• Lead Overreader, HEDIS Abstraction…

    Molina Healthcare (WA)
    …managed care experience. + Advanced knowledge of HEDIS and NCQA. ** PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active RN license for the State(s) of ... more
    Molina Healthcare (02/08/25)
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  • Nurse Manager ( RN or LPN)

    Sea Mar Community Health Centers (Tacoma, WA)
    Nurse Manager - Posting #25738 Salary Rate: $74,958.09 (LPN) - $92,444.35 ( RN ) Position Summary: Full-time Nurse Manager ( RN or LPN) position ... more
    Sea Mar Community Health Centers (01/28/25)
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  • Nurse Manager ( RN or LPN)

    Sea Mar Community Health Centers (Puyallup, WA)
    …a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #26096 Nurse Manager RN Annual Salary: $85,470.00 Nurse Manager LPN ... more
    Sea Mar Community Health Centers (02/12/25)
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  • Case Manager , RN or Licensed…

    Excellus BlueCross BlueShield (Rochester, NY)
    …Levels + Associates degree required. Bachelor's degree preferred . + Active NYS RN or Registered Dietician or Physical Therapist licensure required; or LMSW; ... more
    Excellus BlueCross BlueShield (03/22/25)
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  • Nurse Manager ( RN or LPN)

    Sea Mar Community Health Centers (Lacey, WA)
    …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager ( RN or LPN) - Posting #27416 Hourly Rate: $36.04 ... more
    Sea Mar Community Health Centers (03/18/25)
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  • Nurse Manager , RN

    Sea Mar Community Health Centers (Lakewood, WA)
    …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager , RN - Posting #26919 Annual Salary: $85,470.00 - ... more
    Sea Mar Community Health Centers (03/27/25)
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  • EPSDT Coordinator (Must Reside in MS, LPN/LVN…

    Molina Healthcare (Jackson, MS)
    …assisting Members with scheduling transportation to appointments; reviewing EPSDT and HEDIS data to inform targeted interventions to increase utilization of ... more
    Molina Healthcare (01/09/25)
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  • Senior Care Options Nurse Case…

    Fallon Health (Pembroke, MA)
    …field preferred . **License** : Active, unrestricted license as a Registered Nurse in Massachusetts **Certification** : Certification in Case Management ... more
    Fallon Health (03/19/25)
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  • Manager Population Health - Sharp Health…

    Sharp HealthCare (San Diego, CA)
    …Nursing; California Registered Nurse ( RN ) - CA Board of Registered Nursing; Certified Case Manager (CCM) - Commission for Case Manager ... more
    Sharp HealthCare (01/29/25)
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  • Manager Care Quality

    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 ... more
    HCA Healthcare (03/23/25)
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  • Manager Clinical Quality Improvements

    Dignity Health (Bakersfield, CA)
    …special projects as assigned. **Qualifications** **Minimum Qualifications:** - CA Clinical licensure ( Registered Nurse ( RN ), Licensed Vocational Nurse ... more
    Dignity Health (03/12/25)
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  • Manager - Clinical Quality Improvement,…

    Stanford Health Care (Palo Alto, CA)
    …+ Proficiency in MS Office Suite - Word, Excel, PowerPoint. **Licenses and Certifications** + CA- RN ( Registered Nurse ) or + ARRT - Radiology Tech License or ... more
    Stanford Health Care (03/04/25)
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  • Clinical Quality Manager

    Healthfirst (NY)
    …+ Clinical license: LPN, RN , LMSW or LCSW + Multiple years of HEDIS review experience for both Medicaid and Medicare lines of business + Medical record review ... more
    Healthfirst (02/08/25)
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  • Manager - Quality Programs

    Independent Health (Buffalo, NY)
    …the Director. **Qualifications** + Bachelor's degree or Registered Nursing License ( RN ) required. Master's degree preferred . An additional four (4) years of ... more
    Independent Health (03/13/25)
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  • Clinical Program (Medicaid) Development…

    Elevance Health (MO)
    …combination of education and experience, which would provide an equivalent background. ** Preferred Qualifications:** + Current Missouri RN license strongly ... more
    Elevance Health (03/25/25)
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  • Provider Quality Manager

    Elevance Health (Cerritos, CA)
    **JR140223 Provider Quality Manager ** Responsible for leading Behavioral Health (BH) provider engagement, with a focus on leveraging the data available to providers ... more
    Elevance Health (03/15/25)
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  • Pay for Value Practice Specialist - Hybrid…

    Highmark Health (Harrisburg, PA)
    …Medicaid HEDIS , GPRO, risk value streams or population health management Preferred + RN license **_Disclaimer:_** _The job description has been designed ... more
    Highmark Health (03/27/25)
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  • Sr Quality Assurance Professional

    Humana (Annapolis, MD)
    …Quality leadership. **Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse license in the state of Virginia or obtain a ... more
    Humana (03/19/25)
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  • Provider Engagement Specialist

    Molina Healthcare (Spokane, WA)
    …Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all ... more
    Molina Healthcare (02/06/25)
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