- CVS Health (Springfield, IL)
- …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 (Springfield, IL)
- …in managed care, clinical, or health care related field. - 1 year of project management experience. - Registered Nurse (RN) license in the state of their ... and industry knowledge and performance improvement best practices to quality improvement efforts. Analyzes workflow and organizational performance to evaluate… more
- Fujifilm (Springfield, IL)
- …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 (Springfield, IL)
- …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
- CVS Health (Springfield, IL)
- …members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention ... Services and strategies, policies and programs are comprised of network management , clinical coverage, and policies. **Position Summary/Mission** Community Care Case… more
- CVS Health (Springfield, IL)
- …and strategies, policies and programs are comprised of network management , clinical coverage, and policies. **Position** **Summary/Mission** Our Case Managers ... health needs through communication and available resources to promote quality , cost effective outcomes. **Fundamental Components & Physical** **Requirements** +… more