- CVS Health (IL)
- …members according to HFS quality strategy and ABHIL population health model. The Quality Management , Nurse Consultant directs analysis and reporting ... the development of HEDIS interventions and initiatives within the Quality Management Team. - Reviews documentation and...health care related field. - 1 year of project management experience. - Registered Nurse (RN) license… more
- CVS Health (IL)
- …clinical and industry knowledge and performance improvement best practices to quality improvement efforts. Analyzes workflow and organizational performance to ensure ... to include but not limited to the following: - Develops and implements quality improvement programs and initiatives to monitor and improve healthcare services and… more
- CVS Health (IL)
- …Contracting and Performance Management - 3 years Managed Care and/or Healthcare Quality Experience - 2 years Project Management - 1year experience Member ... Summary** This role is responsible for managing partnerships with Aetna-Illinois quality vendors and community-based organizations, with the primary focus to improve… more
- CVS Health (Springfield, IL)
- …that promote high- quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key ... Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care … more
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Nurse Consultant Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Salary Range $35.00 - $40.00 Hourly Job Category ... advancement to all our team members. Job Summary: The Nurse Consultant position is an external position...in drug availability, drug storage, and distribution + Conduct quality assurance audits prior to survey window to ensure… more
- CVS Health (IL)
- …to coordinate, document and communicate all aspects of the utilization/benefit management program. Applies critical thinking and knowledge in clinically appropriate ... constituents in the coordination and administration of the utilization/benefit management function - Gathers clinical information and applies the appropriate… more
- CVS Health (IL)
- …compassionate. And we do it all with heart, each and every day. _Utilization Management is a 24/7 operation and work schedule may include weekends, holidays, and ... with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- Fujifilm (Springfield, IL)
- …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
- Fujifilm (Springfield, IL)
- …+ Compliance with respect to all applicable requirements of the company's quality management system. + All other functions and/or responsibilities that ... **Position Overview** The Senior Technical Clinical Consultant , Cardiology shall be responsible for all aspects... products and services. + Understand and apply appropriate quality management system processes. + Promote Company… more
- City of Chicago (Chicago, IL)
- …participates in the development, evaluation and implementation of nursing programs for quality assurance management processes for programs or services . ... **Description:** **BID/JOB ANNOUNCEMENT** **SUPERVISING PUBLIC HEALTH NURSE ** **DEPARTMENT OF PUBLIC HEALTH** **Bureau Of Behavior Health** **(This posting has been… more
- ChenMed (Berwyn, IL)
- …directors to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required ... for health: The PCP acts as a health coach, rather than just a consultant for sickness, by helping patients set short and long-term health goals, partners with… more
- US Marine Corps (Marine, IL)
- …join our Team! MCCS is a comprehensive program that supports and enhances the quality of life for Marines, their families, and others in the Marine Corps Community. ... INTRODUCTION The purpose of the Child and Youth Programs (CYP) Community Health Nurse position is to provide health support services and address special needs issues… more
- CVS Health (Springfield, IL)
- …and strategies, policies and programs are comprised of network management , clinical coverage, and policies. **Position** **Summary/Mission** Our Case Managers ... health needs through communication and available resources to promote quality , cost effective outcomes. **Fundamental Components & Physical** **Requirements** +… more
- CVS Health (Chicago, IL)
- …work. Services and strategies, policies and programs are comprised of network management , clinical coverage, and policies. Our Case Managers use a collaborative ... comprehensive health needs through communication and available resources to promote quality , cost effective outcomes. Additional responsibilities to include but not… more
- The Joint Commission (Oakbrook Terrace, IL)
- …compliance and to identify opportunities for improving compliance. Prepares management reports that clearly link individual standards deficiencies with potential ... care, including three years direct clinical experience, and two years senior management experience. + Ideal candidates will have experience in a culturally diverse… more
- Carle Health (Urbana, IL)
- …internal controls and management reports to monitor accounts receivables, productivity and quality . + Maintains AR days under 5. + Reviews and follows up on all ... Overview The Health Information Management Coding Manager provides day-to-day oversight, direction and...the Carle Health system. The Coding Manager ensures the quality , accuracy and timeliness of all the coding completed… more
- Rush University Medical Center (Chicago, IL)
- …mission-driven team. Position Highlights + Lead and oversee the implementation, management , and optimization of nursing-related health IT solutions to enhance ... best practices and patient safety standards. + Serve as a key consultant for nursing technology initiatives, ensuring evidence-based practices are integrated into… more
- Carle Health (Peoria, IL)
- …team, contributes professional nursing knowledge and skills in the provision and management of care to patients through the application of the nursing process. ... days - American Heart Association (AHA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional...coordination of care for patients + Acts as a consultant both within the institution and to outside agencies… more
- Ascension Health (Elk Grove Village, IL)
- …clinical areas across the continuum of care. Serve as a strategic consultant for nursing clinical performance initiatives to create, implement, and evaluate ... date required. American Heart Association or American Red Cross accepted. + Registered Nurse obtained prior to hire date or job transfer date required. Education: +… more
- Trinity Health (Milan, IL)
- …Opportunity - XPAC** MercyOne has a full-time employment opportunity for a Nurse Practitioner/Physician Assistant to join our Occupational Medicine team. Under the ... Director, the Occupational Health Provider serves as a self-directed healthcare professional, consultant , and coordinator of care for XPAC employees. This role is… more