- CVS Health (Washington, DC)
- …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 (Annapolis, MD)
- …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
- Fujifilm (Washington, DC)
- …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
- CVS Health (Washington, DC)
- …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
- WSP USA (Arlington, VA)
- …systems. + Capable of managing construction administration duties, including project management , on site quality checks, and leading construction progress ... multi-disciplinary engineering consulting firm, seeks a full time **Senior Consultant - Building Technology Systems** for our **Arlington, Virginia** office.… more
- Johns Hopkins University (Baltimore, MD)
- …guidelines of the department and institution and in accordance with the Nurse Practitioner-Physician Written Agreement required and approved by the State of Maryland ... and the Nurse Practice Act of the State of Maryland. Is...long-term effects of radiation and provides accurate and timely management for such side effects. + Provides education to… more
- Deloitte (Washington, DC)
- …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
- STG International (Rockville, MD)
- …type: Remote Job Specific Duties and Responsibilities: Provides oversight and management of the medical component of the Medical Employability Program (MEP), ... by agreement deadlines, and that medical recommendations are in accordance with industry quality and evidence-based medical standard of care. Quality & Safety .… more
- STG International (Rockville, MD)
- …*Position type: Remote Job Specific Duties and Responsibilities: Provides oversight and management of the medical component of the Federal Occupational Health (FOH) ... federal regulations, evidence-based medical standard of care, and industry best practices. Quality & Safety * Develops, monitors quarterly, and reviews annually the… more
- STG International (Bethesda, MD)
- …provides consultation, training and collaboration for other team members to ensure the quality of reviews and a high level of customer service. Clinical The Joint ... Commission (TJC) - Quality and Safety + Participates in preparation for TJC...agencies; + Perform a mixture of administrative, clinical, and consultant responsibilities depending on the specific assignments and the… more
- STG International (Rockville, MD)
- …listed in the contract: The Lead Psychologist provides leadership, oversight, and management for the psychological pre-placement and case review services provided by ... Federal Occupational Health (FOH). The Lead Psychologist ensures the quality of psychological services, determinations, and recommendations regarding federal… more
- CareFirst (Baltimore, MD)
- …+ CCM - Certified Case Manager Upon Hire Preferred + LNCC - Legal Nurse Consultant Certified Upon Hire Preferred Salary Range: $78,696 - $162,311 **Salary ... and oversees the implementation of policies and procedures that result in quality resolution of member and provider disputes regarding adverse and adverse coverage… more
- Trinity Health (Germantown, MD)
- …Tuition Reimbursement, 403(b) + **Additional Benefits:** Relocation assistance + ** Quality of Life:** Flexible work schedules + **Advancement:** Opportunities to ... including orientation and training. + Participating in performance evaluation and management including verbal coaching and counseling. + Participating in the… more
- Johns Hopkins University (Baltimore, MD)
- …of Urology. This role will partner with faculty physicians to deliver Hopkins- quality , continuous care to patients with urologic diseases. Patients in the practice ... liaison between the urology team and primary care providers, nurse case managers, inpatient personnel and health care professionals...protocol. + Acts in the role of mentors and/or consultant to nurses, physicians, students, and other health care… more