- Actalent (Atlanta, GA)
- …Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred. - Telephonic experience is ... Collaborates with Provider Relations to improve provider performance in areas of Quality , Risk Adjustment, Operations (claims and encounters). + Schedules doctor… more
- Catholic Health Services (Flushing, NY)
- …why Catholic Health was named Long Island's Top Workplace! Position Summary: The Registered Nurse provides safe, direct patient care utilizing the nursing ... clinical leadership and is a resource for staff. The Registered Nurse must show an uncompromising commitment...in staff meetings and huddles as appropriate. Participates in Hedis , GPRO, and other quality programs as… 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 (...centers + Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards.… more
- MyFlorida (St. Petersburg, FL)
- …and Excellence in all aspects of their work. The OPS Advanced Practice Registered Nurse Specialist is responsible for providing comprehensive health care to ... OPS ADVANCED PRACTICE RN SPECIALIST - 64952403 Date: Mar 15, 2025...as health education and disease prevention. + Participate in quality assurance activities including meetings and peer review. +… 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 ...health centers or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards… 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 - ... with Health Center Administrator and Clinical Director in daily operations of the clinic. Nurse Manager oversees...health centers or hospitals. + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards.… more
- Centene Corporation (Oklahoma City, OK)
- …- FRIDAY 8AM - 5PM CENTRAL TIME ZONE.** **IDEAL APPLICANT WILL BE A NURSE WITH HEDIS BACKGROUND.** **Position Purpose:** Establishes and fosters a healthy ... supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk...facing teams to improve provider performance in areas of Quality , Risk Adjustment and Operations (claims and… more
- Sea Mar Community Health Centers (Ocean Shores, WA)
- …following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager, RN - Posting #26451 Annual Salary: $85,470 Position Summary: ... with Health Center Administrator and Clinical Director in daily operations of the clinic. Nurse Manager oversees...health centers or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards… more
- Centene Corporation (Columbus, GA)
- …**Preferred Certified Social Worker (C-SW):** **Preferred Licensed Social Worker (LSW):** Preferred Licensed Registered Nurse ( RN ) Pay Range: $26.50 - $47.59 ... education for HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation to plan providers. Assists in… more
- Centene Corporation (Little Rock, AR)
- …Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred.Pay Range: $26.50 - $47.59 per ... education for HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation to plan providers. Assists in… more
- HCA Healthcare (Salt Lake City, UT)
- …managing high-risk, multi-morbidity patient populations.** **What qualifications you will need:** + Registered Nurse + Graduate of an accredited college of ... We care like family! Jump-start your career as a(an) Manager Care Quality today with MountainStar Healthcare. **Benefits** MountainStar Healthcare, offers a total… more
- Humana (New Orleans, LA)
- …your skills to make an impact** **Required Qualifications** + Master's Degree + Louisiana-licensed registered nurse OR advanced practice registered nurse ... Review Providers. + 5+ years of management experience in operations + 5+ years of Supervisory People Management +...in provider relations and education + Understanding of healthcare quality measures STARS, HEDIS , etc. + Comprehensive… more
- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Master's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... AlignMeasurePerform (AMP); Pay for Performance (P4P) metrics; Medicare Stars; HEDIS ; Performance Guarantees and metrics; and other quality...5 Years experience in a leadership role. + California Registered Nurse ( RN ) - CA… more
- Community Health Systems (Franklin, TN)
- …healthcare coding, risk adjustment, and documentation best practices. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... including the CMS Quality Payment Program, ACO Quality Reporting, HEDIS , and managed care ...operations teams in mitigating risks and addressing critical quality events or incidents. + Facilitates educational programs and… more
- Independent Health (Buffalo, NY)
- …The Manager, Quality Programs will lead the execution of identified/approved operations , quality , and population health plans/roadmaps in support of both ... and as requested by the Director. **Qualifications** + Bachelor's degree or Registered Nursing License ( RN ) required. Master's degree preferred. An additional… more
- Elevance Health (Cerritos, CA)
- …to ensure high- quality care to members and achievement of company HEDIS performance. Implements strategies that meet clinical, quality , and network ... + Acts as a liaison between strategic providers and Carelon clinical, quality , provider strategy, operations , and claims, to ensure interdepartmental… more
- Humana (Richmond, VA)
- …EPSDT Coordinator must** **meet** **on** **e** **of** **the** **following:** + Virginia-licensed registered nurse OR + physician's assistant OR + Bachelor's ... as necessary * Review EPSDT services and assessments and HEDIS data to identify gaps in care and targeted...years' experience in Medicaid programs, managed care case management, quality improvement or pediatric office operations +… more
- University of Miami (Miami, FL)
- …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... preferred + Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge… more
- Queen's Health System (Honolulu, HI)
- …QUALIFICATIONS: A. EDUCATION/CERTIFICATION AND LICENSURE: * Current Hawaii State license as a Registered Nurse . * Bachelor's degree in Nursing. B. EXPERIENCE: * ... and data (preferably Epic). * Experience with health care regulatory and clinical quality measurements frameworks such as NCQA HEDIS , Meaningful Use, PQRS, OPPE,… more
- Centene Corporation (Jefferson City, MO)
- …is responsible for the oversight of Enterprise Population Health & Clinical Operations (PHCO) Care Management programs to include Medicare and Duals populations. + ... of care that incorporate needs of all lines of business, focusing on quality and operational efficiencies across the organization. + Plan, develop, and drive… more