- Veterans Affairs, Veterans Health Administration (Syracuse, NY)
- …interpersonal skills. Responsibilities Duties but not limited to: The Quality Management (QM) Consultant Registered Nurse (RN) focus on individual ... and/or employees. The QM Consultant is assigned responsibility for their assigned quality management program area activities for the Medical Center and all… 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 Health ... ensuring compliance with regulatory and accreditation standards while driving healthcare quality initiatives. This role combines clinical expertise with quality … more
- CVS Health (Austin, TX)
- …in managed care, clinical, or health care related field. - 1 year of project management experience. - Registered Nurse (RN) license in the state of their ... and industry knowledge and performance improvement best practices to quality improvement efforts. Analyzes workflow and organizational performance to evaluate… 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 (Austin, TX)
- …is 100% remote and the candidate can live in any state. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... and more compassionate. And we do it all with heart, each and every day. **Position Summary** This Utilization Management (UM) Nurse Consultant role… more
- CVS Health (Columbus, OH)
- …operation and work schedule may include weekends, holidays, and evening hours._ **UM Nurse Consultant ** Fully Remote- WFH **Schedule** - Mon-Fri 10:30AM-7PM with ... alternate weekends and holidays **Position Summary:** UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess, plan,… more
- CVS Health (Harrisburg, PA)
- …heart, each and every day. **Position Summary** This is a fulltime remote Utilization Management Nurse Consultant opportunity. Utilization management is ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Mental Health, Office of Title Registered Nurse 3, Consultant Mental Health; Central Office Occupational Category Health Care, Human/Social ... of Mental Health is recruiting to fill a Registered Nurse 3 Consultant Mental Health, G-22, position...at State Operated Facilities and Programs to improve the quality of patient care. Serve as the OCNS lead… more
- Polaris Pharmacy Services, LLC (Livermore, CA)
- Nurse Consultant Job Details Job Location Polaris Pharmacy Services of Northern CA - Livermore, CA Position Type Full Time Salary Range $40.00 - $42.00 Hourly ... services. As industry leaders, we're raising the bar for quality and coordination across all sites of care, ensuring...invite you to grow with us. Job Summary: The Nurse Consultant position is an external position… more
- 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
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