- Veterans Affairs, Veterans Health Administration (Perry Point, MD)
- …approaches to management of complex client care. The Quality Management (QM) Consultant Registered Nurse (RN) demonstrates leadership, experience, ... service level. The QM Consultant is assigned responsibility for their assigned quality management program area activities for the Medical Center and all… 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 (Tallahassee, FL)
- …do it all with heart, each and every day. **Position Summary** As a Utilization Management Nurse Consultant , you will utilize clinical skills to coordinate, ... document and communicate all aspects of the utilization/benefit management program. You would be responsible for ensuring the...times. This includes reviewing written clinical records. The UM Nurse Consultant job duties include (not all… more
- CVS Health (Columbus, OH)
- …of the utilization/benefit management function. + UM Nurse Consultant meets set productivity and quality expectations. + Effective communication skills, ... we do it all with heart, each and every day. **Position Summary** _Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and… 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
- NHS Management, LLC (Tallahassee, FL)
- …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
- First Atlantic Health Care (South Portland, ME)
- POSITION SUMMARY The RN Consultant assists the administrator by performing administrative responsibilities in the overall delivery of care. Meets the ... responsibilities of the RN Consultant as outlined in the...have received appropriate training, orientation, and evaluation to deliver quality care. + Assures all nursing personnel promote and… more
- CVS Health (Jefferson City, MO)
- …utilization/benefit management function. + UMNC meets set productivity and quality expectations. + Effective communication skills, both verbal and written + ... products, services and/or benefit programs. + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization. + Consults… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The (Per Diem) Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and ... of nursing practice assigned; + Licensed as a registered nurse with current registration in New York State +...needs and applies critical thinking skills in patient care management . 3. Integrates relevant assessment and intervention skills in… more
- ProMedica Health System (Toledo, OH)
- The RN/IBCLC Breastfeeding Supporter is a registered nurse and certified lactation consultant responsible for promoting, supporting, and protecting breastfeeding ... successful breastfeeding outcomes Perform clinical breast assessment and provide evidence-based management for common issues such as engorgement and nipple pain… more