- 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 (Harrisburg, PA)
- …all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit ... solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other… more
- Veterans Affairs, Veterans Health Administration (Tulsa, OK)
- …group of activities impacting patients and/or employees. Responsible for their assigned quality management program area activities for the Medical Center and ... in planning, designing, integrating, implementing, modifying, and administering, a comprehensive quality management program area. The ability to apply the… more
- CVS Health (Little Rock, AR)
- …and work schedules will include weekends, holidays, and evening hours As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... coordinate, document and communicate all aspects of the utilization/benefit management program. + Utilizes clinical experience and skills in a collaborative process… 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
- PruittHealth (Columbia, SC)
- …and quality improvement practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required systems ... **JOB PURPOSE:** Senior Nurse Consultant serves as a member...achieve and sustain compliance with all applicable regulations and quality outcomes. **KEY RESPONSIBILITIES:** * Annually in collaboration with… more
- NHS Management, LLC (Tallahassee, FL)
- …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
- Mount Sinai Health System (New York, NY)
- **Job Description** The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a ... of nursing practice assigned; + Licensed as a registered nurse with current registration in New York State +...needs and applies critical thinking skills in patient care management . 3. Integrates relevant assessment and intervention skills in… more
- ProMedica Health System (Toledo, OH)
- The RN/IBCLC Breastfeeding Supporter is a registered nurse and certified lactation consultant responsible for promoting, supporting, and protecting breastfeeding ... successful breastfeeding outcomes Perform clinical breast assessment and provide evidence-based management for common issues such as engorgement and nipple pain… more
- CVS Health (Harrisburg, PA)
- …we do it all with heart, each and every day. **Position Summary** _Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and ... 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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