- CVS Health (Oklahoma City, OK)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The Quality Management , Nurse Consultant has a key role in ... with medical record review - Data analysis **Preferred Qualifications** - Certification in project management and / or health care quality - Masters Degree in… more
- CVS Health (Springfield, IL)
- …members according to HFS quality strategy and ABHIL population health model. The Quality Management , Nurse Consultant directs analysis and reporting ... the development of HEDIS interventions and initiatives within the Quality Management Team. - Reviews documentation and...health care related field. - 1 year of project management experience. - Registered Nurse (RN) license… more
- CVS Health (Columbus, OH)
- …at risk for involvement in, multiple child-serving systems. For the OhioRISE Program, the Quality Management Nurse Consultant position is responsible for ... the following job functions such as: Potential Quality of Care monitoring, critical incident reporting, collaboration and coordination with plan HEDIS teams on… more
- Veterans Affairs, Veterans Health Administration (Kansas City, MO)
- … and safe patient care within the Veterans Health Administration (VHA). Responsibilities The Nurse Quality Management Consultant Registered Nurse ... Summary The Quality Management (QM) Consultant Risk Management Registered Nurse (RN) practices within the Quality and Patient Safety Service Line… more
- US Tech Solutions (RI)
- …support as required. **Responsibilities:** + Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit ... Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review. + MUST HAVE 1 YEAR OF UTILIZATION... review. + MUST HAVE 1 YEAR OF UTILIZATION MANAGEMENT EXP, pref. knowledge of Milliman/MCG. + MUST HAVE… more
- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …and/or employees. The QM Consultant is assigned responsibility for their assigned quality management program area activities for the Medical Center and all ... responsibility for the coordination of care focused on staff education, self- management , and customer satisfaction throughout the continuum of care. Follows… more
- Veterans Affairs, Veterans Health Administration (East Orange, NJ)
- …System in currently recruiting for one Registered Nurse to serve as a Quality Management Consultant at our East Orange VA Medical Center. ... planning, designing, integrating, implementing, modifying, and administering, a comprehensive quality management program area. Participates in several facility… more
- Veterans Affairs, Veterans Health Administration (Leeds, MA)
- Summary This Registered Nurse position is in Nursing Service at the VA Central Western Massachusetts Healthcare System, located in Leeds, Ma. This is a full time 40 ... healthcare staff on UM principles and processes. Monitor and report on quality metrics and performance indicators. Participate in quality improvement initiatives… more
- CVS Health (Lansing, MI)
- …include weekends, holidays, and evening hours._ _Weekends: F/S/S/M 10 hour shifts_ **UM Nurse Consultant ** Fully Remote- WFH **Position Summary** UM Nurse ... it all with heart, each and every day. _Utilization Management is a 24/7 operation and work schedule may... Consultant Position Summary: UM Nurse Consultant Utilizes clinical experience and skills in a collaborative… more
- CVS Health (Baton Rouge, LA)
- …Monday-Friday, 8AM-5PM CST with weekend/holiday coverage required (as needed). As a Utilization Management Nurse Consultant , you will utilize clinical skills ... management function. + Working environment with productivity and quality expectations. + Work requires the ability to perform...Qualifications** + 3+ years of experience as a Registered Nurse in a clinical setting. + Must have active… more