- CVS Health (Annapolis, MD)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The Quality Management Nurse (QM Nurse ) supports Aetna Better Health ... ensuring compliance with regulatory and accreditation standards while driving healthcare quality initiatives. This role combines clinical expertise with quality … more
- CVS Health (Annapolis, MD)
- …we do it all with heart, each and every day. **Position Summary** _Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- Fujifilm (Annapolis, MD)
- …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 (Annapolis, MD)
- …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 (Annapolis, MD)
- …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
- CVS Health (Annapolis, MD)
- …to coordinate, document, and communicate all aspects of the utilization/benefit management program. + Conduct clinical reviews for adult inpatient behavioral health ... constituents in the coordination and administration of the utilization/benefit management function. + Gathers clinical information and applies the appropriate… more
- Johns Hopkins University (Baltimore, MD)
- …guidelines of the department and institution and in accordance with the Nurse Practitioner-Physician Written Agreement required and approved by the State of Maryland ... and the Nurse Practice Act of the State of Maryland. Is...long-term effects of radiation and provides accurate and timely management for such side effects. + Provides education to… more
- WellSpan Health (York, PA)
- …+ Coordinates readmissions for patients having difficulties that require inpatient management . + Moderates regularly scheduled clinical review meetings of implanted ... as required. + Maintains established policies and procedures, objectives, quality assessment, safety, environmental and infection control standards. + Provides… more
- WellSpan Health (Gettysburg, PA)
- …relating to policy, procedure and program development. + Responds to organizational mandates, management of sentinel events and promotion of quality of patient ... **General Summary** Provides staff/professional development expertise as an educator, consultant , facilitator, change agent and leader. Supports the development of… more
- Deloitte (Baltimore, MD)
- …interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality , Case Management , Finance, Revenue Cycle, and Coders + ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team...severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities… more
- WellSpan Health (York, PA)
- …and inter-professional collaboration related to Magnet. Collaborates with leadership on quality patient outcomes, patient satisfaction outcomes, and nurse ... of nursing professional decision-making councils and committees. Serves as a consultant to others regarding the Magnet process and application of principles… more
- CareFirst (Baltimore, MD)
- …+ CCM - Certified Case Manager Upon Hire Preferred + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred Salary Range: $78,696 - $162,311 **Salary ... and oversees the implementation of policies and procedures that result in quality resolution of member and provider disputes regarding adverse and adverse coverage… more
- Johns Hopkins University (Baltimore, MD)
- …of Urology. This role will partner with faculty physicians to deliver Hopkins- quality , continuous care to patients with urologic diseases. Patients in the practice ... liaison between the urology team and primary care providers, nurse case managers, inpatient personnel and health care professionals...protocol. + Acts in the role of mentors and/or consultant to nurses, physicians, students, and other health care… more