- Children's Hospital & Research Center Oakland (Oakland, CA)
- …through improved utilization and productivity across the enterprise. Additionally, the Senior Physician Lean Consultant will mentor Associate Lean and Lean ... audiences of differing capabilities. **Decision-Making Required:** Independent decision-making for senior consultant level decisions. **Problem-Solving Required:** Strong… more
- Veterans Affairs, Veterans Health Administration (Roseburg, OR)
- …outcomes, with a focus on older adults and mental health. Acts as the Utilization Management (UM) nurse for the inpatient acute psychiatric unit. Tracks quality ... license from any US State or territory The QM Consultant , with a focus on geriatric and acute psychiatric...External Peer Review Program (EPRP) metrics. Acts as the Utilization Management nurse for the inpatient acute… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …we need: As an integral part of HMM Quality and Compliance team, the Senior Medicare Clinical Compliance Consultant works through the influence as an individual ... strategies. Your Day to Day: + With minimal oversight, leads CMS utilization management related compliance activities including: + Identify and implement new CMS… more
- MyFlorida (Macclenny, FL)
- SENIOR REGISTERED NURSE SUPV - 60022045 Date: Mar 31, 2024 Location: MACCLENNY, FL, US, 32063 The State Personnel System is an E-Verify employer. For more ... Requisition No: 807710 Agency: Children and Families Working Title: SENIOR REGISTERED NURSE SUPV - 60022045 Position...supervised and maintain documentation in unit. Serve as a consultant to the Registered Nurse , Licensed Practical… more
- MyFlorida (Auburndale, FL)
- SENIOR COMMUNITY HEALTH NURSE - 64085923 Date: Apr 18, 2024 Location: AUBURNDALE, FL, US, 33823 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 827592 Agency: Department of Health Working Title: SENIOR COMMUNITY HEALTH NURSE - 64085923 Pay Plan: Career… more
- Highmark Health (Buffalo, NY)
- …+ Performs as the clinical subject matter expert for clinical, quality, care, utilization , high cost claim and population health management as the part of the ... client cultures and trends to better support behavior change by increasing senior level support, improving value proposition with a goal of focused interventions,… more
- Sedgwick (Columbus, OH)
- … Team Lead **PRIMARY PURPOSE** **:** To supervise Medicare Compliance Nurses/Medicare Compliance Nurse Sr .; to ensure quality standards are achieved and provide ... service contract requirements, and quality standards + Promotes effective and efficient utilization of company resources. + Reviews medical claims and legal records;… more
- The Arora Group (Bethesda, MD)
- Registered Nurse Case Manager Nurse Currently recruiting a Registered Nurse (RN) Case Manager to work the Directorate of Healthcare Operations (DHO) at ... provided one month in advance. DUTIES OF THE REGISTERED NURSE CASE MANAGER (RN): The contracted RN shall provide...needs, to identify potential barriers to optimal health, resource utilization , and methods for minimizing barriers. + Assist the… more
- MyFlorida (Haines City, FL)
- …and Obstetrics. + Plans workloads, workflows, deadlines, work objectives and time utilization with employees. Serves as consultant for coordination of clinical ... SENIOR COMMUNITY HEALTH NURSING SUPV - 64029392 1...TB programs). In addition, serves as charge and triage nurse as needed. Directly supervises employees working in the… more
- MyFlorida (West Palm Beach, FL)
- SENIOR CLERICAL SPECIALIST - 64001282 Date: Apr 17, 2024 Location: WEST PALM BEACH, FL, US, 33401 The State Personnel System is an E-Verify employer. For more ... . Requisition No: 827278 Agency: Department of Health Working Title: SENIOR CLERICAL SPECIALIST - 64001282 Pay Plan: Career Service Position Number:… more
- Cleveland Clinic (Akron, OH)
- …to serving the community and treating our patients as family. As a Senior Safety, Quality, and Patient Experience Specialist you will be directing safety, quality, ... compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. * Participating in engraining the safety, quality,… more
- HCA Healthcare (Miami, FL)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... care and clinical research. + Serve as a nursing consultant to other members of the multidisciplinary team. +...and optimal documentation, including but not limited to the utilization of risk assessment tools, proper time out … more
- CareFirst (Baltimore, MD)
- …Services Roles: + Clinical Navigator "Registered Nurse " + Care Manager "Registered Nurse " + Senior Business Consultant + Medical Policy Analyst ... "Registered Nurse " + Utilization Management Coordinator + Quality Manager + Senior Business Process Analyst _By applying, you are expressing interest in… more
- Vanderbilt University Medical Center (Nashville, TN)
- …central clinical education department on enterprise wide initiatives. Collaborates with senior clinical and administrative staff to establish the mission, strategic ... plans with assigned responsibilities to achieve desired outcomes. * Acts as a consultant and liaison with area staff, educators, and leadership to promote agreed… more
- Cleveland Clinic (Akron, OH)
- …compliance with all standards and favorable performance on safety, quality, utilization , and experience metrics. * Participating in engraining the safety, quality, ... data and participates in improvement strategy development. + Acts as a consultant in educating and evaluating clinical and support department staff regarding quality… more
- Health First (Melbourne, FL)
- …administration, physicians, departments, and staff to ensure cost-effective utilization of services and processes. * Disseminates best practice ... Care Services as a full member of the * Nurse Executive Team. * Participates in the strategic and...the beginning of the fiscal year. * Collaborates with Providers/ Senior Leadership/Directors/Managers to ensure personnel management in an efficient… more