• 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
    Upward (08/01/25)
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  • 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
    Upward (07/31/25)
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  • 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
    Upward (07/31/25)
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  • Quality Management , Nurse

    CVS Health (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
    CVS Health (10/08/25)
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  • Quality Management , Nurse

    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 (10/02/25)
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  • Registered Nurse ( Quality

    Veterans Affairs, Veterans Health Administration (Anchorage, AK)
    Summary The Quality Management (QM) Consultant Registered Nurse (RN) collects data, monitors staff compliance with relevant policies, directives, and ... integrating, implementing, modifying, and administering, a comprehensive quality management program area. The QM Consultant participates in facility… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
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  • Quality Management Consultant

    Veterans Affairs, Veterans Health Administration (Kansas City, MO)
    …series. For more information, refer to Required Documents below. The Quality Management Consultant Registered Nurse functions as a clinical expert and ... in planning, designing, integrating, implementing, modifying, and administering, a comprehensive quality management program area. Works in conjunction with… more
    Veterans Affairs, Veterans Health Administration (10/08/25)
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  • Quality Management , Nurse

    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 (10/07/25)
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  • Quality & Compliance, Quality

    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 (10/02/25)
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  • Quality Management Nurse

    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
    US Tech Solutions (07/18/25)
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  • Registered Nurse - Quality

    Veterans Affairs, Veterans Health Administration (Tampa, FL)
    …and/or employees. The QM Consultant is assigned responsibility for their assigned quality management program area activities for the Medical Center and all ... System is seeking an experienced, dynamic and talented Registered Nurse for Quality . Our ideal applicants are...implementing, modifying, and administering, a comprehensive quality management program area. The QM Consultant participates… more
    Veterans Affairs, Veterans Health Administration (10/10/25)
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  • Registered Nurse RN Lactation…

    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 (08/09/25)
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  • Utilization Management Nurse

    CVS Health (FL)
    …in the state of Florida. **Applicant must reside in Florida** . As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and… more
    CVS Health (10/08/25)
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  • Utilization Management Nurse

    CVS Health (AZ)
    …in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Oncology and Transplant, ... organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high- quality healthcare for members. **Position… more
    CVS Health (10/01/25)
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  • Regional Nurse Consultant

    NHS Management, LLC (Fayetteville, AR)
    …the successes they experience along the way. We are in search of a qualified Regional Nurse Consultant : The Regional Nurse Consultant will be responsible ... the dissemination of expert advice and oversight to facility management personnel and line staff to ensure that systems...care facilities to ensure that the highest degree of quality care can be provided to the residents at… more
    NHS Management, LLC (09/05/25)
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  • Nurse Consultant

    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
    Polaris Pharmacy Services, LLC (10/10/25)
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  • Senior Nurse STARS Improvement…

    Humana (Oviedo, FL)
    …health first** The Nurse Senior Stars Improvement, Clinical Professional/ Consultant contributes to the development, implementation, and management of the ... Data and Information Set (HEDIS), Patient Safety, and Patient Experience. The Nurse Senior Stars Improvement, Clinical Professional / Consultant focuses on… more
    Humana (10/03/25)
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  • Hospice Nurse Consultant

    PruittHealth (Fayetteville, NC)
    **JOB PURPOSE:** The Nurse Consultant collaborates with the Senior Vice President Clinical Services and the hospice regional team to provide compliance support ... services to hospice agencies. The consultant is responsible for providing program evaluation, education and...operations and federal and state regulations. 2. Knowledge of Nurse Practice Act and acceptable standards of Nursing Practice… more
    PruittHealth (09/19/25)
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  • Registered Nurse Lactation…

    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...your career! We are interviewing candidates for our Registered Nurse Lactation Consultant opening. **Apply today and… more
    HCA Healthcare (10/02/25)
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  • Utilization Management Nurse

    CVS Health (TX)
    …And we do it all with heart, each and every day. Medicare Clinical Predetermination Nurse **Must be willing and able to work Monday through Friday, 9am - 6:00 pm ... EST or 9:30am to 6:00pm EST with occasional weekend/holiday/evening rotation.** **Utilization Management is a 24/7 operation and work schedules will include holidays… more
    CVS Health (10/09/25)
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