- 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
- 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)
- …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 (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
- 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
- HCA Healthcare (Houston, TX)
- …we support our colleagues in their positions. Join our Team as a Registered Nurse RN Lactation Consultant and access programs to assist with every stage ... more affordable to gain certifications and job skills. Apply today for our Registered Nurse RN Lactation Consultant opening and continue to learn! **Job Summary… more
- CVS Health (Workman, MN)
- …in the state of Florida. **Applicant must reside in Florida** . As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and… more
- CVS Health (Lansing, MI)
- …compassionate. And we do it all with heart, each and every day. **Utilization Management Nurse Consultant ** Fully Remote- WFH **Position Summary** Utilizes ... with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and… more
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