- Trinity Health FirstChoice (Muskegon, MI)
- …customers understand their service better, and build relationships.Serves as a consultant , resource person, and role model representing respiratory care in the ... and participate in their resolution.Maintains safe respiratory therapy practices; alerts management of any safety issues or concerns.Performs all duties and… more
- CVS Health (Plantation, FL)
- …Working schedule is Monday-Friday, 8am-5pm (ET). This position reports to the Potential Quality of Care (PQOC) nurse investigator team manager. This position is ... requirements for member and/or provider issues. Fundamental Components + Works Potential Quality of Care cases (Medical and Behavioral Health), along with Patient… more
- US Tech Solutions (May, OK)
- …regulatory and accreditation requirements for member and/or provider issues. Works Potential Quality of Care cases across all lines of business (Commercial and ... support as required. **Responsibilities:** + Reviews documentation and evaluates Potential Quality of Care issues based on clinical policies and benefit… more
- CVS Health (Columbus, OH)
- …* Serve as an incident reporting expert for Aetna Care Management .* Lead and demonstrate the How We Work Behaviors (specifically collaboration, ... incident reporting* Mentor the care team regarding best practice standards, quality of interventions, problem resolution and critical thinking and standard operating… 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 (Richmond, VA)
- …Qualifications - 3+ years of clinical experience required - 3+ years of Quality experience required - Virginia resident required - Licensed RN with current ... unrestricted state of Virginia licensure required - Must possess reliable transportation and be willing and able to travel approximately 10% of the time. Mileage is reimbursed per our company expense reimbursement policy - 1+ year of experience using Microsoft… more
- Veterans Affairs, Veterans Health Administration (Walla Walla, WA)
- Summary The Quality Management Consultant (SAIL/EPRP/Process Improvement) brings principals and theory with limited application of critical thinking skills. ... at the program level. The incumbent is assigned responsibility for their appointed quality management program area activities for the Medical Center and all… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- Summary POSITION TITLE: QUALITY MANAGEMENT CONSULTANT (REGISTERED NURSE ) Responsibilities Brief Summary: The Quality and Patient Safety (QPS) ... Department Quality Management Consultant Registered Nurse (RN) functions as a clinical expert for the Central Virginia VA Health Care System's… more
- CVS Health (Raleigh, NC)
- …of the dedicated team supporting the membership of plan sponsor. As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and… more
- CVS Health (Columbus, OH)
- …deliver solutions to make health care more personal, convenient and affordable. This Utilization Management (UM) Nurse Consultant role is fully remote and ... pm EST. Holiday rotation 1-2 per year. Position Summary CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to… more
- CVS Health (Plantation, FL)
- …10:00 AM- 6:30 PM EST No nights, no weekends, and no holidays. The UM Nurse Consultant job duties include (not all encompassing): -Reviews services to assure ... Spanish highly preferred + Compact RN License or license in multiple states + UM Nurse Consultant experience + Experience with overseas access to care + Working… more
- HCA Healthcare (Richmond, VA)
- …us apart from any other healthcare provider. We are seeking a(an) Lactation Consultant Registered Nurse RN to join our healthcare family. **Benefits** Henrico ... and empowers their passion for patient care. Apply today for our Lactation Consultant Registered Nurse RN opportunity. **Job Summary and Qualifications** At… more
- CVS Health (Lansing, MI)
- …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote and ... employee can live in any state. CCR - Duals UM Nurse Consultant Utilizes clinical experience and skills in a collaborative process to assess, plan, implement,… more
- CVS Health (Columbus, OH)
- …to make health care more personal, convenient and affordable. Position Summary This Utilization Management (UM) Nurse Consultant role is fully remote and ... Eastern Standard Time Holiday rotation 1-2 per year. CCR - Duals UM Nurse ConsultantUtilizes clinical experience and skills in a collaborative process to assess,… more
- PruittHealth (Columbia, SC)
- …and quality improvement practices for designated centers. The senior nurse consultant provides education, mentoring and validation of required systems ... **JOB PURPOSE:** Senior Nurse Consultant serves as a member...achieve and sustain compliance with all applicable regulations and quality outcomes. **KEY RESPONSIBILITIES:** * Annually in collaboration with… more
- CVS Health (Raleigh, NC)
- …more personal, convenient and affordable. Position Summary Precertification (Infertility): Utilization Management Nurse Consultant + Utilizes clinical ... 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)
- …care more personal, convenient and affordable. Position Summary Precertification: Utilization Management Nurse Consultant + Utilizes clinical experience ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- HCA Healthcare (Brooksville, FL)
- …you passionate about delivering patient-centered care?** Submit your application for RN Registered Nurse Lactation Consultant position and spend more time at the ... clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at HCA...**Job Summary and Qualifications** We are seeking a Lactation Consultant Registered Nurse for our Obstetrics Unit.… more
- CVS Health (Lansing, MI)
- …No travel is required.Applicants from any state can apply. Prior Authorization UM Nurse Consultant Utilizes clinical experience and skills in a collaborative ... with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and… more
- NC Department of Transportation (Nash County, NC)
- Nurse Consultant I Print (https://www.governmentjobs.com/careers/northcarolina/jobs/newprint/4533676) Apply Nurse Consultant I Salary $57,712.00 - ... Closing Date 6/12/2024 11:59 PM Eastern Job Class Title Nurse Consultant I Position Number 65026279 Section...products, use of electronic mail and the internet, data management using folders, and import/export functions. Minimum Education and… more
