- CVS Health (Harrisburg, PA)
- …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 (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
- 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
- CVS Health (Harrisburg, PA)
- …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
- CVS Health (Harrisburg, PA)
- …compassionate. And we do it all with heart, each and every day. Utilization Management is a 24/7 operation and work schedule may include weekends, holidays and ... to coordinate, document and communicate all aspects of the utilization/benefit management program. + Applies critical thinking and knowledge in clinically… more
- Oracle (Harrisburg, PA)
- …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 (Harrisburg, PA)
- …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
- Penn State Health (Hershey, PA)
- …(MAILTO://###@pennstatehealth.psu.edu) **SUMMARY OF POSITION:** Responsible for providing lactation management services to expectant and new parents that encompass ... experience + Currently licensed to practice as a Registered Nurse by state of employment or holds a multistate...Compact. + Certification as an International Board Certified Lactation Consultant (IBCLC) **WHY PENN STATE HEALTH?** Penn State Health… more
- CVS Health (Harrisburg, PA)
- …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
- Veterans Affairs, Veterans Health Administration (Wilkes Barre, PA)
- …pay up to $200,000 in qualifying loans!! The Geriatric & Extended Care Nurse Practitioner in collaboration with the Medical Directors and Program Managers of ... assigned services is responsible for the quality of care provided by the program, for the...lab/diagnostic test result notifications in a timely manner Clinical Management including direct and indirect patient care: ensure all… more
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