- Health First (Rockledge, FL)
- …reporting formats to support comparison and analysis. * Knowledge base of clinical standards of care, preventive health standards, HEDIS , NCQA, governing and ... and Stewardship by contributing to Health First Health Plans HEDIS activities that support regulatory compliance, CMS...improvement activities at the Health plan and reports to Supervisor of HEDIS . * Maintain current knowledge… more
- Molina Healthcare (Paducah, KY)
- …Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... + Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers… more
- Molina Healthcare (Ypsilanti, MI)
- …of these quality improvements functions: Quality Interventions, Quality Improvement Compliance, HEDIS , and / or Quality Reporting. Quality Intervention / QI ... key quality strategies that require a component of near real-time clinical decision-making. These activities may include initiation and management of interventions… more
- Health First (Rockledge, FL)
- …team to achieve that vision. * Provide leadership, motivation, coaching, feedback and support to strengthen growth, development and wellness at work to build and ... associates. * Demonstrate fiscal acumen and contribute to and support the strategic direction of the areas of responsibility...CMS and HHS HCC Models and basic understanding of HEDIS . o 2 years ICD 10-CM auditing experience. *… more
- LA Care Health Plan (Los Angeles, CA)
- Supervisor , Transitional Care Services Job Category: Clinical Department: Health Education Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... responsible for supervising the TCS clinical and non- clinical staff's daily work and activities. The Supervisor...activities in transitions of care as demonstrated through identifying clinical priorities and outcomes (eg HEDIS , etc.).… more
- Dignity Health (Bakersfield, CA)
- …Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals health plans and employers with a ... include Paid Time Off and Sick Leave. **Responsibilities** The Provider Relations Supervisor will report directly to the Director of Physician Network Contracting.… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …is a 12 month program that prepares students to take the Certified Clinical Medical Assistant (CCMA) test through the National Health Career Association. It has ... Complete 2000 hours of on-the-job training (paid) with the support and guidance of an experienced one-on-one MA coach...MA Apprentice is responsible for ensuring that ALL patient clinical measures are being addressed and will do so… more
- Sharp HealthCare (San Diego, CA)
- …and other operational support services for the designated population. Provide clinical support to the patients by demonstrating technical expertise and ... alerting all clinical staff of any potential medical occurrences.Participates in clinical projects as directed by the lead, supervisor , manager or SCMG… more
- Sharp HealthCare (San Diego, CA)
- …and other operational support services for the designated population. Provide clinical support to the patients by demonstrating technical expertise and ... alerting all clinical staff of any potential medical occurrences.Participates in clinical projects as directed by the lead, supervisor , manager, or SCMG… more
- The Cigna Group (Nashville, TN)
- …to ensure that diagnosis coding is supported and meets specificity requirement to support clinical indicators, HEDIS and STARS quality measures + ... training sessions and meetings. **Core Responsibilities:** + Develop relationships with clinical providers and staff + Ability to communicate coding and… more
- MyFlorida (Defuniak Springs, FL)
- …Job posting category: Open Competitive Your Specific Responsibilities: This is a clinical services position at the Florida Department of Health in Walton County ... providing practical nursing support and assistance to providers primarily in the Family...medication pick up in HMS as needed. + Completes HEDIS /UDS measure tool for clients prior to each visit.… more
- St. Luke's Health System (Boise, ID)
- …and improve care coordination and patient outcomes. Through a model of clinical and financial integration and enhanced care team collaboration, this position will ... System (SLHS), St. Luke's Clinic (SLC), aligned independent practices, and payers to support the Network and its participants in achieving the quadruple aim ( reduce… more