- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as an individual contributor ... and escalate to senior leaders for decision making + Apply their clinical knowledge when assessing/auditing medical records and UM letters against medical necessity… more
- Signature Healthcare (OH)
- …cognitive care, and telemedicine. A growing number of our centers are earning quality assurance accreditation and pioneering person - directed care. Many of ... row and Modern Healthcare's "Best Places to Work!" Overview The ideal Signature Clinical Care Consultant Candidate would have working knowledge of Medicare,… more
- Trinity Health (Albany, NY)
- …teams. + Serves as a resource/ consultant to all departments related to quality , safety, accreditation and regulatory issues. + Leads task forces and teams ... Hospital** **POSITION PURPOSE** **Provides leadership and expertise in the areas of accreditation and regulatory compliance, quality and patient safety standards… more
- Sutter Health (Modesto, CA)
- …Center **Position Overview:** This position serves as primary support to clinical and operational leadership in monitoring and evaluating processes for outcomes ... compliance. Develops and coordinates components of the Sutter Health's Clinical Effectiveness and Performance Improvement (PI) Program. Facilitates clinical… more
- Veterans Affairs, Veterans Health Administration (Roseburg, OR)
- …and other behaviors associated with geriatrics, and/or mental health concerns. Completes clinical quality reviews, clinical data analysis, and identifying ... license from any US State or territory The QM Consultant , with a focus on geriatric and acute psychiatric...implements process improvement, while coordinating, monitoring and evaluating the quality and safety of the delivery of care for… more
- Cleveland Clinic (Mayfield Heights, OH)
- …one of the most respected healthcare organizations in the world. The Accreditation Program Manager, coordinates the hospital accreditation activities throughout ... completing a variety of regulatory surveys. It ensures continual readiness that promotes quality and safety. The Future Caregiver is someone who: * Has Clinical… more
- CVS Health (Springfield, IL)
- …affordable. Position Summary Responsible for the review and evaluation of clinical information and documentation. Reviews documentation and interprets data obtained ... from clinical records or systems and uses clinical ... criteria and policies in line with regulatory and accreditation requirements for member and/or provider claims. Independently coordinates… more
- MyFlorida (Gainesville, FL)
- REGISTERED NURSING CONSULTANT (QI) - 60064544 Date: Apr 11, 2024 Location: GAINESVILLE, FL, US, 32641 The State Personnel System is an E-Verify employer. For more ... Requisition No: 820797 Agency: Children and Families Working Title: REGISTERED NURSING CONSULTANT (QI) - 60064544 Pay Plan: Career Service Position Number: 60064544… more
- CVS Health (Springfield, IL)
- …and supports the development of HEDIS interventions and initiatives within the Quality Management Team. The QM Consultant reviews documentation and interprets ... evidence-based care and services for members according to HFS quality strategy and ABHIL population health model. The QM... strategy and ABHIL population health model. The QM Consultant directs analysis and reporting of member and provider… more
- CVS Health (Springfield, IL)
- …engagement and promote increased access to health care and services and to close quality and health equity gaps. The QM Consultant drives value through driving ... patterns, population outcomes and to support the achievement of organizational quality goals. Required Qualifications-3+ years experience in clinical , managed… more
- CVS Health (Scranton, SC)
- …related to achieving and maintaining optimal health status. The Health Coach Consultant : -Assess members using clinical tools and information/data review, ... the time (1 day per week). This Health Coach Consultant role is an RN and must report onsite...internal policy and procedure in compliance with regulatory and accreditation guidelines.Required Qualifications- 3+ years of clinical … more
- Houston Methodist (Houston, TX)
- …variety of business functions that operate at the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an ... similar background strongly encouraged to apply.** At Houston Methodist, the Senior Consultant position is responsible for both financial and operational analysis to… more
- MyFlorida (West Palm Beach, FL)
- GOVERNMENT OPERATIONS CONSULTANT I - 64068032 Date: Apr 19, 2024 Location: WEST PALM BEACH, FL, US, 33401 The State Personnel System is an E-Verify employer. For ... Requisition No: 827297 Agency: Department of Health Working Title: GOVERNMENT OPERATIONS CONSULTANT I - 64068032 Pay Plan: Career Service Position Number: 64068032… more
- HCA Healthcare (San Antonio, TX)
- **Description** **Introduction** Do you have the career opportunities as a(an) Lactation Consultant PRN you want in your current role? We invest in what matters most ... + You will identify performance opportunities or training needs related to clinical simulation. You will provide coaching, development, and training to improve… more
- CVS Health (Raleigh, NC)
- …Friday until 9PM EST. Typically every 4-6 weeksThe Health Coach Consultant Chronic Conditions utilizes a collaborative process of assessment, planning, ... optimal health status. You will assess members through the use of clinical tools and information/data review to conduct comprehensive evaluation of needs and… more
- Houston Methodist (Houston, TX)
- …Methodist, the Quality Resource Nurse position is responsible for providing clinical expertise and serves as a resource to the organization through educational ... safety, quality , training, and customer service. The Quality Resource Nurse position will assist with clinical...ESSENTIAL FUNCTIONS** + Functions as a subject matter expert consultant to clinical team members through protocol… more
- Veterans Affairs, Veterans Health Administration (East Orange, NJ)
- Summary The Clinical Pharmacy Specialist (CPS) for Mental Health/Substance Use Disorder (MH/SUD) who is also referred to as the Clinical Pharmacy Practitioner, ... sites if needed. Major duties and responsibilities of the position: - Expert and consultant to the Chief of Pharmacy Service for medication related issues in the… more
- Veterans Affairs, Veterans Health Administration (Fayetteville, NC)
- …in his/her pharmacotherapy clinics, improving the clinic system efficiency and quality . Responsibilities The Clinical Pharmacy Specialist (CPS) Home Based ... in the Fayetteville and surrounding areas within a 50 mile radius. The Clinical Pharmacy Specialist will independently manage unstable pharmacotherapy patients… more
- Veterans Affairs, Veterans Health Administration (Fort Belvoir, VA)
- …patients in his/her pharmacotherapy clinics, improving the clinic system efficiency and quality . Utilizes the highest level of clinical privileges for ... 75 applications which may be sooner than the closing date. Major Duties Clinical Pharmacist Specialist Patient Aligned Care Team (PACT): Practices as the Clinical… more
- Veterans Affairs, Veterans Health Administration (San Antonio, TX)
- …after complete review of the EDRP application. Responsibilities The Oncology Clinical Pharmacy Specialist (CPS) serves as a provider with prescribing privileges ... assessing patients for toxicities prior to subsequent cycles of chemotherapy. Clinical Specialty Practice-Patient Care Skills: Monitors patients admitted to the… more