- Moses/Weitzman Health System (Meriden, CT)
- **Job Description Summary:** **Job Description:** **JOB SUMMARY** Provides high quality primary careto individuals, families, and groups of Community Health Center ... or weekend hours. **ROLE AND RESPONSIBILITIES** Clinical Provides ongoing high quality primary care to clients. Performs clinical procedures competently. Cares for… more
- The Joint Commission (Oakbrook Terrace, IL)
- …anywhere in the United States.** **Currently seeking Acute Care Registered Nurse with Leadership experience in quality , accreditation and/or regulations.** ... compliance and to identify opportunities for improving compliance. Prepares management reports that clearly link individual standards deficiencies with potential… 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
- Champaign Residential Services Inc. (Urbana, OH)
- Part-Time Lead LPN/RN Night Shift in Champaign, OH BASIC FUNCTION: To provide quality nursing services to consumers based on each consumer's Medical needs and ... regulations established by DODD Medicaid (Title XIX), state DODD Licensure, County Quality Assurance, and other authorities that may dictate standards of operation… more
- Stanford Health Care (Palo Alto, CA)
- …Clinical Effectiveness is directly responsible for leading and developing a team of Quality Consultant (s), Clinical Nurse Specialist(s), Senior Quality ... providers, leadership, and the front-line staff to develop continuous quality improvement programs and set strategic initiatives. **Locations** Stanford Health… more
- AVEM BUSINESS SOLUTIONS LLC (Fairfax, OK)
- …found. Provides additional training if necessary. Report any errors found to risk management and consultant Pharmacist. At all times, be compliant with federal ... by the Pharmacist and Drug Room Supervisor that ensure quality health care delivery to all patients. Record and...dating of medications. Restock crash carts in ER and nurse 's stations and par levels in the med room.… more
- Stanford Health Care (Emeryville, CA)
- …Assists in orientation of new staff by acting as co-care giver or consultant . Participates in presenting information at staff meetings. + Practices cost effective ... supplies and suggests alternate approaches for increasing cost-effectiveness. + Works with management to set goal for self and department in relation to performance… more
- UCP OF LONG ISLAND (Hauppauge, NY)
- …Control Committee, and as needed Disaster Preparedness/Response Committees. May act as consultant to other agency committees, including Quality Improvement & ... difference in someone's life! We are currently seeking a Nurse Manager to oversee nursing care for our Adult...Clinical Oversight. Assist, support and counsel management of Adult Day Programs & Services regarding health… more
- CVS Health (Oklahoma City, OK)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The Quality Management , Nurse Consultant has a key role in ... with medical record review - Data analysis **Preferred Qualifications** - Certification in project management and / or health care quality - Masters Degree in… more
- Veterans Affairs, Veterans Health Administration (White City, OR)
- …bikers. Functions or Scope of Assigned Duties: Serves as a Quality Management (QM) Consultant Registered Nurse (RN) with primary responsibility for ... planning, designing, integrating, implementing, modifying, and administering a comprehensive quality management program. Participates in facility councils,… more
- CVS Health (Austin, TX)
- …in managed care, clinical, or health care related field. - 1 year of project management experience. - Registered Nurse (RN) license in the state of their ... and industry knowledge and performance improvement best practices to quality improvement efforts. Analyzes workflow and organizational performance to evaluate… more
- CVS Health (Springfield, 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 (Springfield, 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
- 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 (Carson City, NV)
- …Utilization Management (UM) Nurse Consultant . As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... times. This includes reviewing written clinical records. **Key Responsibilities of the UM Nurse Consultant ** (Includes but is not limited to) + Reviews services… more
- CVS Health (Columbus, OH)
- … (UM) Nurse to join our remote team. **Position Summary** The Appeals Nurse Consultant plays a key role in resolving clinical complaints and appeals by ... management organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high- quality healthcare for members. We… more
- CVS Health (Woonsocket, RI)
- …it all with heart, each and every day. **Position Summary:** The **Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes clinical ... skills to coordinate, document, and communicate all aspects of the utilization/benefit management program. **Job Duties include (but are not limited to):** + Applies… more
- CVS Health (Atlanta, GA)
- …with heart, each and every day. **Position Summary** Medicare Predetermination Utilization Management Nurse Consultant position: _Utilization Management ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- HCA Healthcare (Houston, TX)
- …we support our colleagues in their positions. Join our Team as a Registered Nurse RN Lactation Consultant and access programs to assist with every stage ... more affordable to gain certifications and job skills. Apply today for our Registered Nurse RN Lactation Consultant opening and continue to learn! **Job Summary… more
- HCA Healthcare (Denver, CO)
- …HCA HealthONE Rose 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
