- 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)
- 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 ... abstraction & entry of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer equipment, encrypted zip drives… more
- Truman Medical Centers (Kansas City, MO)
- …myWORKDAY (http://www.myworkday.com/trumed/d/home.htmld) to search for positions and apply.** Care Coordinator (non- RN ) - Lakewood Medical Center HEDIS team 101 ... coaching and consulting to outside organizations. **Job Description** **The HEDIS Care Coordinator functions as an integral part of...Care Coordinator functions as an integral part of the HEDIS team and is responsible for partnering with external… more
- Providence (WA)
- …**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...position include:** + Bachelor's Degree in Nursing + Dual RN License: Oregon and Washington + 1+ years' experience… more
- Molina Healthcare (TX)
- …Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... Duties** + Performs the coordination and preparation of the HEDIS medical record review which includes ongoing review of...**O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment To all… more
- Centers Plan for Healthy Living (Garden City, NY)
- HEDIS Reviewer 990 Stewart Ave, Garden City, NY 11530, USA Req #879 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... guidance and plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction, coordination and implementation… more
- Actalent (Austin, TX)
- Actalent is currently hiring for Remote HEDIS Nurses ( RN /LPN)! Job Description: + Lead data collection and abstraction for company quality measures, including ... HEDIS , CMS, CHIPRA and/or any other custom measurements. +...of Microsoft Applications, including Excel and Access. + Compact RN or LVN/LPN License Why Actalent? + Work with… more
- Actalent (Columbia, SC)
- …outcomes related to abstractions and over-reads .Qualification : + 1+ years of Performing HEDIS expereince Mandatory + Having Compact RN OR LPN license is ... Immediate hiring for "Remote HEDIS Nurses" in US ! Job Description: +...data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other custom measurements. +… more
- Actalent (Austin, TX)
- …* Lead data collection and abstraction for company quality measures, including HEDIS , CMS, and CHIPRA * Assess vendor-delegated abstraction activities and compare ... results to HEDIS standards and/or custom * Review medical records and...experience * Advanced knowledge of MS Excel. * Current RN or LPN license Work Environment This position will… more
- Centene Corporation (Tallahassee, FL)
- …of business partners. Training will encompass, but not limited to: Star measures and HEDIS or HEDIS like measures. Liaise to ensure training curriculum and ... content reflect the latest quality requirements. The HEDIS Clinical Trainer is primarily remote. Candidates will be... experience + 2+ years as a LPN or RN + Prior training experience **Education/Experience:** Associate's degree or… more
- Actalent (Pembroke Pines, FL)
- …utilization or appeals review preferred. Knowledge of InterQual criteria preferred. + License/Certification: RN or LPN license. Skills: HEDIS , RN , LPN Top ... Skills Details: HEDIS Skills & Qualifications: LPN or RN Associates' Degree EMR experience (QSHR preferred) HEDIS knowledge, medical terminology knowledge… more
- The Cigna Group (Birmingham, AL)
- The RN serves as the key contact point for...licensure as needed 5+ years of experience as a Registered Nurse Proficient level of experience with ... coordinate and streamline all services offered within Evernorth. The RN will educate the patient on healthcare options, provide...and participates in patient education and outreach tied to HEDIS initiatives Works to improve access to care, and… more
- The Cigna Group (Houston, TX)
- The RN serves as the key contact point for the...as needed 3) 3+ years of experience as a Registered Nurse with experience in internal medicine or ... coordinate and streamline all services offered within Evernorth. The RN will educate the patient on healthcare options, provide...and participates in patient education and outreach tied to HEDIS initiatives 4. Works to improve access to care… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- Summary The Registered Nurse is assigned to a designated...the continuum of care. Spinal Cord Serves as the RN Team Leader for a team of patients with the ... and is accountable to the Nurse Manager for the area. The Registered Nurse understands professional practice standards and principals and applies these… more
- ERP International (Eglin AFB, FL)
- **Overview** ERP International is seeking a ** Registered Nurse ( RN )** for a full-time position in support of the **Operating Room** at theEglin Hospital, ... the Flight Commander, to include elective, urgent and emergency procedures. The OR nurse will assess, plan, implement, and evaluate nursing care for all patients… 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 (NM)
- **_JOB TITLE: Sr. Specialist, Quality Improvement RN ( REGISTERED NURSE )_** **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of… more
- Humana (Nashville, TN)
- …goals **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Tennessee + Reside ... a part of our caring community and help us put health first** The RN Senior Stars Improvement, Clinical Consultant / Professional executes the overall Medicare Stars… more
- Providence (OR)
- …them._** **Providence Health Plan is calling a Principal Clinical Informatics Specialist RN who will:** + Combine advanced clinical nursing skills with technical ... understand current state workflows + Educate providers on the HEDIS (R) measure specifications + Possess strong technical knowledge of...in a hospital, clinic or health plan setting + RN License - State of Residency: Oregon, Washington, California… 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 ... or utilization management position (experience can be a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS STARs experience a plus. If you will be… more