- Christus Health (Somerset, TX)
- …Program and CHRISTUS Santa Rosa Family Health Center. Summary: The Registered Nurse Lactation Consultant Lead is responsible for overseeing and providing ... success, and ensure optimal care for mothers and infants. The Lactation Consultant Lead works closely with physicians, nursing staff, and other healthcare providers… more
- University of New Mexico - Hospitals (Rio Rancho, NM)
- …delivery of optimal and safe patient care which includes fiscal management , standards compliance, clinical practice, staff development, oversight and active ... Admitting Office, physicians, and patient care areas when needed as consultant to facilitate appropriate patient placement based on admitting service, diagnosis,… more
- University of New Mexico - Hospitals (Albuquerque, NM)
- Full-Time Nurse Practitioner (NP) or Physician Assistant (PA) Interventional Radiology - Level I Trauma Center Join our dynamic and fast-paced Interventional ... ultrasound guided procedures. Collaborate closely with a multidisciplinary team to ensure high- quality patient care We're excited to welcome a motivated provider who… more
- Peoples Home Health, LLC (Pensacola, FL)
- …ostomy, and continence care throughout the agency. Functions primarily as a consultant ; provides direct patient care and education to selected patients. Provides ... coworkers and staff. Demonstrates an understanding of costs as they relate to quality and efficiency. Provides patient care and consultation to staff regarding … more
- US Tech Solutions (RI)
- …support as required. **Responsibilities:** + Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit ... Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION... review. + MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. + MUST HAVE… more
- Veterans Affairs, Veterans Health Administration (Orlando, FL)
- … at the Orlando VAMC takes guidance from the EPRP Performance Measures Lead Quality Management Consultant on the overall program and identifies and ... Summary The Hospital Performance Measures QM Consultant at the Orlando VAMC is a registered...nursing experience with a preference for one year of quality management experience. Bachelor of Science in… more
- CVS Health (Austin, TX)
- …department.** **Rotational late shift 9:30-6CST.** **No travel is required.** As a Utilization Management Nurse Consultant , you will utilize clinical skills ... Social Worker (LCSW) preferred. + Requisition Job Description **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and… more
- CVS Health (Carson City, NV)
- …per year). There is no travel expected with this position. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... we do it all with heart, each and every day. **Position Summary** **This Utilization Management (UM) Nurse Consultant role is fully remote but must reside… more
- CVS Health (Columbus, OH)
- …operation and work schedule may include weekends, holidays, and evening hours._ **UM Nurse Consultant ** Fully Remote- WFH **Schedule** - Mon-Fri 10:30AM-7PM with ... alternate weekends and holidays **Position Summary:** UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess, plan,… more
- CVS Health (Columbus, OH)
- …difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll ... organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high- quality healthcare for members. **Position… more
- CVS Health (Harrisburg, PA)
- …work schedule will include weekends, holidays, and evening hours_ . As a Utilization Management Nurse Consultant you will utilize clinical experience and ... other products, services and/or programs - Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization - Consults and… more
- CVS Health (Lansing, MI)
- …that promote high- quality healthcare for members. **Position Summary** Join our Utilization Management team as a Nurse Consultant , where you'll apply ... Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care … more
- CVS Health (Baton Rouge, LA)
- …it all with heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for Prior Authorization conducts high-acuity, ... in UM systems, ensuring data integrity and compliance. * Participate in quality improvement, policy review, and education related to utilization management .… more
- CVS Health (Baton Rouge, LA)
- …do it all with heart, each and every day. **Position Summary** The Utilization Management Nurse Consultant (UMNC) for NICU Concurrent Review conducts ... in UM systems, ensuring data integrity and compliance. * Participate in quality improvement, policy review, and education related to NICU and special populations… more
- HCA Healthcare (Brooksville, FL)
- …you passionate about delivering patient-centered care?** Submit your application for RN Registered Nurse Lactation Consultant position and spend more time at the ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA...**Job Summary and Qualifications** We are seeking a Lactation Consultant Registered Nurse for our Obstetrics Unit.… more
- PruittHealth (Columbia, SC)
- **Description - External** **JOB PURPOSE:** Senior Nurse Consultant assumes responsibility for conducting quality assurance reviews in the assigned ... facilities. Senior Nurse Consultant recommends resources in an efficient and economical manner...* Desired Software: Matrix Care, Point Right, AHT, Abaqis ( Quality Management System), COMS * Expert level… more
- CVS Health (Columbus, OH)
- …and external constituents in the coordination and administration of the utilization/benefit management function. * Meet set productivity and quality expectations ... and external constituents in the coordination and administration of the utilization/benefit management function. * Meet set productivity and quality expectations… more
- NHS Management, LLC (Fayetteville, AR)
- …the successes they experience along the way. We are in search of a qualified Regional Nurse Consultant : The Regional Nurse Consultant will be responsible ... the dissemination of expert advice and oversight to facility management personnel and line staff to ensure that systems...care facilities to ensure that the highest degree of quality care can be provided to the residents at… more
- CVS Health (Harrisburg, PA)
- …external constituents in the coordination and administration of the utilization/benefit management function.* Meet set productivity and quality expectations as ... needs. Specific schedules will be determined in collaboration with management to ensure adequate weekend coverage.Position Summary:Utilize your clinical experience… more
- CVS Health (Austin, TX)
- …external constituents in the coordination and administration of the utilization/benefit management function.* Meet set productivity and quality expectations ... meet operational needs. Specific schedules will bedeterminedin collaboration with management to ensure adequate weekend coverage.Position Summary:Utilize your clinical… more
