- CVS Health (Oklahoma City, OK)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The Quality Management , Nurse Consultant has a key role in ... with medical record review - Data analysis **Preferred Qualifications** - Certification in project management and / or health care quality - Masters Degree in… more
- CVS Health (Columbus, OH)
- …at risk for involvement in, multiple child-serving systems. For the OhioRISE Program, the Quality Management Nurse Consultant position is responsible for ... the following job functions such as: Potential Quality of Care monitoring, critical incident reporting, collaboration and coordination with plan HEDIS teams on… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …Rex VA Healthcare System, Louisville, Kentucky is currently recruiting for a Registered Nurse - Quality Management Consultant Louisville, Kentucky 603. ... Responsibilities The Quality Management (QM) Consultant Registered Nurse (RN) demonstrates leadership, experience, and creative approaches to improvement… more
- Veterans Affairs, Veterans Health Administration (Colorado Springs, CO)
- Summary The Registered Nurse Quality Management (QM) Consultant - Regulatory Compliance Coordinator is a full-time confidential consultant /program ... and Ascellon. Responsibilities https://www.youtube.com/watch?v=EGW4PMZvJto The Registered Nurse Quality Management (QM) Consultant - Regulatory Compliance… more
- Veterans Affairs, Veterans Health Administration (Tuscaloosa, AL)
- … quality management program area. Responsibilities The Quality Management Consultant Registered Nurse : Completes orientation according to expected ... Summary The QM Consultant collects data, monitors staff compliance with relevant...growth. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more
- CVS Health (Springfield, IL)
- …Contracting and Performance Management - 3 years Managed Care and/or Healthcare Quality Experience - 2 years Project Management - 1year experience Member ... Summary** This role is responsible for managing partnerships with Aetna-Illinois quality vendors and community-based organizations, with the primary focus to improve… 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 (Leeds, MA)
- …of accreditation standards and regulatory requirements. Experience in healthcare accreditation, quality management , or a related field. Certification in ... Summary This Registered Nurse position is in Nursing Service at the...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… more
- Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
- Summary The Registered Nurse - Quality , Safety & Value Consultant Patient Safety is accountable to Quality , Safety & Value (QSV) Leadership at the ... the hospital and thirteen Outpatient Community Clinics as assigned. Responsibilities The Registered Nurse - Quality , Safety & Value Consultant Patient Safety… more
- CVS Health (Lansing, MI)
- …include weekends, holidays, and evening hours._ _Weekends: F/S/S/M 10 hour shifts_ **UM Nurse Consultant ** Fully Remote- WFH **Position Summary** UM Nurse ... it all with heart, each and every day. _Utilization Management is a 24/7 operation and work schedule may... Consultant Position Summary: UM Nurse Consultant Utilizes clinical experience and skills in a collaborative… 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 Standard work ... schedule with alternate weekends and holidays **Position Summary:** UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to… more
- CVS Health (Baton Rouge, LA)
- …Monday-Friday, 8AM-5PM CST with weekend/holiday coverage required (as needed). As a Utilization Management Nurse Consultant , you will utilize clinical skills ... management function. + Working environment with productivity and quality expectations. + Work requires the ability to perform...Qualifications** + 3+ years of experience as a Registered Nurse in a clinical setting. + Must have active… more
- CVS Health (Annapolis, MD)
- …that promote high- quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. **Key ... 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 (Austin, TX)
- …with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization Management ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- HCA Healthcare (Houston, TX)
- …we support our colleagues in their positions. Join our Team as a Registered Nurse RN Lactation Consultant and access programs to assist with every stage ... more affordable to gain certifications and job skills. Apply today for our Registered Nurse RN Lactation Consultant opening and continue to learn! **Job Summary… more
- CVS Health (Phoenix, AZ)
- …in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Oncology and Transplant, ... organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high- quality healthcare for members. **Position… more
- CVS Health (Lansing, MI)
- …compassionate. And we do it all with heart, each and every day. **Utilization Management Nurse Consultant ** Fully Remote- WFH **Position Summary** Utilizes ... with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and… more
- NHS Management, LLC (Tallahassee, FL)
- …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
- Polaris Pharmacy Services, LLC (Des Plaines, IL)
- Nurse Consultant Job Details Job Location Polaris Pharmacy Services of Illinois, LLC - Des Plaines, IL Salary Range $35.00 - $40.00 Hourly Job Category ... advancement to all our team members. Job Summary: The Nurse Consultant position is an external position...in drug availability, drug storage, and distribution + Conduct quality assurance audits prior to survey window to ensure… more
- CVS Health (Salt Lake City, UT)
- …procedures/services or initiate a Medical Director referral as needed. + Assists management with training new nurse reviewers/business partners or vendors to ... quality and metric expectations. **Required Qualifications** + Registered Nurse (RN) - active license. + 3+ Years of...of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must… more
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