- CVS Health (Annapolis, MD)
- …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 (Annapolis, MD)
- …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
- Oracle (Annapolis, MD)
- …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 (Annapolis, MD)
- …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 (Annapolis, MD)
- …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 (Annapolis, MD)
- …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
- Johns Hopkins University (Baltimore, MD)
- …guidelines of the department and institution and in accordance with the Nurse Practitioner-Physician Written Agreement required and approved by the State of Maryland ... and the Nurse Practice Act of the State of Maryland. Is...long-term effects of radiation and provides accurate and timely management for such side effects. + Provides education to… more
- UPMC (Cumberland, MD)
- …or practice-specific quality improvement efforts. + Identifies opportunities for quality improvement to colleagues and management . + Utilizes research and ... **UPMC Western Maryland is seeking a Nurse Educator to support our Professional Development Department.**...be successful in their role. + Serve as a resource/ consultant for patients, nursing staff, and other disciplines in… more
- Deloitte (Baltimore, MD)
- …interpersonal skills to collaborate with clinicians, physicians, NP/PAs, ancillary departments, Quality , Case Management , Finance, Revenue Cycle, and Coders + ... Healthcare Clinical Documentation Specialist - Senior Consultant Our Deloitte Regulatory, Risk & Forensic team...severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities… more
- STG International (Rockville, MD)
- …type: Remote Job Specific Duties and Responsibilities: Provides oversight and management of the medical component of the Medical Employability Program (MEP), ... by agreement deadlines, and that medical recommendations are in accordance with industry quality and evidence-based medical standard of care. Quality & Safety .… more