- Trinity Health FirstChoice (Columbus, OH)
- …customers understand their service better, and build relationships.Serves as a consultant , resource person, and role model representing respiratory care in the ... and participate in their resolution.Maintains safe respiratory therapy practices; alerts management of any safety issues or concerns.Performs all duties and… more
- Compass Health Network (Arnold, MO)
- …we are offering a $6,000 sign-on bonus.* We are eager to continue to provide quality and compassionate care in our service areas and need you to make this happen! ... to travel to High Ridge location at times. The Nurse Care Manager is part of the person-centered integrated...encourage regular usage of their PCP for screening and management of chronic health conditions; provide education regarding the… more
- Compass Health Network (Arnold, MO)
- …we are offering a $6,000 sign-on bonus.* We are eager to continue to provide quality and compassionate care in our service areas and need you to make this happen! ... to travel to High Ridge location at times. The Nurse Care Manager is part of the person-centered integrated...encourage regular usage of their PCP for screening and management of chronic health conditions; provide education regarding the… more
- Adventist Health (Glendale, CA)
- …Bachelor's Degree in Nursing (BSN): Preferred Experience in a care management role: Preferred Licenses/Certifications: Registered Nurse (RN) licensure in ... Adventist Health is seeking a Registered Nurse (RN) Care Manager for a nursing job...collaboration, development, implementation, revision and reporting of the case management program. Acts as a liaison between the patient,… more
- 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
- Northeast Georgia Health System, Inc (Gainesville, GA)
- …solutions to improve patient care.Knowledge and expertise in patient care management , clinical quality analytics, and value-based reimbursement/accountable care ... About the Role:Job SummaryThe clinical informatics specialist (CIS) functions as a consultant , educator, and evaluator to maintain and improve system services and to… 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
- 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
- CVS Health (Raleigh, NC)
- …of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and… more
- CVS Health (Columbus, OH)
- …role is fully remote and employee can live in any state. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... document and communicate all aspects of the utilization/benefit management program. You would be responsible for ensuring the...times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all… more
- CVS Health (Columbus, OH)
- …the candidate can live in any state. No travel is required. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... to make health care more personal, convenient and affordable. Position Summary: This Utilization Management (UM) Nurse Consultant role is 100% remote and… more
- CVS Health (Austin, TX)
- … role is fully remote and employee can live in any state.As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... state regulated turn-around times. This includes reviewing written clinical records.The UM Nurse Consultant job duties include (not all encompassing):- Reviews… 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
- CVS Health (Columbus, OH)
- …deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and ... pm EST. Holiday rotation 1-2 per year. Position Summary CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to… more
- CVS Health (Plantation, FL)
- …10:00 AM- 6:30 PM EST No nights, no weekends, and no holidays. The UM Nurse Consultant job duties include (not all encompassing): -Reviews services to assure ... Spanish highly preferred + Compact RN License or license in multiple states + UM Nurse Consultant experience + Experience with overseas access to care + Working… more
- CVS Health (Trenton, NJ)
- …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote and ... employee can live in any state. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- CVS Health (Columbus, OH)
- …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote and ... Eastern Standard Time Holiday rotation 1-2 per year. CCR - Duals UM Nurse ConsultantUtilizes clinical experience and skills in a collaborative process to assess,… more
