- University Medical Center of El Paso (El Paso, TX)
- …treatment of infections. Under the guidance of the Administrative Director of Quality Management , carries out the design, development, implementation and ... control purposes. In collaboration with the designated physician, serves as resource consultant to patient care units and hospital departments in the appropriate… more
- Adecco US, Inc. (Woonsocket, RI)
- Adecco is currently assisting a local client, recruiting for Quality Management Registered Nurse Consultant working from home. For instant consideration, ... Apply Now! Requires an RN with unrestricted active license 3 years of clinical experience required- Managed Care/Medicare experience required.( This experience is not negotiable ) Schedule: M-F 8-5 Responsible for the review and evaluation of clinical… more
- CVS Health (Plantation, FL)
- …live in Plantation, FL or surrounding areas. This position reports to the Potential Quality of Care (PQOC) nurse investigator team manager. This position is ... requirements for member and/or provider issues. Fundamental Components + Works Potential Quality of Care cases (Medical and Behavioral Health), along with Patient… more
- US Tech Solutions (May, OK)
- …regulatory and accreditation requirements for member and/or provider issues. Works Potential Quality of Care cases across all lines of business (Commercial and ... support as required. **Responsibilities:** + Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit… more
- CVS Health (Springfield, IL)
- …years of clinical experience required - 2+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in state of residence ... - 5:00pm in time zone of residence Preferred Qualifications - Utilization Management review - Managed Care experience - Client processing experience Education… more
- CVS Health (Scottsdale, AZ)
- …Components/Expectations* Serve as an incident reporting expert for Aetna Care Management .* Lead and demonstrate the How We Work Behaviors (specifically ... incident reporting* Mentor the care team regarding best practice standards, quality of interventions, problem resolution and critical thinking and standard operating… more
- CVS Health (Richmond, VA)
- …Qualifications - 3+ years of clinical experience required - 3+ years of Quality experience required - Virginia resident required - Licensed RN with current ... unrestricted state of Virginia licensure required - Must possess reliable transportation and be willing and able to travel approximately 10% of the time. Mileage is reimbursed per our company expense reimbursement policy - 1+ year of experience using Microsoft… more
- Indian Health Service (Phoenix, AZ)
- Summary This position serves as the Risk Management Consultant at the Phoenix Service Unit covering inpatient, ambulatory care, and emergency areas. Incumbent ... the Director of Regulatory Compliance and Accreditation Department, Chief, Quality Management Officer, the Service Unit ...the risk of adverse patient events. Serves as a consultant providing clinical advisory tasks related to such functions… more
- Elderwood (Buffalo, NY)
- …for trends or quality improvement opportunities, by routinely reviewing audits, nurse consultant visit reports, mock survey reports and investigations. + ... staff.Activity CFON + Reviews quality measures and quality data (CMS 5 Star, CASPER, QM /QI,... quality improvement opportunities, by routinely reviewing audits, nurse consultant visit reports, mock survey reports… more
- Ellis Medicine (Schenectady, NY)
- …pathway data, management , coordination, and communication. Responsible for quality management data, concurrent collection and intervention with departments. ... transfers. Understands the needs over continuum to plan best management plan. * Ensures effective concurrent Quality ...the systems in which we work. * Serves as nurse consultant for Social Worker cases with… more
- MyFlorida (Macclenny, FL)
- …the behavioral sciences and knowledgeable of and utilize the principles of Total Quality Management . Ability to assist in carrying out treatment and ... supervised and maintain documentation in unit. Serve as a consultant to the Registered Nurse , Licensed Practical...in good repair. Participate in, or designate a registered nurse representative to participate in, quality assurance… more
- Veterans Affairs, Veterans Health Administration (Battle Creek, MI)
- …for daily clinical and administrative operations within the Quality Resource Services: Quality Management ( QM ), Risk Management (RM), High ... of standards of care, policies, and objectives for the enhancement of quality management organization wide. Assist in policy-making activities as related… more
- Highmark Health (Pittsburgh, PA)
- …survey results. + Actively participates in review and identification of opportunities of nurse quality indicators as measured by NDNQI at individual department ... ensures that standards of care are maintained relative to quality management , utilization review, and discharge planning....Governance model in all departments. + Serves as a consultant for nurse managers and medical staff… more
- Sutter Health (Santa Rosa, CA)
- …care delivery and quality improvement is required, including clinical care management and/or quality management . Knowledge of lean performance ... and facilitates the development, deployment, and monitoring of clinical quality improvement projects, patient safety improvement initiatives, and organization… more
- Travelers Insurance Company (Diamond Bar, CA)
- …techniques to improve the claim results of others. + Applies the Company's claim quality management protocols and Best Practices to all claims; documents the ... department guidelines. + Proactively creates Claim File Analysis (CFA) by adhering to quality standards. + Utilizes diary management system to ensure that all… more
- Indian Health Service (Kayenta, AZ)
- Summary This position is located in the Division of Quality Management of the Kayenta Service Unit, Kayenta, AZ. The purpose of this position is to serve as an ... Occupational Health Nurse (OHN) performs duties and responsibilities which include treating...teaching, the medical records are maintained in accordance with quality assurance and Federal and local protocols. Maintains liaison… more
- Albany Medical Center (Albany, NY)
- … Nurse Manager utilizes the patient care framework that includes Total Quality Management , Shared Governance, and Primary nursing to assure patient care. ... Night (United States of America) Hourly range: $38.54 - $63.60 The Assistant Nurse Manager has responsibility, accountability, and authority for the management … more
- Albany Medical Center (Albany, NY)
- …The Nurse Manager utilizes the patient care framework that includes Total Quality Management , Shared Governance, and Primary nursing to assure patient care. ... Labor & Delivery - D6E Work Shift: Day (United States of America) The Nurse Manager has 24-hour responsibility, accountability, and authority for the management … more
- STG International (Milledgeville, GA)
- …goals of the facility. ESSENTIAL FUNCTIONS: + Contribute to the facility's quality management including reduction of re-hospitalizations that were avoidable, ... STGi is seeking an Advanced Practice Registered Nurse to provide services to our Georgia War...an emphasis on assessment, illness prevention and health care management including assistance in modifying the treatment regimen to… more
- Trinity Health (Syracuse, NY)
- …is a liaison with physicians, office practices, nurses, interdisciplinary team, quality management , clinical documentation and associated registries in the ... Day Shift **Description:** Monday - Friday Days The Registered Nurse Cancer Care Patient Navigator provides a range of...care team, including patient and their support, in medical management and quality of life matters related… more
