• HEDIS Overreader Registered

    Insight Global (Philadelphia, PA)
    …. Skills and Requirements Previous HEDIS review experience Active RN License or Active LPN License 2-3 years of clinical ... make sure it meets a patient's care needs. The HEDIS nurse focuses solely on using ...local providers Previous HEDIS review experience Active RN License or Active LPN License 2-3… more
    Insight Global (10/01/24)
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  • HEDIS Registered Nurse

    Insight Global (Philadelphia, PA)
    …Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Active RN License or Active LPN License 2-3 years ... Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract...of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer… more
    Insight Global (10/01/24)
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  • HEDIS Nurse Chart Abstractor

    Robert Half Accountemps (San Antonio, TX)
    …privacy rules and regulations. Requirements + Registered Nurse ( RN ) or Licensed Practical Nurse ( LPN ) with active license required. + Minimum ... Description We are seeking a quick-thinking and detail-oriented HEDIS Nurse Chart Abstractor who is passionate about healthcare and improving service delivery… more
    Robert Half Accountemps (10/19/24)
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  • HEDIS Reviewer

    Centers Plan for Healthy Living (Garden City, NY)
    HEDIS Reviewer 990 Stewart Ave, Garden City, NY...+ Other duties and responsibilities, as assigned Certifications/Licensure: + Licensed LPN / Coder / RN ... guidance and plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction, coordination and implementation… more
    Centers Plan for Healthy Living (11/06/24)
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  • HEDIS Clinical Trainer

    Centene Corporation (Tallahassee, FL)
    …Skills:** + 3+ years of HEDIS experience + 2+ years as a LPN or RN + Prior training experience **Education/Experience:** Associate's degree or equivalent ... will encompass, but not limited to: Star measures and HEDIS or HEDIS like measures. Liaise to...experience in nursing, managed care, training, or related field. LPN or RN license required. Pay Range:… more
    Centene Corporation (10/24/24)
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  • Remote HEDIS - Quality Improvement…

    Actalent (Atlanta, GA)
    …Requirements: MUST HAVE experience working prior HEDIS seasons Must have a current RN or LPN license About Actalent Actalent is a global leader in ... Lead data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other custom measurements. Responsibilities: * Assess… more
    Actalent (11/05/24)
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  • HEDIS Review Nurse

    Actalent (Chicago, IL)
    Job Title: HEDIS Review SpecialistJob Description - Will be calling...- need to be done on critical cases. A RN or LPN /LVN responsible for annual patient ... full-time members with audits and provider clean-up. - Will be part of the HEDIS team during the Jan-May season. Review medical records from all 5 states.… more
    Actalent (10/27/24)
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  • LPN - Patient Care Advocate - Mostly Remote

    Actalent (Detroit, MI)
    …coaching. Additional Skills & Qualifications + One of the following licenses/certifications is preferred: Licensed Practical Nurse ( LPN ), Licensed ... LPN /Patient Care Advocate This position requires commuting up...Social Worker (C-SW), Licensed Social Worker (LSW), Licensed Registered Nurse ( RN more
    Actalent (11/06/24)
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  • Registered Nurse - Outpatient…

    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 ... the Nurse Manager for the area. The Registered Nurse understands professional practice standards and...support of a LPN and/or HT in the delivery of care for… more
    Veterans Affairs, Veterans Health Administration (10/26/24)
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  • Nurse Manager ( RN or LPN )

    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 ... Nurse Manager - Posting #25738 Salary Rate: $74,958.09 ( LPN ) - $92,444.35 ( RN ) Position Summary: Full-time...of Washington highly preferred or + LPN and licensed to practice nursing in… more
    Sea Mar Community Health Centers (10/30/24)
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  • Nurse Manager ( RN or LPN )

    Sea Mar Community Health Centers (Puyallup, WA)
    …up to 50 pounds. Requirements: + Must be a Registered Nurse , BSN, LPN or equivalent and licensed to practice nursing in the State of Washington. + ... Nurse Manager RN Annual Salary: $85,470.00 Nurse Manager LPN Annual Salary: $74,958.09 Position...or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA… more
    Sea Mar Community Health Centers (08/14/24)
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  • LPN or RN Nurse Case Manager…

    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
    The Cigna Group (10/10/24)
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  • Nurse Manager ( RN or LPN )

    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 ... $74,958.09 - 92,444.35 (depending on experience) Position Summary: Full-time Nurse Manager position available for our Vancouver - Salmon...care facilities. Candidates in this position must be an RN or LPN . Responsibilities include: + Manage… more
    Sea Mar Community Health Centers (09/12/24)
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  • LPN /LVN Case Management Analyst- Work…

    The Cigna Group (Birmingham, AL)
    …reside in Jefferson, Tuscalossa, Walker or Fayette County **Experience:** * Current Licensure as a Registered Nurse or LVN/ LPN , in the state of Alabama in ... utilization management position (experience can be a combination of LVN/ RN licensure) * Previous HEDIS and/or CMS STARs experience a plus **Job Related Skills:**… more
    The Cigna Group (10/07/24)
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  • Patient Care Advocate

    Centene Corporation (Springfield, IL)
    …preferably in a managed care environment. **License/Certification:** One of the following is preferred. Licensed Practical Nurse ( LPN ); Licensed ... to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS ...Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN more
    Centene Corporation (11/01/24)
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  • Quality Practice Advisor

    Centene Corporation (Jefferson City, MO)
    …ideal candidate will be located in Jackson County, Kansas City, MO area, holding an RN or LPN license and experience working with healthcare providers on closing ... and risk adjustment (coding). **License/Certification:** **One of the following required:** CCS, LPN , LCSW, LMHC, LMSW, LMFT, LVN, RN , APRN, HCQM, CHP,… more
    Centene Corporation (09/24/24)
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  • Medical Assistant TRI Cardio Buffalo Kensington

    Catholic Health (Buffalo, NY)
    …needs of the department Summary: The Medical Assistant is under the clinical supervision of the Licensed Practical Nurse , Registered Nurse , Nurse ... but not required + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred (Primary Care) WORKING CONDITIONS: + Ability to travel to and… more
    Catholic Health (11/02/24)
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  • Medical Assistant TRI GI Center Rd WS

    Catholic Health (West Seneca, NY)
    …8:30am-4:30pm or 800am-4:00pm Summary: The Medical Assistant is under the clinical supervision of the Licensed Practical Nurse , Registered Nurse , ... office procedures is preferred but not required + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred (Primary Care) REQNUMBER: 31696 more
    Catholic Health (09/24/24)
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  • Quality Practice Liaison

    CVS Health (Tallahassee, FL)
    …**Preferred Qualifications** + RHI, RHIT, CRC, or CPC certified Coder or auditor (CMAS) or + RN or LPN or LISW or + Three years' experience in managed care with ... years' experience in managed care with a focus on HEDIS and Quality with experience facilitating and leading meetings...of improving performance with your market + Knowledge of HEDIS and Pay for Performance metrics, ICD-10 coding, Medicaid… more
    CVS Health (10/23/24)
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  • Quality Improvement Abstractor

    Centene Corporation (Columbia, SC)
    …of Microsoft Applications, including Excel and Access. **Licenses/Certifications:** Current state's RN or LPN license preferred.Pay Range: $25.97 - $46.68 ... Lead data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other custom measurements. + Assess vendor-delegated… more
    Centene Corporation (09/01/24)
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