- Genesis Healthcare (AL)
- …approach and by leveraging years of industry experience and success, the Market Nurse Consultant is responsible for modeling the Genesis clinical outcome and ... we are dedicated to improving the lives we touch through the delivery of high- quality care and exceptional service. As a leading provider in the long-term care… more
- Signature Healthcare (Nashville, TN)
- …and Care.ai-enabled solutions. We are committed to advancing person-directed care and quality outcomes. Many of our facilities continue to receive high performance ... choice in the healthcare industry. Overview The ideal Signature Clinical Care Consultant Candidate would have working knowledge of Medicare, Medicaid and Managed… more
- Dartmouth Health (Lebanon, NH)
- …with others in a cooperative effort to ensure customer satisfaction and continuous Quality Improvement. * Comply with the department and Medical Center safety and ... - Licensed RN with NH eligibility - International Board Certified Lactation Consultant (IBCLC) and Certified Lactation Counselor (CLC) - BLS within 30 days… more
- CVS Health (Jefferson City, MO)
- …other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and ... function. + Typical office working environment with productivity and quality expectations. + Work requires the ability to perform...Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting + Must… more
- CVS Health (Albany, NY)
- …members for referral to additional products, services, or programs. + Promoting quality and effective utilization of healthcare services and benefits. + Providing ... at home office environment with expectations for productivity and quality . It involves: + Reviewing handwritten and computer-generated documents....Minimum of 2 years of experience as a Registered Nurse in an adult acute care or critical care… more
- CVS Health (Jefferson City, MO)
- …other products, services and/or programs * Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization * Consults and ... function. * Typical office working environment with productivity and quality expectations. * Work requires the ability to perform...Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care setting + Must… more
- Atlantic Health System (Summit, NJ)
- …of an accredited Nursing Program. 2. Current state licensure as a Registered Nurse . 3. CLC. and BLS certification. Preferred: 1. Bachelor's degree in nursing. a. ... our communities is; Anyone who enters one of our facilities, will receive the highest quality care delivered at the right time, at the right place, and at the right… more
- CVS Health (Santa Fe, NM)
- …1993. We provide flexible, cost-effective care management solutions that promote high- quality healthcare for members. **Position Summary** We are seeking a dedicated ... Utilization Management (UM) Nurse to join our remote team. In this role, you'll be at the forefront of clinical decision-making, applying your expertise in… more
- CVS Health (Springfield, IL)
- …with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and ... lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. **Required Qualifications** + 3+ years of experience as an RN + Active and unrestricted RN licensure in state of… more
- US Tech Solutions (May, OK)
- …unrestricted active license **Responsibilities:** + Reviews documentation and evaluates potential quality of care issues based on clinical policies and benefit ... determinations. Considers all documented system information as well as any additional records/data presented to develop a determination or recommendation. Data gathering requires navigation through multiple system applications. Staff may be required to contact… more
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