- Veterans Affairs, Veterans Health Administration (Colorado Springs, CO)
- Summary The Quality Management (QM) Consultant -Regulatory Compliance Registered Nurse (RN) demonstrates leadership, experience, and creative approaches ... to improvement in quality of-care outcomes. The QM Consultant -Regulatory Compliance...organizational level within a facility. Responsible for their assigned quality management program area activities for the… more
- CVS Health (Raleigh, NC)
- …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 (Austin, TX)
- …in managed care, clinical, or health care related field. - 1 year of project management experience. - Registered Nurse (RN) license in the state of their ... and industry knowledge and performance improvement best practices to quality improvement efforts. Analyzes workflow and organizational performance to evaluate… 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
- Veterans Affairs, Veterans Health Administration (Fort Harrison, MT)
- Summary The Registered Nurse (RN) Quality Management (QM) Performance Measures Consultant will function as an advanced clinician and execute position ... for accreditation/external review functions, performance measures, patient safety, and quality management functions. Function as a facilitator, educator,… more
- CVS Health (Austin, TX)
- …is 100% remote and the candidate can live in any state. As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... and more compassionate. And we do it all with heart, each and every day. **Position Summary** This Utilization Management (UM) Nurse Consultant role… 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 (Austin, TX)
- …it all with heart, each and every day. **Position Summary** Medicare Precertification Nurse Consultant position: _Utilization Management is a 24/7 operation ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- New York State Civil Service (Albany, NY)
- NY HELP Yes Agency Mental Health, Office of Title Registered Nurse 3, Consultant Mental Health; Central Office Occupational Category Health Care, Human/Social ... of Mental Health is recruiting to fill a Registered Nurse 3 Consultant Mental Health, G-22, position...at State Operated Facilities and Programs to improve the quality of patient care. Serve as the OCNS lead… more
- CVS Health (Columbus, OH)
- …and work schedule may include weekends, holidays, and evening hours._ **UM Nurse Consultant ** Fully Remote- WFH Schedule: W/Th/F/Sa (4-10hr shifts) **Position ... with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and… more