- CVS Health (Oklahoma City, OK)
- …it all with heart, each and every day. **Position Summary** The Quality Management, Nurse Consultant has a key role in developing and implementing data-driven ... high quality health benefits and services for members. The QM Consultant coordinates, prepares and delivers committee reports, reviews documentation and interprets… more
- MyFlorida (Miami, FL)
- REGISTERED NURSING CONSULTANT - 80003511 Date: Sep 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... Requisition No: 859930 Agency: Juvenile Justice Working Title: REGISTERED NURSING CONSULTANT - 80003511 Pay Plan: Career...have an active valid professional license as a Registered Nurse in the state of Florida pursuant to Chapter… more
- CVS Health (Phoenix, AZ)
- …lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Oncology and Transplant, you'll play a vital ... in ensuring members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers. This fully remote position offers… more
- CVS Health (Hartford, CT)
- …zone) with occasional weekends and holidays on a rotation schedule. The Appeals Nurse Consultant position is responsible for processing the medical necessity of ... a production role and remains as part of the Nurse Appeal Consultant job code. Primary duties...duties may include, but are not limited to: requesting clinical , research, extrapolating pertinent clinical , applying appropriate… more
- CVS Health (Columbus, OH)
- …in, multiple child-serving systems. For the OhioRISE Program, the Quality Management Nurse Consultant position is responsible for the following job functions ... of clinical information and documentation. **Required Qualifications** - Registered Nurse (RN) with current unrestricted state licensure required. - 3 years of… more
- AdventHealth (Ocala, FL)
- …the county **The role you'll contribute:** The Patient Educator, certified Lactation Consultant , is an expert in the management of the breast-feeding mother-baby ... dyad. The Educator is coach, consultant , teacher, and lactation expert. As a consultant...unit, Newborn and Intensive Care nurseries, OB, Pediatrics, and nursing care teams to develop feeding plans for a… more
- CVS Health (Lansing, MI)
- …all with heart, each and every day. **Utilization Management Nurse Consultant ** Fully Remote- WFH **Position Summary** Utilizes clinical experience and ... options to facilitate appropriate healthcare services/benefits for members. Gathers clinical information and applies the appropriate clinical criteria/guideline,… more
- PruittHealth (Norcross, GA)
- **HomeHealth Consultant position - Hybrid and Travel opportunity!** **JOB PURPOSE:** The Home Health Consultant collaborates with the Home Health Agencies by ... review audits on specific topics of interest quarterly to facilitate improvement in clinical outcomes as well as providing an education opportunity for the Agency.… more
- STG International (Rockville, MD)
- …one (1) or more Federal agencies. * Performs a mixture of administrative, clinical , and consultant responsibilities depending on their specific assignments and ... billing in a standard format as specified by the Clinical Health Services (CHS) Director and by the specified...is desired with a previous experience as a medical consultant for a Federal agency or expertise as a… more
- STG International (Bethesda, MD)
- …one (1) or more Federal agencies; + Perform a mixture of administrative, clinical , and consultant responsibilities depending on the specific assignments and the ... of reviews and a high level of customer service. Clinical The Joint Commission (TJC) - Quality and Safety...Health is desired with previous experience as a medical consultant for a Federal agency; + Ability to comprehend… more