- CVS Health (Boston, MA)
- …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 (Boston, MA)
- …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 (Providence, RI)
- …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
- 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 (Boston, MA)
- …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
- 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