- 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
- Actalent (Atlanta, GA)
- …Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred. - Telephonic experience is ... the department. Skills Patient outreach, Health education, Manage care, Clinical, HEDIS , Quality Improvement, Bachelor's degree, Managed Care experience,… 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
- Defense Health Agency (Oklahoma City, OK)
- **Overview** **Advanced Practice Registered Nurse , Tinker AFB, Oklahoma** Tinker AFB is located in Oklahoma City, Oklahoma. Oklahoma City offers all of the ... is permitted. Apply for this Job Online (https://careers-civilianmedicaljobs.icims.com/jobs/8586/advanced-practice- registered - nurse -%28family%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336268516) **Location** _US-OK-Oklahoma City_ **Job… 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
- 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
- Stanford Health Care (Redwood City, CA)
- …News & World Report, HEDIS , PQRS). **Licenses and Certifications** + California Registered Nurse ( RN ) license **These principles apply to ALL ... **This is a Stanford Health Care job.** **A Brief Overview** The Quality Specialist is responsible for coordinating, monitoring, and improving clinical care redesign… 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
- Excellus BlueCross BlueShield (Utica, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... quality health care services. Examples may include: Utilization Management, Quality , Behavioral Health, Pharmacy, Registered Dietitian and Respiratory… more
- UCLA Health (Los Angeles, CA)
- Description The Quality Management Clinical Nurse Specialist is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with ... involves evaluation clinical practices, identifying areas for improvement, and implementing quality improvement initiatives to enhance patient care and safety. In… more
- UCLA Health (Los Angeles, CA)
- Description The Quality Management Nurse Specialist serves as the key resource for the investigation of member complaints, grievances, quality of care and ... + Support quality management (QM) projects: Assist in initiatives like HEDIS /Pay for Performance, clinical studies, and access surveys by compiling data and… 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...following required:** CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN , APRN, HCQM, CHP, CPHQ, CPC, CBCS required Pay… more
- Catholic Health Initiatives (Houston, TX)
- …consultation and education to providers and provider staff. **Licensure Required** + Registered Nurse ( RN ) licensure **Minimum Knowledge, Skills, Abilities ... resolving deficiencies impacting compliance to meet State and Federal standards for HEDIS . Supports the development and implementation of quality improvement… more
- Centene Corporation (Jefferson City, MO)
- …insurance experience required; 2+ years of quality experience preferred. **License/Certification:** Registered Nurse ( RN ), Licensed Practical Nurse , ... **Position Purpose:** Identify market trends and oversee functions of quality improvement programs for HEDIS , CAHPS, and/or HOS strategy and related quality … 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 ... 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
- 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