- Molina Healthcare (TX)
- **_JOB TITLE: RN ( REGISTERED NURSE ) Program Manager : HCS, Clinical Program Design_** **_Program Specific Preferred skills:_** + _Experience with ... and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed...Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN… more
- Molina Healthcare (Ypsilanti, MI)
- **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of… more
- Molina Healthcare (MI)
- **_JOB TITLE: Sr. Specialist, Quality Improvement RN ( REGISTERED NURSE )_** **_For this position we prefer someone with 5 - 7 years hospital clinical ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of… more
- The Cigna Group (Bloomfield, CT)
- …requires working onsite at providers office. **Experience** : + Current Licensure as a registered nurse , in the state of residence in good standing. + Associates ... case-management, or utilization management position (experience can be a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS STARs experience a… more
- Sea Mar Community Health Centers (Tacoma, WA)
- … Nurse Manager - Posting #25738 Salary Rate: $74,958.09 (LPN) - $92,444.35 ( RN ) Position Summary: Full-time Nurse Manager ( RN or LPN) position ... a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health...experience in nursing supervision as well as management experience preferred . + Ideal candidates would be Registered … more
- Sea Mar Community Health Centers (Puyallup, WA)
- …a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #26096 Nurse Manager RN Annual Salary: $85,470.00 Nurse Manager LPN ... Annual Salary: $74,958.09 Position Summary: Full-time Nurse Manager position available for our Medical Clinic in Puyallup,...up to 50 pounds. Requirements: + Must be a Registered Nurse , BSN, LPN or equivalent and… more
- Sea Mar Community Health Centers (Yelm, WA)
- …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager ( RN or LPN) - Posting #27117 Hourly Rate: $36.04 ... Annual Salary: $74,958.09 - 92,444.35 (depending on license/experience) Position Summary: Full-time Nurse Manager position available for our Yelm Medical Clinic.… more
- ERP International (Nellis AFB, NV)
- **Overview** ERP International is seeking ** Registered Nurse ( RN ) Utilization Managers** for full-time positions in support of theMike O'Callaghan Military ... admissions, including all eligible beneficiaries, to civilian hospitals and notifies Clinical Nurse Case Manager and Patient Administration Element as required.… more
- Fallon Health (Lawrence, MA)
- …field preferred **License/Certifications:** + Active, unrestricted license as a Registered Nurse in Massachusetts; current Driver's license and reliable ... Facebook, Twitter and LinkedIn** **Brief Summary of Purpose:** The Nurse Case Manager (NCM) is an integral...**Experience:** + 1+ years of clinical experience as a Registered Nurse managing chronically ill members or… more
- Dignity Health (Bakersfield, CA)
- …degree or equivalent in health sciences or related field. - CA Clinical licensure ( Registered Nurse ( RN ), Licensed Vocational Nurse (LVN), Licensed ... is remote/work from home** **within California** **.** **Position Summary:** The Manager , Clinical Quality Improvement, is responsible for leading multiple large… more
- University of Virginia (Charlottesville, VA)
- …. + Graduate of an accredited program of clinical specialty; ie MD, DO, RN , Pharmacy, Social Work or Therapy Services preferred . **Experience:** + Minimum of ... to develop relevant in-person and online educational trainings on priority HEDIS quality measures, complex diagnosis documentation for improved risk adjustment, and… more
- Blue KC (Workman, MN)
- …Knowledge of NCQA guidelines and state and federal regulations + Valid and active Registered Nurse compact licensure in Missouri and/or Kansas + Case Management ... or within 3 years of transferring into the Case Manager role + Membership of local Case Management Society...Office applications such as Word, Excel and Power Point ** Preferred Qualifications:** + Bachelor's degree in nursing with minimum… more
- Penn Medicine (Bala Cynwyd, PA)
- …Cape May & Somers Point)** Summary: The Quality and Patient Safety Manager participates in the planning, implementation and evaluation of the quality, patient ... safety and operational performance improvement program. The Manager serves as the project manager for...hire. + If applicant holds a clinical license (eg RN ), proof of active licensure is required. Education or… more
- Molina Healthcare (UT)
- …Programs Manager with a LMSW or LCSW, LCPC/LPC or RN -Psych licensure. Broad knowledge of Utilization Management, Case Management and understanding clinical ... operations is highly preferred .** **The candidate must have a background in Behavioral...projects specific to Behavioral Health (BH). Serves as project manager when requested for any such ventures. + Communicates… more
- LA Care Health Plan (Los Angeles, CA)
- …Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and ... Worker (LCSW) - Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical… more
- Molina Healthcare (Flint, MI)
- …Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) + Experience ... for key performance measurement activities. **Experience with quality, providers and HEDIS is very important for this position. Please highlight this experience… more
- Molina Healthcare (AZ)
- … Education** Preferred field: Clinical Quality, Public Health or Healthcare. ** Preferred Experience** + Experience in Quality/ HEDIS . + 1 year of health ... in Health Quality (CPHQ) + Active, unrestricted Nursing License ( RN may be preferred for specific roles)...preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees:… more
- Molina Healthcare (Tacoma, WA)
- …Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all ... NCQA accreditation surveys and federal/state QI compliance activities. Experience with QUALITY/ HEDIS is important for this position. Please include any experience in… more
- Molina Healthcare (Seattle, WA)
- …Certified Professional in Health Quality (CPHQ) * Nursing License ( RN may be preferred for specific roles) * Certified HEDIS Compliance Auditor (CHCA) To all ... activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. +… more
- CVS Health (Columbus, OH)
- …Hypertension, Primary Care/Geriatric, Oncology -Managed Care and Medicare experience ** Preferred Qualifications** Healthcare licensure and/or certifications ( RN , ... outreaches our Medicare population to improve medication adherence and/or HEDIS diabetes and blood pressure control, providing education and addressing… more