- PruittHealth (Columbia, SC)
- **Description - External** **JOB PURPOSE:** Senior Nurse Consultant assumes responsibility for conducting quality assurance reviews in the assigned ... facilities. Senior Nurse Consultant recommends resources in an efficient and economical manner...* Desired Software: Matrix Care, Point Right, AHT, Abaqis ( Quality Management System), COMS * Expert level… 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 (Indianapolis, IN)
- …And we do it all with heart, each and every day. **Position Summary** As a QM Nurse Consultant you will be responsible for the review and evaluation ... years of clinical experience required - 2+ years of experience as a Registered Nurse - Must have active, current and unrestricted RN licensure in state of residence… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …Health Care | Veterans Affairs Responsibilities The Quality Management ( QM ) Consultant Registered Nurse (RN) demonstrates leadership, experience, and ... Summary The Registered Nurse , Quality Management Consultant position...creative approaches to improvement in quality -of-care outcomes. The QM Consultant … 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
- Community Wellness Partners (Oswego, NY)
- …22. Maintains open communication with Medical Staff, Administrator, DON, ADON and Pharmacy consultant 23. Attends Nurse Management meetings, Patient Care ... social services, therapy, and physician services to ensure appropriate quality of care and reimbursement. 5. MDS Nurse...QM and QRP manuals to ensure the highest quality of care is provided, documentation supports outcomes and… more
- MyFlorida (Macclenny, FL)
- …position require the incumbent to be knowledgeable of and utilize the principles of Total Quality Management . + The employee in this position spends a minimum of ... and maintain documentation in unit. + Serve as a consultant to the Registered Nurse , Licensed Practical...good repair. + Participate in, or designate a registered nurse representative to participate in, quality assurance… more
- Veterans Affairs, Veterans Health Administration (Chicago, IL)
- …Provides senior leadership and oversight for daily clinical and administrative operations within Quality Management ( QM ) Program. They champion a High ... Summary The Nurse IV Chief of Quality Safety...Chief of QSV functions as an advisor, administrator, educator, consultant , and mentor who possesses a wide range of… more
- Fujifilm (Des Moines, IA)
- …customers. + Ensure compliance with all applicable requirements of the company's quality management system. + Maintains effective communications and working ... **Position Overview** The Clinical Consultant , MI - I shall be responsible for... products and services. + Understand and apply appropriate quality management system processes. + Promote Company… more
- Waystar (Atlanta, GA)
- …of experience in utilization management + Knowledge and understanding of Utilization Management , Quality Management , Care Management , and/or Chronic ... **ABOUT THIS POSITION** The Clinical Product Consultant for Utilization Management is a...workflows. We are specifically seeking an experienced Utilization Review Nurse who will serve as an integral contributor in… more