- CVS Health (Raleigh, NC)
- …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 (Raleigh, NC)
- …it all with heart, each and every day. **Position Summary** Medicare Precertification Nurse Consultant position: _Utilization Management is a 24/7 operation ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- CVS Health (Raleigh, NC)
- …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 (Raleigh, NC)
- …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 (Raleigh, NC)
- …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 (Raleigh, NC)
- …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 (Raleigh, NC)
- …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
- UNC Health Care (Smithfield, NC)
- …the unit, the Clinical Nurse IV serves as a resource and system-wide consultant to staff and participates in endeavors to increase nursing knowledge. The CN IV ... of competency initiatives. Serves as an area of specialty consultant in the design of educational programs. Participates in...resources. Evaluates the impact of strategic fiscal changes on quality outcomes. Assists Nurse Manager to ensure… more
- UNC Health Care (Smithfield, NC)
- …the unit, the Clinical Nurse IV serves as a resource and system-wide consultant to staff and participates in endeavors to increase nursing knowledge. The CN IV ... of competency initiatives. Serves as an area of specialty consultant in the design of educational programs. Participates in...resources. Evaluates the impact of strategic fiscal changes on quality outcomes. Assists Nurse Manager to ensure… more
- UNC Health Care (Raleigh, NC)
- …supply and equipment resources. Evaluates the impact of strategic fiscal changes on quality outcomes. Assists Nurse Manager to ensure that internal and external ... fit the experience and needs of their trainee. **Job Title:** Clinical Nurse IV (CNIV) - Medical Inpatient Unit **Department:** Medical-Surgical Nursing **Reports… more
- UNC Health Care (Holly Springs, NC)
- …supply and equipment resources. Evaluates the impact of strategic fiscal changes on quality outcomes. Assists Nurse Manager to ensure that internal and external ... Population:** UNC Rex Holly Springs is a community-focused hospital providing high- quality , evidence-based care in a modern and supportive environment. Our Labor… more
- UNC Health Care (Raleigh, NC)
- …supply and equipment resources. Evaluates the impact of strategic fiscal changes on quality outcomes. Assists Nurse Manager to ensure that internal and external ... opportunities for skill development, including wounds, drains, appliances and pain management . Carolina Care behavioral expectations including a focus on teamwork… more
- Deloitte (Raleigh, NC)
- …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