- CVS Health (Richmond, VA)
- …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 (Richmond, VA)
- …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
- CVS Health (Richmond, VA)
- …auditing of approval, extensions, and denial letters. Promotes and supports quality effectiveness of the healthcare services. Maintains accurate and complete ... documentation to meet risk management , regulatory, and accreditation requirements. Promotes communication, both internally and externally to enhance effectiveness of… more
- Fujifilm (Richmond, VA)
- …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
- HCA Healthcare (Richmond, VA)
- …within 30 days of employment start date + (IBCLC) International Board Certified Lactation Consultant + (RN) Registered Nurse + Registered Nurse Diploma ... you want to join an organization that invests in you as a(an) Lactation Consultant ? At Johnston-Willis Hospital, you come first. HCA Healthcare has committed up to… more
- CVS Health (Richmond, VA)
- …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
- US Tech Solutions (Chesapeake, VA)
- **Position Summary:** Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and ... Facilitates optimal outcomes Identifies and follow through with continuous quality / compliance opportunities. May also include identification of aberrance's and… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …completion of the RAI/MDS process and software. Downloading, validating, and distributing quality management and Resource Utilization Group (RUG) reports and ... to the CLC leadership team Serving as an expert consultant in identifying quality of care deficiencies...deficiencies and assisting with performance improvement projects related to quality management and CLC Compare. VA offers… more
- HCA Healthcare (Richmond, VA)
- …the program. + Along with other clinical disciplines-medical staff, clinical staff, quality management , infection prevention, and risk management - ... We are seeking a highly-skilled Patient Safety Coordinator Registered Nurse RN to join our quality team....patient safety activities and act as a resource, internal consultant , and educator for patient safety issues. + You… more
- University of Virginia (Charlottesville, VA)
- The Clinical Nurse Specialist (CNS) is an advanced practice registered nurse with graduate (Masters or Doctorate) education and training in advanced physiology, ... implementation of evidence-based practice by serving as an educator, mentor and consultant . The CNS, in collaboration with interprofessional leaders within the care… more
- Deloitte (Mclean, VA)
- …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
- CVS Health (Richmond, VA)
- …health services and addiction recovery and treatment services through the utilization management process + Drives collaboration on quality of care, utilization ... a clinical leader in the Medicaid plan focusing on utilization management , integrating member care, clinical coordination, leading the development, implementation… more
- Childrens Hospital of The King's Daughters (Suffolk, VA)
- …needed regarding patient care, assessment, and education issues. + Participates in quality improvement, management , continuing education, and other patient care ... Nansemond Pediatrics currently have three physicians and one nurse practitioner. Our administrative and clinical team consist of 11 staff on site and four off-site… more