• Quality Management , Nurse

    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 ... with medical record review - Data analysis **Preferred Qualifications** - Certification in project management and / or health care quality - Masters Degree in… more
    CVS Health (09/06/25)
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  • Quality Management , Nurse

    CVS Health (Columbus, OH)
    …at risk for involvement in, multiple child-serving systems. For the OhioRISE Program, the Quality Management Nurse Consultant position is responsible for ... the following job functions such as: Potential Quality of Care monitoring, critical incident reporting, collaboration and coordination with plan HEDIS teams on… more
    CVS Health (09/07/25)
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  • Registered Nurse - Quality

    Veterans Affairs, Veterans Health Administration (Louisville, KY)
    …Rex VA Healthcare System, Louisville, Kentucky is currently recruiting for a Registered Nurse - Quality Management Consultant Louisville, Kentucky 603. ... Responsibilities The Quality Management (QM) Consultant Registered Nurse (RN) demonstrates leadership, experience, and creative approaches to improvement… more
    Veterans Affairs, Veterans Health Administration (09/10/25)
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  • Registered Nurse - Quality

    Veterans Affairs, Veterans Health Administration (Tuscaloosa, AL)
    quality management program area. Responsibilities The Quality Management Consultant Registered Nurse : Completes orientation according to expected ... Summary The QM Consultant collects data, monitors staff compliance with relevant...growth. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more
    Veterans Affairs, Veterans Health Administration (08/28/25)
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  • Quality & Compliance, Quality

    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
    CVS Health (09/11/25)
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  • Quality Management Nurse

    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
    US Tech Solutions (07/18/25)
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  • Registered Nurse ( Quality

    Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
    Summary The QM/HRO Consultant is assigned responsibility for their assigned quality management program area activities for the VA Medical Center and all ... off-site locations. The QM/HRO Consultant collects data, monitors staff compliance with relevant policies,...facility. Responsible for the oversight of the use and management of data for the HCS, including collection, reporting… more
    Veterans Affairs, Veterans Health Administration (08/15/25)
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  • Registered Nurse (Accreditation…

    Veterans Affairs, Veterans Health Administration (Leeds, MA)
    …of accreditation standards and regulatory requirements. Experience in healthcare accreditation, quality management , or a related field. Certification in ... Summary This Registered Nurse position is in Nursing Service at the...for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care.… more
    Veterans Affairs, Veterans Health Administration (09/06/25)
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  • Registered Nurse - Quality , Safety…

    Veterans Affairs, Veterans Health Administration (Minneapolis, MN)
    Summary The Registered Nurse - Quality , Safety & Value Consultant Patient Safety is accountable to Quality , Safety & Value (QSV) Leadership at the ... the hospital and thirteen Outpatient Community Clinics as assigned. Responsibilities The Registered Nurse - Quality , Safety & Value Consultant Patient Safety… more
    Veterans Affairs, Veterans Health Administration (09/10/25)
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  • Utilization Management Nurse

    CVS Health (Austin, TX)
    …per the need of the department.** **No travel is required.** As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... And we do it all with heart, each and every day. **Position Summary** This Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate… more
    CVS Health (09/10/25)
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