- CVS Health (Dover, DE)
- …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST and CST zones.… more
- Highmark Health (Dover, DE)
- … **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
- ChenMed (Philadelphia, PA)
- …with guidelines. This position may require participation in risk and quality management programs, clinical meetings and other meetings.The Nurse Practitioner ... acts as a health coach, rather than just a consultant for sickness, by helping patients set short and...with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required… more
- Wellpath (Chester, PA)
- …the organization's Code of Conduct. + Demonstrates knowledge of risk management , clinical precautions, infection control, fall prevention, utilization of ... improvement activities,providesdirect supervision, and serves as a resource and consultant to nursing staff. + Monitorssafety issues,evaluateservicedeliveryand staff growth,… more