- CVS Health (Richmond, VA)
- …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
- CVS Health (Richmond, VA)
- …we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and ... other products, services and/or programs * Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization * Consults and… more
- CVS Health (Richmond, VA)
- …auditing of approval, extensions, and denial letters. Promotes and supports quality effectiveness of the healthcare services. Maintains accurate and complete ... documentation to meet risk management , regulatory, and accreditation requirements. Promotes communication, both internally and externally to enhance effectiveness of… more
- Fujifilm (Richmond, VA)
- …customers. + Ensure compliance with all applicable requirements of the company's quality management system. + Maintains effective communications and working ... **Position Overview** The Clinical Consultant , MI - I shall be responsible for... products and services. + Understand and apply appropriate quality management system processes. + Promote Company… more
- HCA Healthcare (Richmond, VA)
- …within 30 days of employment start date + (IBCLC) International Board Certified Lactation Consultant + (RN) Registered Nurse + Registered Nurse Diploma ... you want to join an organization that invests in you as a(an) Lactation Consultant ? At Johnston-Willis Hospital, you come first. HCA Healthcare has committed up to… more
- CVS Health (Richmond, VA)
- …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
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …completion of the RAI/MDS process and software. Downloading, validating, and distributing quality management and Resource Utilization Group (RUG) reports and ... to the CLC leadership team Serving as an expert consultant in identifying quality of care deficiencies...deficiencies and assisting with performance improvement projects related to quality management and CLC Compare. VA offers… more
- HCA Healthcare (Richmond, VA)
- …the program. + Along with other clinical disciplines-medical staff, clinical staff, quality management , infection prevention, and risk management - ... the career opportunities as a Patient Safety Coordinator Registered Nurse RN you want with your current employer? We...the objective of enhancing and promoting patient safety and quality care. + You will manage and analyze close… more
- HCA Healthcare (Richmond, VA)
- …the program. + Along with other clinical disciplines-medical staff, clinical staff, quality management , infection prevention, and risk management - ... We are seeking a highly-skilled Patient Safety Coordinator Registered Nurse RN to join our quality team....patient safety activities and act as a resource, internal consultant , and educator for patient safety issues. + You… more
- CVS Health (Richmond, VA)
- …health services and addiction recovery and treatment services through the utilization management process + Drives collaboration on quality of care, utilization ... a clinical leader in the Medicaid plan focusing on utilization management , integrating member care, clinical coordination, leading the development, implementation… more