- CVS Health (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 (Workman, MN)
- …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
- CVS Health (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
- 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 (OH)
- …3+ years of clinical experience required. + 2+ years of Utilization Management experience required + 2+ years' experience using personal computer, keyboard ... all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit… more
- HCA Healthcare (Houston, TX)
- …we support our colleagues in their positions. Join our Team as a Registered Nurse RN Lactation Consultant and access programs to assist with every stage ... more affordable to gain certifications and job skills. Apply today for our Registered Nurse RN Lactation Consultant opening and continue to learn! **Job Summary… more
- CVS Health (AZ)
- …in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Oncology and Transplant, ... organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high- quality healthcare for members. **Position… more
- MyFlorida (Quincy, FL)
- LICENSED PRACTICAL NURSE (Pending reclassification to a Health Educator Consultant )- 64051236 Date: Sep 30, 2025 The State Personnel System is an E-Verify ... Requisition No: 862103 Agency: Department of Health Working Title: LICENSED PRACTICAL NURSE (Pending reclassification to a Health Educator Consultant )- 64051236… 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 ... the dissemination of expert advice and oversight to facility management personnel and line staff to ensure that systems...care facilities to ensure that the highest degree of quality care can be provided to the residents at… more
- Polaris Pharmacy Services, LLC (Livermore, CA)
- Nurse Consultant Job Details Job Location Polaris Pharmacy Services of Northern CA - Livermore, CA Salary Range $40.00 - $45.00 Hourly Job Category ... advancement to all our team members. Job Summary: The Nurse Consultant position is an external position...in drug availability, drug storage, and distribution + Conduct quality assurance audits prior to survey window to ensure… more
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