- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** Senior Nurse Consultant assumes responsibility for conducting quality assurance reviews in the assigned facilities. Senior Nurse ... or maintain the highest practicable physical, mental or psychosocial well-being. The Nurse Consultant documents findings and composes accurate, detailed reports… 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 ... and established customer service program. 4. Monitor corporate clinical benchmarks, QI's, QM 's and other available consultant reports, corporate QA results, and… more
- Veterans Affairs, Veterans Health Administration (Portland, OR)
- …hiking trails both within city limits and in the nearby Columbia River Gorge. The Nurse Quality Management Consultant (QMC) is assigned responsibility ... (VAPORHCS), Portland, Oregon, is hiring a Registered Nurse (RN) Quality Management Consultant (QMC) who demonstrates leadership, experience, and creative… more
- Veterans Affairs, Veterans Health Administration (Colorado Springs, CO)
- Summary The Quality Management ( QM ) Consultant -Regulatory Compliance Registered Nurse (RN) demonstrates leadership, experience, and creative ... approaches to improvement in quality of-care outcomes. The QM Consultant...organizational level within a facility. Responsible for their assigned quality management program area activities for the… more
- CVS Health (Raleigh, NC)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The Quality Management Nurse ( QM Nurse ) supports Aetna Better ... review, Performance Improvement Projects (PIPs), ANE oversight, and policy development. The QM Nurse collaborates across teams to analyze data, implement… more
- Accura Healthcare (Kearney, NE)
- …and to ensure effective clinical practices. Our ideal candidate has experience leading Quality Measures ( QM ), improving star ratings (such as achieving 5 star ... and long term care communities? Are you a Registered Nurse (RN) in Nebraska ready for a dynamic work...for a dynamic work environment and culture that champions quality , one where your proven multi-site leadership ability is… 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 (Fort Harrison, MT)
- Summary The Registered Nurse (RN) Quality Management ( QM ) Performance Measures Consultant will function as an advanced clinician and execute position ... for accreditation/external review functions, performance measures, patient safety, and quality management functions. Function as a facilitator, educator,… more
- Waystar (Atlanta, GA)
- …of experience in utilization management + Knowledge and understanding of Utilization Management , Quality Management , Care Management , and/or Chronic ... **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a...workflows. We are specifically seeking an experienced Utilization Review Nurse who will serve as an integral contributor in… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …completion of the RAI/MDS process and software. Downloading, validating, and distributing quality management and Resource Utilization Group (RUG) reports and ... to the CLC leadership team Serving as an expert consultant in identifying quality of care deficiencies...deficiencies and assisting with performance improvement projects related to quality management and CLC Compare. VA offers… more
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