• Associate Quality Practice Advisor

    Centene Corporation (St. Louis, MO)
    …sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record ... deficiencies impacting plan compliance to meet State and Federal standards for HEDIS . + Under general guidance form Senior Quality Practice Advisors and management,… more
    Centene Corporation (05/26/24)
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  • QM Nurse Consultant

    CVS Health (Springfield, IL)
    …and strategic interventions to improve member experience with Aetna and related HEDIS rates. This role has responsibility for the design, content and reporting ... committee reports, reviews documentation and interprets data in line with HEDIS , regulatory, and accreditation requirements for patterns, population outcomes and to… more
    CVS Health (07/04/24)
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  • Nurse Practitioner - Gwinnett

    CenterWell (Snellville, GA)
    …Schedule** : Full-time/40 Hours per Week/Monday through Friday **Job Type** : Field -based Nurse Practitioner, Primary Care House Calls **Assigned Territory** : ... part of our caring community and help us put health first** The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient… more
    CenterWell (06/29/24)
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  • Cardiology Nurse Practitioner - CenterWell

    CenterWell (Houston, TX)
    …team supporting patient's physical, emotional, and social wellness. The Cardiology Nurse Practitioner serves as a health-care provider who specializes in diagnosis, ... follow-up of patients with any suspected or known heart diseases. The Nurse Practitioner work assignments involve outpatient office and telehealth visits, curbside… more
    CenterWell (05/29/24)
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  • Wellness Nurse Consultant

    Elevance Health (Sacramento, CA)
    **Wellness Nurse Consultant** **Sign Bonus: $5000** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. family of ... work from your home office when not in the field . The individual is required to live in the...of a pulse point site listed above. The **Wellness Nurse Consultant** position is responsible for developing and recommending… more
    Elevance Health (07/06/24)
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  • RN Outpatient Clinics (Primary Care, Medicine,…

    Veterans Affairs, Veterans Health Administration (Augusta, GA)
    …all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is ... tracks, devises strategies to improve Healthcare Effective Data Information Sets ( HEDIS ) metrics, clinical reminders, panel access, timely encounter closures, other… more
    Veterans Affairs, Veterans Health Administration (05/04/24)
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  • EPSDT Coordinator - Pediatrics

    Molina Healthcare (Glen Allen, VA)
    …and Southside of Hampton Roads This role is Hybrid - working home and in filed ( Field Travel can be up to 50% - Within 2-hour radius) Home office with internet ... assisting Members with scheduling transportation to appointments; reviewing EPSDT and HEDIS data to inform targeted interventions to increase utilization of… more
    Molina Healthcare (06/10/24)
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  • VSP Collaborating Physician, Per Diem…

    CenterWell (Atlanta, GA)
    …Per Diem Physician VSP, Remote **Work Environment** : Hybrid (Remote & Field -based) * _As needed, will conduct quarterly controlled substance visits to patient's ... action. + Provide collaborating agreements for up to 4 nurse practitioners in the state of Georgia including but...call as needed. ​ **Preferred Qualifications** + Knowledge of HEDIS measures and the ability to close gaps in… more
    CenterWell (06/24/24)
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  • Manager Utilization Management RN, Prior…

    Providence (Beaverton, OR)
    …for this position include:** + Bachelor's Degree in Nursing or another clinical field of study + Graduate from an accredited school of nursing **-OR-** a ... training in supervision, management, or leadership + Oregon Registered Nurse License + 3+ years of experience directly managing...include:** + Master's Degree in Nursing or another related field of Study + Project management, Six Sigma, Lean,… more
    Providence (06/12/24)
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  • Care Manager_LVN_LPN

    Centene Corporation (Arlington, VA)
    …in assisting members to achieve optimal level of wellness. Works in the field with member to support compliance with care and treatment plans in collaboration ... that improve the quality and outcomes of care. + Educates members and facilitates HEDIS gap closure. + Performs all other duties assigned. + Works under direct… more
    Centene Corporation (05/30/24)
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