- CVS Health (Woonsocket, RI)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The Quality Management Nurse (QM Nurse ) supports Aetna Better Health ... ensuring compliance with regulatory and accreditation standards while driving healthcare quality initiatives. This role combines clinical expertise with quality … more
- Oracle (Providence, RI)
- …Oracle's solutions. Using Oracle's implementation approach and methodology, the Clinical Consultant will assist in change management , help identify opportunities ... as we are to improving health equity and delivering quality care across the globe. If you're excited about...you've come to the right place. As a Clinical Consultant , you are responsible for driving the customer through… more
- Oracle (Providence, RI)
- …Oracle's solutions. Using Oracle's implementation approach and methodology, the Clinical Consultant will assist in change management , help identify opportunities ... as we are to improving health equity and delivering quality care across the globe. If you're excited about...you've come to the right place. As a Clinical Consultant , you are responsible for driving the customer through… more
- CVS Health (Woonsocket, RI)
- …12:00 (Noon) PM - 8:30 PM EST Shift** **Position Summary** At the 24-Hour Nurse Line the Health Coach Consultant utilizes a collaborative process of assessment, ... 4 holidays per year. + Must reside in a nurse Compact State and hold a Compact license. +...+ Facilitates effective health care decision-making. + Improves the quality of care. + Improves member satisfaction with their… more
- CVS Health (Woonsocket, RI)
- …to coordinate, document, and communicate all aspects of the utilization/benefit management program. + Conduct clinical reviews for adult inpatient behavioral health ... constituents in the coordination and administration of the utilization/benefit management function. + Gathers clinical information and applies the appropriate… more
- CVS Health (Woonsocket, RI)
- …health outcomes by engaging telephonically with individuals living with diabetes. This nurse will guide members through actionable steps to close gaps in care, ... education, connecting members to resources, and facilitating referrals to care management programs for continued support. This position supports the development and… more
- Boston Health Care for the Homeless Program (Boston, MA)
- …and from various sites . Contribute to BHCHP committees (Clinical Operations, Management , Quality & Efficiency), focused on clinical excellence, operational ... been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in… more
- Deloitte (Boston, MA)
- …interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality , Case Management , Finance, Revenue Cycle, and Coders + ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team...severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities… more
- Tufts Medicine (Boston, MA)
- …responsibilities with administrative and care coordination duties to ensure high- quality patient care, smooth referral pathways, and efficient endoscopy unit ... operations. The PA will work closely with supervising physicians, the triage nurse , schedulers, and nursing/technical staff, while also serving as a resource for… more