- CVS Health (Phoenix, AZ)
- …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 (Phoenix, AZ)
- … organization founded in 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… more
- Oracle (Phoenix, AZ)
- …Oracle's solutions. Using Oracle's implementation approach and methodology, the Clinical Consultant will assist in change management , help identify opportunities ... as we are to improving health equity and delivering quality care across the globe. If you're excited about...you've come to the right place. As a Clinical Consultant , you are responsible for driving the customer through… more
- Oracle (Phoenix, AZ)
- …Oracle's solutions. Using Oracle's implementation approach and methodology, the Clinical Consultant will assist in change management , help identify opportunities ... as we are to improving health equity and delivering quality care across the globe. If you're excited about...you've come to the right place. As a Clinical Consultant , you are responsible for driving the customer through… more
- CVS Health (Phoenix, AZ)
- …12:00 (Noon) PM - 8:30 PM EST Shift** **Position Summary** At the 24-Hour Nurse Line the Health Coach Consultant utilizes a collaborative process of assessment, ... 4 holidays per year. + Must reside in a nurse Compact State and hold a Compact license. +...+ Facilitates effective health care decision-making. + Improves the quality of care. + Improves member satisfaction with their… more
- CVS Health (Phoenix, AZ)
- …to coordinate, document, and communicate all aspects of the utilization/benefit management program. + Conduct clinical reviews for adult inpatient behavioral health ... constituents in the coordination and administration of the utilization/benefit management function. + Gathers clinical information and applies the appropriate… more
- CVS Health (Phoenix, AZ)
- …health outcomes by engaging telephonically with individuals living with diabetes. This nurse will guide members through actionable steps to close gaps in care, ... education, connecting members to resources, and facilitating referrals to care management programs for continued support. This position supports the development and… more
- ERP International (Yuma, AZ)
- …team to meet the health care needs, including medical and/or psychosocial management , of specified patients. 5.1.6.2. Serve as consultant to all ... satisfaction and use of resources and services in a quality -conscious, cost- effective manner. + Implement strategies to ensure...the certifications below **OR** Possess a Master's Degree in Nurse Case Management from a program accredited… more
- Banner Health (Gilbert, AZ)
- …Nurse (RN) license preferred. Certified Professional in Healthcare Quality (CPHQ) certification is preferred. Experience with process improvement, ... Arizona **Department Name:** Admin-Oncology Program **Work Shift:** Day **Job Category:** Risk, Quality and Safety Help change health care; help change the world. We… more
- Banner Health (Tucson, AZ)
- …Nurse (RN) license preferred. Certified Professional in Healthcare Quality (CPHQ) certification is preferred. Experience with process improvement, ... **Department Name:** MRI-Hosp **Work Shift:** Day **Job Category:** Risk, Quality and Safety ** MRI experience needed ** A...DHS, and the peer review organizations. 5. Acts as consultant and educator in program development and special projects… more