- 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 ... requires previous HEDIS review experience. This person will be responsible for Quality Check of FDC/ HEDIS nurses. This person will use healthcare data and… more
- Insight Global (Philadelphia, PA)
- …providers via fax, abstraction & entry of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer equipment, ... Previous HEDIS review experience or experience with Utilization Review, Quality , Medical Record auditing Bachelors Degree null We are a company committed… more
- Veterans Affairs, Veterans Health Administration (El Paso, TX)
- Summary The Quality Management (QM), Performance Measures Coordinator, Registered Nurse functions as an advanced clinician and executes position ... The Quality Management (QM), Performance Measures Coordinator, Registered Nurse duties, include but are not...process. Serves as a backup for the SAIL Coordinator RN . VA offers a comprehensive total rewards package: VA… more
- Hackensack Meridian Health (Neptune, NJ)
- …in Nursing. **Licenses and Certifications Required:** + NJ State Professional Registered Nurse License. **Licenses and Certifications Preferred:** + Professional ... PQRS, HEDIS , Meaningful Use, Patient-Centered Medical Home, or other quality metrics and tracking. + Knowledgeable about Population Health Management and… more
- Molina Healthcare (WA)
- …and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to ... supporting our Washington State Plan. We are seeking a Registered Nurse with quality improvement...Professional in Health Quality (CPHQ) + Certified HEDIS Compliance Auditor (CHCA) + Registered 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 (...centers + Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards.… 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 - ... as they apply to health centers or hospitals. + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA trainings… 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: ... Full-time Nurse Manager position available for our Ocean Shores Medical...health centers or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards… more
- AmeriHealth Caritas (Dublin, OH)
- …and/or + Minimum of 3-5 years in healthcare quality required + An unrestricted registered nurse license in the plan's state or any other state he/she works. ... + Associate's Degree or equivalent work experience + Bachelor's Degree preferred + Registered Nurse required + Minimum of 3-5 years in clinical or… more
- Stanford Health Care (Palo Alto, CA)
- …CMS, US News & World Report, HEDIS , PQRS). **Licenses and Certifications** + CA- RN ( Registered Nurse ) **These principles apply to ALL employees:** **SHC ... **This is a Stanford Health Care job.** **A Brief Overview** The Quality Specialist is responsible for coordinating, monitoring, and improving clinical care redesign… more
- Centene Corporation (Jefferson City, MO)
- …Licensed Marital and Family Therapist (LMFT), Licensed Certified Social Worker (LCSW), Licensed Registered Nurse ( RN ), Acute Care Nurse Practitioner ... providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS … 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: Feb 14, 2025...as health education and disease prevention. + Participate in quality assurance activities including meetings and peer review. +… more
- Molina Healthcare (Jackson, MS)
- …assisting Members with scheduling transportation to appointments; reviewing EPSDT and HEDIS data to inform targeted interventions to increase utilization of ... open preventive care gaps to prioritize outreach and support quality initiatives for those Members and their PCPs. +...**REQUIRED EDUCATION** : Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN)… more
- Centene Corporation (New York, NY)
- …Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred.Pay Range: $26.50 - $47.59 per ... to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS ...HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation to plan… more
- Centene Corporation (Olympia, WA)
- …in Behavioral Healthcare field preferred. **For Coordinated Care -** **Washington only** : Registered Nurse ( RN ), Licensed Clinical Social Worker (LCSW), ... Professional Clinical Counselor (CC/LPCC), Chemical Dependency Professional (CDP). **Licenses/Certifications:** Registered Nurse ( RN ) certification, Licensed… 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
- Dignity Health (Bakersfield, CA)
- …special projects as assigned. **Qualifications** **Minimum Qualifications:** - CA Clinical licensure ( Registered Nurse ( RN ), Licensed Vocational Nurse ... - 5 years of oversight/supervision/management/leadership of clinical and non-clinical quality management staff. - 3 years HEDIS ...non-clinical quality management staff. - 3 years HEDIS measures reporting and experience in CMS Stars, P4P,… 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
- Humana (Oklahoma City, OK)
- … Compliance Professional must meet** **one** **of the following requirements:** **Unrestricted Registered Nurse in the State of Oklahoma OR** **Physician's ... Qualifications** + Advanced Excel **** + Understanding of healthcare quality measures (example HEDIS ) + Knowledge and experience of EPSDT and Child Health… more