- CVS Health (Atlanta, GA)
- …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
- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** Senior Nurse Consultant assumes responsibility for conducting quality assurance reviews in the assigned facilities. Senior Nurse ... or maintain the highest practicable physical, mental or psychosocial well-being. The Nurse Consultant documents findings and composes accurate, detailed reports… more
- CVS Health (Atlanta, GA)
- …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
- PruittHealth (Norcross, GA)
- **HomeHealth Quality Assurance QA Consultant position - Hybrid and Travel opportunity!** **JOB PURPOSE:** The Quality Assurance (QA) Consultant for Home ... by evaluating processes, identifying areas for improvement, and implementing quality initiatives aligned with federal, state, and accreditation requirements.. **KEY… more
- Waystar (Atlanta, GA)
- …of experience in utilization management + Knowledge and understanding of Utilization Management , Quality Management , Care Management , and/or Chronic ... **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a...workflows. We are specifically seeking an experienced Utilization Review Nurse who will serve as an integral contributor in… more
- Oracle (Atlanta, GA)
- …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 (Atlanta, GA)
- …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 (Atlanta, GA)
- …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 (Atlanta, GA)
- …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
- Emory Healthcare/Emory University (Decatur, GA)
- …unacceptable practice as needed. + Develops staff competencies utilizing Clinical Nurse Specialists as resource/ consultant . + Actively participates in monitoring ... mentorship, development,and leadership programs and more **Description** We're seeking a ** nurse ** **with a strong background in wounds, ostomy and continence care… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …safety review + Prior leadership or committee participation in patient safety, quality improvement, or risk management programs + Experience collaborating with ... The **Clinical Risk Manager** supports Emory Healthcare's system-wide risk management and patient safety programs by identifying, investigating, and mitigating… more
- CenterWell (Atlanta, GA)
- …early detection. The PL is responsible for executing the clinical strategy through the management of their own patient panel as well as those of the clinicians whom ... intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: + Maintaining… more