- 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 (Providence, RI)
- …of time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all ... is a typical office working environment with productivity and quality expectations. Work requires the ability to perform close...aspects of the utilization/benefit management program. Applies critical thinking and knowledge in clinically… more
- CVS Health (Providence, RI)
- …to coordinate, document, and communicate all aspects of the utilization/benefit management program. + Applies critical thinking and knowledge in clinically ... constituents in the coordination and administration of the utilization/benefit management function. + Gathers clinical information and applies the appropriate… more
- Fujifilm (Providence, RI)
- …+ Compliance with respect to all applicable requirements of the company's quality management system. + All other functions and/or responsibilities that ... **Position Overview** The Senior Technical Clinical Consultant , Cardiology shall be responsible for all aspects... products and services. + Understand and apply appropriate quality management system processes. + Promote Company… more
- Genesis Healthcare (RI)
- …between our centers located in Rhode Island. This position can be filled by a nurse practitioner or physician assistant. The hourly range for this position is $58 - ... of skilled nursing and senior living facilities. Our physicians, nurse practitioners (NPs) and physician assistants (PAs) are supported...long-term care. At AlignMed, we believe in a better quality of life for all. Our mission is to… more
- Athena Health Care Systems (Providence, RI)
- …procedures for nursing and other clinical services. + Oversee Athena's continuous quality management program. In conjunction with other operational director, ... Care Systems is hiring a Senior Regional Director of Nursing to support the quality of care at our Massachusetts and Rhode Island skilled nursing facilities! Athena… more