Utilization Management Nurse Consultant - Richmond, VA

The QM Nurse Consultant is responsible for conducting Quality Management Reviews (QMRs) and supporting Performance Improvement Projects (PIPs) to ensure Medicaid-funded services meet regulatory, clinical, · and quality standards. · Conduct on-site and desk audits to ensure servic ...

The QM Nurse Consultant is responsible for conducting Quality Management Reviews and supporting Performance Improvement Projects to ensure Medicaid-funded services meet regulatory clinical and quality standards. · Conduct on-site and desk audits to ensure services comply with DMA ...

The QM Nurse Consultant is responsible for conducting Quality Management Reviews (QMRs) and supporting Performance Improvement Projects (PIPs) to ensure Medicaid-funded services meet regulatory, clinical, and quality standards. · Licensed Registered Nurse (RN) · ...

The QM Nurse Consultant is responsible for conducting Quality Management Reviews (QMRs) and supporting Performance Improvement Projects (PIPs) to ensure Medicaid-funded services meet regulatory, clinical, and quality standards. · We're building a world of health around every indi ...

This Utilization Management Nurse Consultant position is a remote role that requires highly motivated and detail-oriented individuals to coordinate and communicate aspects of the utilization/benefit management program. The ideal candidate will have active current and unrestricted ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. · Position Summary: This Utilization Management Nurse Consultant (UMNC) position is 100% remote. · ...

This Utilization Management Nurse Consultant position is a full-time opportunity that can be performed entirely from home through internet connection or calls. The role involves utilizing clinical skills to coordinate, document and communicate all aspects of the utilization/benef ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience.At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safet ...

We are building a world of health around every individual shaping a more connected convenient and compassionate health experience. · Utilizes clinical experience and skills in a collaborative process to assess plan implement coordinate monitor and evaluate options to facilitate a ...

Join us at CVS Health in shaping a more connected convenient and compassionate health experience We are building a world of health around every individual Utilization Management Nurse Consultant required for our team This role involves assessing planning implementing coordinating ...

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, · hold ourselves accountable and prioritize sa ...

· The Legal Nurse plays a key role in evaluating medical malpractice cases by analyzing medical records, · e understanding applicable standards of care, collaborating with expert witnesses, · ,and supporting the attorney's litigation strategy throughout the life of the case. · ...

$10,000 Sign on Bonus for Full Time · Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan coordination for guests. The MDS Coordinator supervises the Care Management Nurse, ...

$10,000 Sign on Bonus for Full Time · Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan coordination for guests. The MDS Coordinator supervises the Care Management Nurse, ...

An exciting opportunity is available for a Part-Time or Full-Time Maternal Fetal Medicine (MFM) physician to join a consultative MFM practice in vibrant Richmond, Virginia. · ...

The APN will provide program-level leadership for outpatient geriatric programs including developing best practices and standard operating procedures - leading quality and program improvement practices - ensuring adherence to local and national directives and presenting data to V ...

+Job Summary · The permanent physician maternal fetal medicine position at [location] requires board certified physicians in obstetrics-gynecology with additional training in maternal-fetal medicine. · +Provide outpatient MFM consults · Manage high-risk pregnancies · Perform lim ...

$10,000 Sign on Bonus for Full Time · Are you an experienced MDS nurse interested in the next step? The MDS Coordinator provides oversight of the RAI process and conducts assessments and care plan coordination for guests. The MDS Coordinator supervises the Care Management Nurse, ...

Join a mission-driven, nationally recognized health system in launching a new Hematology/Oncology practice in a growing community. Backed by the resources of an established, CoC-accredited network of 9 Hem/Oncs in the Richmond market. This is an exciting opportunity for a collabo ...

We are seeking a physician with expertise in maternal-fetal medicine to join our team. The successful candidate will provide outpatient MFM consults, manage high-risk pregnancies, perform limited inpatient procedures, · Provide outpatient MFM consults · ...