- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- Summary The Registered Nurse , Quality Management Consultant position is located within the Quality and Patient Safety Service at the Phoenix VA ... Health Care | Veterans Affairs Responsibilities The Quality Management (QM) Consultant Registered Nurse (RN) demonstrates leadership, experience, and… 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
- CVS Health (Lansing, MI)
- …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 (Raleigh, NC)
- …and evening hours._ **Must reside in CST or EST zone.** As a Utilization Management Nurse Consultant you will utilizes clinical experience and skills ... And we do it all with heart, each and every day. **Position Summary** _Utilization Management is a 24/7 operation and work schedule will include weekends, holidays… more
- CVS Health (Lansing, MI)
- …that promote high- quality healthcare for members. **Position Summary** Join our Utilization Management team as a Nurse Consultant , where you'll apply ... 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
- CVS Health (Raleigh, NC)
- …with heart, each and every day. **Position Summary** Medicare Precertification Utilization Management Nurse Consultant position: _Utilization Management ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- PruittHealth (Columbia, SC)
- **Description - External** **JOB PURPOSE:** Senior Nurse Consultant assumes responsibility for conducting quality assurance reviews in the assigned ... facilities. Senior Nurse Consultant recommends resources in an efficient and economical manner...* Desired Software: Matrix Care, Point Right, AHT, Abaqis ( Quality Management System), COMS * Expert level… more
- CVS Health (Columbus, OH)
- …and external constituents in the coordination and administration of the utilization/benefit management function. * Meet set productivity and quality expectations ... and external constituents in the coordination and administration of the utilization/benefit management function. * Meet set productivity and quality expectations… more
- NHS Management, LLC (Fayetteville, AR)
- …the successes they experience along the way. We are in search of a qualified Regional Nurse Consultant : The Regional Nurse Consultant will be responsible ... the dissemination of expert advice and oversight to facility management personnel and line staff to ensure that systems...care facilities to ensure that the highest degree of quality care can be provided to the residents at… more
- CVS Health (Harrisburg, PA)
- …external constituents in the coordination and administration of the utilization/benefit management function.* Meet set productivity and quality expectations as ... needs. Specific schedules will be determined in collaboration with management to ensure adequate weekend coverage.Position Summary:Utilize your clinical experience… more