• HEDIS Quality Coordinator

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …Plans is a Medicare Advantage Plan serving Miami-Dade and Broward Counties. The HEDIS Coordinator supports the Healthcare Effectiveness Data and Information Set ... ( HEDIS ) annual medical record collection project by retrieving and...via electronic medical records systems, to ensure compliance with HEDIS measures. Additionally, this position will make outbound calls… more
    DOCTORS HEALTHCARE PLANS, INC. (11/07/24)
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  • Hedis Coordinator

    TEKsystems (Northridge, CA)
    …accurate data entering of medical records and service data, according to HEDIS /ACO Technical Specifications. The Coordinator has excellent reading comprehension ... Description: The HEDIS Coordinators perform the functions related to the...analyze and process the information collected and distributed. The Coordinator is also detailed in obtaining and reviewing the… more
    TEKsystems (11/07/24)
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  • Health Informatics and Metrics Project…

    Sea Mar Community Health Centers (Seattle, WA)
    …COVID-19 and flu vaccine organization Health Informatics and Metrics Project Coordinator - Posting #27043 Hourly Rate: $26.44 Position Summary: Full-time Health ... Informatics and Metrics Project Coordinator position available at Sea Mar's administrative office in Seattle, WA. This position works under the direction of the… more
    Sea Mar Community Health Centers (10/30/24)
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  • Behavioral Health Coordinator , Orange,…

    Community Based Care of Brevard, Inc. (Orlando, FL)
    Minimum Starting Salary: $62,000/annually Position Summary: The Behavioral Health Coordinator is responsible for providing coordination of behavioral health services ... enrollee attends a seven (7) day follow up appointment. HEDIS Care Gap Reports - Essential Function: Review of...Portal (SPP) and will communicate with the CBCIH Regional Coordinator and CBCIH Behavioral Health Care Consultant as needed,… more
    Community Based Care of Brevard, Inc. (10/17/24)
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  • Quality Program Coordinator /RN or CST

    Northern Light Health (Brewer, ME)
    …40.00 Work Schedule: 8:00 AM to 4:30 PM Summary: The Quality Program Coordinator will facilitate quality initiatives and clinical quality data management for quality ... regulations and agreements. The coordinator will understand the quality components of all agreements....This includes, but is not limited to, MIPS, eCQMs, HEDIS and CGCAHPS for ambulatory quality and IQR, QHIP,… more
    Northern Light Health (10/19/24)
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  • RN- Coordinator

    Carle (Urbana, IL)
    RN- Coordinator + Department: HA - Quality Management + Entity: Health Alliance + Job Category: Nursing + Employment Type: Not Indicated + Job ID: 46957 + Experience ... Friend Save Save Apply Now Position Summary: The Quality Improvement RN Coordinator works with the Quality Management team, inter-departmentally and with business… more
    Carle (11/02/24)
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  • RN Care Coordinator

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Coordinator , Quality Management Full Time, 80 hours per pay period, Day Shift Covenant Medical Group is Covenant Health's employed and ... educating the patient/families and coordinating additional services needed. The RN Care Coordinator works in collaboration with and provides guidance to the Care… more
    Covenant Health Inc. (10/23/24)
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  • EPSDT Coordinator - Pediatrics

    Molina Healthcare (Grand Rapids, MI)
    **Job Description** EPSDT Coordinator (Early & Periodic Screening, Diagnostic, and Treatment) will be supporting our MI Medicaid Health Plan. This role will provide ... Friday 8:00AM to 5:00PM. - No nights or Holidays **Job Summary** The EPSDT Coordinator oversees all EPSDT activities for the Health Plan and is responsible for… more
    Molina Healthcare (10/20/24)
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  • Quality and Population Health Coordinator

    LA Care Health Plan (Los Angeles, CA)
    Quality and Population Health Coordinator I (ALD) Job Category: Administrative, HR, Business Professionals Department: Health Education Location: Los Angeles, CA, ... required to achieve that purpose. Job Summary The Quality and Population Health Coordinator I (QPHC) is responsible for outreaching to members to close care gaps.… more
    LA Care Health Plan (10/30/24)
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  • Clinical Quality Coordinator (RN)

    Centene Corporation (Trenton, NJ)
    …services across the continuum of care to support both direct and indirect HEDIS care gap closure. + Coordinate services between Primary Care Physician (PCP), ... to the appropriate resources. + Support direct care gap closure of HEDIS measures through member outreach, assessment, and documentation of member status. +… more
    Centene Corporation (11/06/24)
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  • Grievance & Appeals Coordinator I

    Centene Corporation (Springfield, IL)
    …data entry, tracking, organizing, and researching information + Assist with HEDIS production functions including data entry, calls to provider's offices, and ... claims research. + Manage large volumes of documents including copying, faxing and scanning incoming mail **Education/Experience:** High school diploma or equivalent. Associate's degree preferred. 2+ years grievance or appeals, claims or related managed care… more
    Centene Corporation (11/02/24)
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  • Registered Nurse- In Home Primary Care- Hybrid

    The Cigna Group (Philadelphia, PA)
    The RN Coordinator serves as the key contact point for the patient to coordinate and streamline all services offered within Evernorth Health Services. The patient ... and participates in patient education and outreach tied to HEDIS initiatives 4. Works to improve access to care...ICU, geriatrics is preferred. 10) Knowledge of STARS and Hedis metrics a plus If you will be working… more
    The Cigna Group (10/18/24)
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  • CenterWell - Parklane - Nurse Practitioner

    CenterWell (Wichita, KS)
    …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... Medicare guidelines and coverage. + Bilingual is a plus + Knowledge of HEDIS quality indicators. **Additional Information:** + Guaranteed base salary + annual bonus.… more
    CenterWell (11/01/24)
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  • Vendor Relationship Manager

    Healthfirst (FL)
    …audit templates to validate data + Serve as a project coordinator to lead projects/vendor configurations as assigned, develop project plans, support ... Assist and lead implementation strategies to improve vendor engagement strategies for HEDIS and STARS Quality Initiatives. + Participate in Request for Proposal… more
    Healthfirst (10/31/24)
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  • Nurse Practitioner - CenterWell - W. Charleston

    CenterWell (Las Vegas, NV)
    …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... environment. + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Additional Information** + Guaranteed base salary + quarterly… more
    CenterWell (10/30/24)
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  • Primary Care Physician

    ChenMed (Cincinnati, OH)
    …for 2 slots, follow-up patients, typical 1.0 PCP FTE slots are 18-21), HEDIS >4, CG CAHPS (patient experience), clinical gaps closures, and medical cost effectiveness ... their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office. + For patients that… more
    ChenMed (10/26/24)
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  • Community Connector (Snohomish County WA)

    Molina Healthcare (Bothell, WA)
    …Public Health, Healthcare, Health Care, Managed Care, MCO, Medicaid, Medicare, HEDIS , CAPHS, law enforcement, court, criminal justice, justice, judicial system, ... inmate, work-release, patrol, Corrections Deputies, corrections, support aid, courthouse, coordinator , deputy, sheriff, officer, family advocate, advocacy, health educator,… more
    Molina Healthcare (10/16/24)
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  • Senior Medical Director, Centers.

    ChenMed (Detroit, MI)
    …hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary ... their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office. + For patients that… more
    ChenMed (08/28/24)
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