- 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)
- …with heart, each and every day. **Position Summary** Medicare Precertification 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
- 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
- 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)
- …12:00 (Noon) PM - 8:30 PM EST Shift** **Position Summary** At the 24-Hour Nurse Line the Health Coach Consultant utilizes a collaborative process of assessment, ... 4 holidays per year. + Must reside in a nurse Compact State and hold a Compact license. +...+ Facilitates effective health care decision-making. + Improves the quality of care. + Improves member satisfaction with their… 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
- CVS Health (Raleigh, NC)
- …health outcomes by engaging telephonically with individuals living with diabetes. This nurse will guide members through actionable steps to close gaps in care, ... education, connecting members to resources, and facilitating referrals to care management programs for continued support. This position supports the development and… more
- Veterans Affairs, Veterans Health Administration (Durham, NC)
- … Nurse Manager is supported by an excellent administrative staff, including a Quality Consultant , a Clinical Nurse Educator, and an Administrative Officer ... to coordination of care delivery, facilitating patient flow, and assuring quality patient care Management , leadership, coaching, development, and evaluation… 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 (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