- PruittHealth (Norcross, GA)
- **JOB PURPOSE:** Senior Nurse Consultant assumes responsibility for conducting quality assurance reviews in the assigned facilities. Senior Nurse ... or maintain the highest practicable physical, mental or psychosocial well-being. The Nurse Consultant documents findings and composes accurate, detailed reports… more
- NHS Management, LLC (Fayetteville, AR)
- …the successes they experience along the way. We are in search of a qualified Regional Nurse Consultant : The Regional Nurse Consultant will be responsible ... and established customer service program. 4. Monitor corporate clinical benchmarks, QI's, QM 's and other available consultant reports, corporate QA results, and… more
- CVS Health (Oklahoma City, OK)
- …compassionate. And we do it all with heart, each and every day. **Position Summary** The Quality Management , Nurse Consultant has a key role in ... quality health benefits and services for members. The QM Consultant coordinates, prepares and delivers committee...- Data analysis **Preferred Qualifications** - Certification in project management and / or health care quality … more
- CVS Health (Springfield, IL)
- …members according to HFS quality strategy and ABHIL population health model. The Quality Management , Nurse Consultant directs analysis and reporting ... the development of HEDIS interventions and initiatives within the Quality Management Team. - Reviews documentation and...health care related field. - 1 year of project management experience. - Registered Nurse (RN) license… more
- CVS Health (Jefferson City, MO)
- …and every day. Primary Job Duties & Responsibilities Develops and implements quality assurance programs and initiatives to monitor and improve healthcare services ... and processes. Communicates with healthcare professionals to develop and implement quality improvement initiatives that enhance the quality and consistency of… more
- Accura Healthcare (Kearney, NE)
- …and to ensure effective clinical practices. Our ideal candidate has experience leading Quality Measures ( QM ), improving star ratings (such as achieving 5 star ... and long term care communities? Are you a Registered Nurse (RN) in Nebraska ready for a dynamic work...for a dynamic work environment and culture that champions quality , one where your proven multi-site leadership ability is… more
- CVS Health (Springfield, IL)
- …clinical and industry knowledge and performance improvement best practices to quality improvement efforts. Analyzes workflow and organizational performance to ensure ... to include but not limited to the following: - Develops and implements quality improvement programs and initiatives to monitor and improve healthcare services and… more
- 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 (Springfield, IL)
- …Contracting and Performance Management - 3 years Managed Care and/or Healthcare Quality Experience - 2 years Project Management - 1year experience Member ... Summary** This role is responsible for managing partnerships with Aetna-Illinois quality vendors and community-based organizations, with the primary focus to improve… more
- Veterans Affairs, Veterans Health Administration (Big Spring, TX)
- …identify areas that need to be developed, improved, or sustained, Performing additional Quality Management ( QM ) service activities, Completing general QM ... within the system Partnering with clinical and operational support staff to assure that quality care and services are provided, Partnering with operations staff to… more