSE:** Senior Nurse Consultant assumes responsibility for conducting quality assurance reviews in the assigned ... facilities. Senior Nurse Consultant recommends resources in an efficient and economical manner...* Desired Software: Matrix Care, Point Right, AHT, Abaqis ( Quality Management System), COMS * Expert level… more
- National Institutes of Health (Bethesda, MD)
- Summary The Department of Clinical Research Informatics (DCRI) is seeking a Nurse ( Consultant -Informatics) to lead a dynamic team delivering secure, high- ... Conditions of Employment Qualifications In order to qualify for a Nurse ( Consultant -Informatics), GS-610-13 position, you must possess the following:… more
- Molina Healthcare (Fitchburg, WI)
- …Summary Provides clinical consultation for IRIS participants requiring clinical expertise. IRIS nurse consultants train IRIS Consultant Agency (ICA) staff on ... Department of Health Services (DHS). Contributes to overarching strategy to provide quality and cost-effective care. Essential Job Duties * Provides assistance and… more
- NHS Management, LLC (Northport, AL)
- …Description GENERAL PURPOSE To perform and/or oversee the successful and timely completion of nurse consultant duties for a set of facilities as defined by the ... Services. Promote an environment that provides optimal efficiencies and superior quality of consultant services for Senior Care Pharmacy. QUALIFICATIONS… more
- CVS Health (Austin, TX)
- …Mon-Fri 8-5 PM in your time zone and is for a** **Medicare Precertification Nurse .** _Utilization Management is a 24/7 operation and work schedules will include ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- First Atlantic Health Care (Portland, ME)
- …Learn more about us at https://pcalmaine.com/ POSITION SUMMARY The RN Consultant assists the administrator by performing administrative responsibilities in the ... delivery of care. Meets the responsibilities of the RN Consultant as outlined in the state regulations. The RN...have received appropriate training, orientation, and evaluation to deliver quality care. + Assures all nursing personnel promote and… more
- CVS Health (Harrisburg, PA)
- …EST or CST Zones** + **Post Acute Care Nursing Experience Preferred** _Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- CVS Health (Phoenix, AZ)
- … organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high- quality healthcare for members. **Position ... Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this role, you'll be at the forefront of clinical… more
- Brockton Hospital (Brockton, MA)
- …with the appropriate management of their lactation needs. + Acts as consultant , educator, and participative role model to medical and nursing staff involved in ... and augment teaching provided by nursing staff. + Evaluates the lactation management program/services through quality improvement studies. + Orients new… more
- Philips (Rochester, MN)
- **Clinical Solution Consultant - Upstate New York** Bring your passion for patient care and technology to this role where you'll be responsible for providing ... and delivery of Philips Hospital Patient Monitoring (HPM) products to ensure a quality customer experience. **Your role:** + Serving as a clinical resource to… more
- Dartmouth Health (Lebanon, NH)
- …of care. * Teaches patient and significant others about chest/breastfeeding self- management . * Documents all aspects of chest/breastfeeding education. * Facilitate ... with others in a cooperative effort to ensure customer satisfaction and continuous Quality Improvement. * Comply with the department and Medical Center safety and… more
- US Tech Solutions (May, OK)
- …unrestricted active license **Responsibilities:** + Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit ... Care/Medicare experience preferred **Position Summary** + Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage… more
- Seattle Children's (Seattle, WA)
- Provides operational, quality improvement, and management consulting services related to wound and ostomy care. Plans implements, and evaluates projects related ... operational and strategic planning, and policy development to improve the quality of care. Provides leadership, expertise, education, program development, and… more
- HCA Healthcare (Nashville, TN)
- …preferred. CM knowledge and experience in multiple markets/divisions is a plus + Legal Nurse Consultant Certified (LNCC) preferred + Registered Nurse - ... an organization that invests in you as a Case Management Managed Care Consultant ? At HCA Healthcare,...and strategic initiatives. + Demonstrates strong task and priority management to meet deadlines and deliver high- quality … more
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