- Insight Global (Philadelphia, PA)
- …to a patient's health plans to make sure it meets a patient's care needs. The HEDIS nurse focuses solely on using HEDIS measuring criteria to review health ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Previous HEDIS review experience Active RN License or… more
- Insight Global (Philadelphia, PA)
- …& entry of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer equipment, encrypted zip drives and ... Job Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract position in PA and NJ. PARTIALLY remote position as it… more
- Providence (OR)
- …**Required qualifications for this position include:** + Degree in Nursing + Oregon Registered Nurse License + 5+ years clinical experience (Nursing) **Preferred ... empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:** + Be...program + Conduct Audits, which include review of outpatient medical records, hospital records, clinical lab and pharmacy records… more
- University of Miami (Miami, FL)
- …(5pm to 9am)/weekends, all day/night Saturday and Sunday, when necessary) The Advanced Practice Registered Nurse (APRN) d elivers medical care to a wide ... please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Advanced Practice Registered Nurse General Internal Medicine Full Time… more
- The Cigna Group (Philadelphia, PA)
- The RN Coordinator serves as the key contact point for...as needed 3) 3+ years of experience as a Registered Nurse 4) Proficient level of experience with ... all requirements 5. Explain test results, diagnoses and other medical outcomes 6. Cover any additional triage and transition...and participates in patient education and outreach tied to HEDIS initiatives 4. Works to improve access to care… more
- ERP International (Fallon, NV)
- **Overview** ERP International is seeking a ** Registered Nurse ( RN ) Health Educator** for a full-time position in support of the **Naval Health Clinic ... Benefits!** Paid Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays!** Medical /Dental/Vision, STD, LTD and Life Insurance, Health Savings Account available, and… more
- Ventura County (Ventura, CA)
- …care services to County employees and their covered dependents. The Senior Registered Nurse -Ambulatory Care series is distinguished from other nursing ... Senior Medical Management Nurse - VCHCP Print...of supervision commensurate with their experience. PAYROLL TITLE: Senior Registered Nurse - Ambulatory Care AGENCY/DEPARTMENT: Health… more
- Sea Mar Community Health Centers (Tacoma, WA)
- …up to 10 pounds and occasionally lift and/or move up to 50 pounds. Requirements: + Registered Nurse , BSN, ADN and licensed to practice nursing in the State of ... - Posting #25738 Salary Rate: $74,958.09 (LPN) - $92,444.35 ( RN ) Position Summary: Full-time Nurse Manager (...Committee of Quality Assurance (NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse … more
- Sea Mar Community Health Centers (Puyallup, WA)
- …and occasionally lift and/or move up to 50 pounds. Requirements: + Must be a Registered Nurse , BSN, LPN or equivalent and licensed to practice nursing in the ... vaccine organization Nurse Manager - Posting #26096 Nurse Manager RN Annual Salary: $85,470.00 ... Manager LPN Annual Salary: $74,958.09 Position Summary: Full-time Nurse Manager position available for our Medical … more
- Sea Mar Community Health Centers (Vancouver, WA)
- …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager ( RN or LPN) - Posting #26861 Hourly Rate: $36.04 - ... Committee of Quality Assurance (NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse ...care facilities. Candidates in this position must be an RN or LPN. Responsibilities include: + Manage and evaluate… more
- The Cigna Group (Harlingen, TX)
- …case-management or utilization management position (experience can be a combination of LVN/ RN licensure) * Previous HEDIS and/or CMS STARs experience a ... manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to… more
- Medical Mutual of Ohio (OH)
- Founded in 1934, Medical Mutual is the oldest and one of...a plus. + 3 years clinical experience as a Registered Nurse preferably in a health plan. ... Medicare & Medicaid Services (CMS) regulations for quality. Performs medical record reviews to derive analyses and supporting documentation...**Professional Certification(s)** + Registered Nurse with current State of Ohio… more
- System One (Baltimore, MD)
- …Must have LPN or RN Responsibilities: + Accurately and efficiently over-read medical record abstractions performed by the HEDIS abstraction staff on a daily ... line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk...involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for… more
- The Cigna Group (Philadelphia, PA)
- Field RN - Chronic Risk / AT Home Care Program *Sign...needed + 3 or more years of experience as a Registered Nurse + Proficient level of experience with ... education for the members assigned to the provider. Field RN supports providers and their respective patients, and also...and participates in patient education and outreach tied to HEDIS initiatives + Works to improve access to care,… more
- Humana (Tampa, FL)
- …guidance and direction. **Use your skills to make an impact** **Required Qualifications** + Registered Nurse + 5 or more years of Medicare experience working in ... caring community and help us put health first** Senior Stars Improvement Nurse / Senior Stars Improvement, Clinical Professional contributes to the development,… more
- Northern Light Health (Brewer, ME)
- …obtain information, support, and promote cooperation and collaboration. Credentials + Required Registered Nurse or CST Education + Required Bachelor's Degree 8 ... This includes, but is not limited to, MIPS, eCQMs, HEDIS and CGCAHPS for ambulatory quality and IQR, QHIP,...the ability to work collaboratively with members, physicians, other medical disciplines, and management staff. + Provides coverage for… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... the continuum of care. Spinal Cord Serves as the RN Team Leader for a team of patients with...devises strategies to improve Healthcare Effective Data Information Sets ( HEDIS ) metrics, clinical reminders, panel access, timely encounter closures,… more
- Centene Corporation (Oklahoma City, OK)
- …Master Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred. Pay Range: $25.97 - $46.68 ... to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS ...gaps they have when in the providers office for medical appointments. Schedules doctor appointments on behalf of the… more
- Commonwealth Care Alliance (Boston, MA)
- …comfortable guiding and coordinating care with those involved in the patient's medical and behavioral care. This role will provide ongoing chronic disease ... etc. + Identify and initiate a plan to meet quality, STAR, and HEDIS measures. + Conduct Annual Visits with patients, taking a detailed history, performing… more
- GEHA (Lee's Summit, MO)
- …Health Association, Inc., pronounced GEHA) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and ... be healthy and well. Offering one of the largest medical and dental benefit provider networks available to federal...experience, sustained by a nimble and efficient organization. The Nurse Consultant II provides professional nursing care to our… more