- 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 (Austin, TX)
- …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
- 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
- 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 (Hartford, CT)
- …we do it all with heart, each and every day. **Position Title:** Utilization Management Nurse (RN) **Position Summary:** This role supports a **24/7 Utilization ... , which includes coverage during **evenings, weekends, and holidays** . The Utilization Management Nurse applies clinical expertise in a collaborative process to… more
- CVS Health (Columbus, OH)
- …difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Medical Review, you'll ... organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high- quality healthcare for members. **Position… more
- CVS Health (Lansing, MI)
- …promote high- quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant - Oncology and Transplant to join ... Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care … more