- CVS Health (Harrisburg, PA)
- …Nurse in PA + 3+ years of clinical experience + 1+ year of quality management experience + 1+ year(s) of experience with Microsoft Office applications ... from multiple system applications and internal sources to assess for potential quality of care issues, barriers and opportunities for improvement. Analyzes and… 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 (Phoenix, AZ)
- …**Must reside in Arizona, preferably in the Phoenix Metro area.** **Hours: Monday- Friday 8:00am-5:00pm** Responsible for the review and evaluation of clinical ... information and documentation. Reviews documentation and interprets data obtained from clinical records or systems to apply appropriate clinical criteria and policies in line with regulatory and accreditation requirements for member and/or provider issues.… more
- Veterans Affairs, Veterans Health Administration (Baltimore, MD)
- …Values - "I CARE" Integrity Commitment Advocacy Respect Excellence Responsibilities The Quality Management (QM) Registered Nurse (RN) demonstrates ... and/or employees. The QM Consultant is assigned responsibility for their assigned quality management program area activities for the Medical Center and all… more
- Veterans Affairs, Veterans Health Administration (White City, OR)
- Summary The Quality Management Consultant primary responsibilities include leadership and management for planning, organizing, coordinating, and ... Pacific Crest Trail that's open to mountain bikers. The Quality Management Consultant is responsible...facility. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more
- Veterans Affairs, Veterans Health Administration (Marion, IL)
- Summary The Marion Illinois, VMAC is seeking a full time Quality Management (QM) Consultant Registered Nurse (RN) to join Quality Management . ... Consultant is assigned responsibility for their assigned quality management program area activities for the...lead. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases,… more
- CVS Health (Harrisburg, PA)
- …8pm EST depending on business needs and Holiday rotation required** As a Utilization Management Nurse Consultant , you will utilize clinical skills to ... personal, convenient and affordable. Requisition Job Description **Position Summary:** **This Utilization Management (UM) Nurse Consultant role is 100%… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- Nurse Consultant (General) (40 Hour) Hybrid...health care providers and public; + Assess safety and quality of client care provided; + Assess compliance of ... role? If so, we encourage you to consider the Nurse Consultant position with the Department of...and monitoring programs involving medical cost containment and disability management relating to occupational injuries and loss control matters.… more
- CVS Health (Jefferson City, MO)
- …Work schedules will include weekends and holidays and evening rotations._ As a Utilization Management Nurse Consultant you will be responsible for the review ... other products, services and/or programs + Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization + Consults and… more
- UNC Health Care (Chapel Hill, NC)
- …select the response below that best describes your experience/education/licensure for the Nurse Consultant position. 2. Licensed to practice as a Registered ... bottom of this page. DepartmentPeds-Children's Research Inst-412019Career AreaHealth Professional (Physician/ Nurse /Other)Is this an internal only recruitment?NoPosting Open Date01/15/2025Application Deadline02/14/2025Position… more