• Registered Nurse , SAIL Coordinator

    Veterans Affairs, Veterans Health Administration (El Paso, TX)
    Summary The SAIL Coordinator, Registered Nurse is responsible and accountable for analysis that crosses services and/or discipline lines and influences the ... well as customer service programs. Responsibilities The SAIL Coordinator Registered Nurse duties, include but are not...demonstrates expertise in the role of administrator and program manager , and is comfortable in the role of educator,… more
    Veterans Affairs, Veterans Health Administration (01/15/25)
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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 ... a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health...experience in nursing supervision as well as management experience preferred . + Ideal candidates would be Registered more
    Sea Mar Community Health Centers (10/30/24)
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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 ... Annual Salary: $74,958.09 Position Summary: Full-time Nurse Manager position available for our Medical Clinic in Puyallup,...up to 50 pounds. Requirements: + Must be a Registered Nurse , BSN, LPN or equivalent and… more
    Sea Mar Community Health Centers (11/13/24)
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  • Nurse Manager ( RN or LPN)

    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 ... Annual Salary: $74,958.09 - 92,444.35 (depending on experience) Position Summary: Full-time Nurse Manager position available for our Vancouver - Salmon Creek… more
    Sea Mar Community Health Centers (12/12/24)
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  • RN -Utilization Management

    ERP International (Nellis AFB, NV)
    **Overview** ERP International is seeking ** Registered Nurse ( RN ) Utilization Managers** for full-time positions in support of theMike O'Callaghan Military ... admissions, including all eligible beneficiaries, to civilian hospitals and notifies Clinical Nurse Case Manager and Patient Administration Element as required.… more
    ERP International (01/18/25)
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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 ... **Job Qualifications** **REQUIRED EDUCATION** : Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR… more
    Molina Healthcare (01/09/25)
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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 ... knowledge of electronic medical records, medical terminology, ICD-10, CPT II coding, HEDIS measures, and medical office processes ( preferred ) + Self-motivated… more
    HCA Healthcare (12/22/24)
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  • Manager Population Health & Post Acute Case…

    Community Health Network (Fishers, IN)
    Manager Population Health & Post Acute Case Mgmt. Job Ref...in nursing is preferred . + Licensed as a Registered Nurse ( RN ) with a valid ... couldn't do it without you. **Make a Difference** The Manager of Population Health & Post Acute Case Management...effectively both spoken and in writing. + If a RN , an Associate's Degree in nursing is required. +… more
    Community Health Network (12/31/24)
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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 ... is remote/work from home** **within California** **.** **Position Summary:** The Manager , Clinical Quality Improvement, is responsible for leading multiple large… more
    Dignity Health (01/11/25)
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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 ... to ensure high-quality care to members and achievement of company HEDIS performance. Implements strategies that meet clinical, quality, and network improvement… more
    Elevance Health (01/24/25)
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  • Risk Adjustment Provider Programs Specialist

    Medical Mutual of Ohio (OH)
    …+ **Medical /clinical background highly desirable.** **Professional Certification(s)** + ** Registered Nurse preferred ** + **Certified Professional ... _Collaborates with internal departments on risk adjustment coding strategies, HEDIS performance, provider performance, and other corporate quality initiatives.… more
    Medical Mutual of Ohio (12/06/24)
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  • HealthCare Management Services Director

    Elevance Health (NV)
    …. + MS/MA degree in a health care field or MBA with Health Care concentration preferred . + Certified Case Manager preferred . For candidates working in person ... and activities including clinical indicators reporting, focus studies, and HEDIS reporting. + Serves as liaison to state regulatory...experience:** + Managed care experience is a must + RN , LCSW, or LPC preferred . National Committee… more
    Elevance Health (12/18/24)
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  • Specialist, Quality Management (Remote in Arizona)

    Molina Healthcare (AZ)
    …ASSOCIATION:** * Certified Professional in Health Quality (CPHQ) * Nursing License ( RN may be preferred for specific roles) **PHYSICAL DEMANDS:** Working ... quality management compliance activities. Please make sure to include any healthcare/ HEDIS /quality metric experience on your resume. We are moving quickly to… more
    Molina Healthcare (12/29/24)
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  • Sr Specialist, Quality Interventions/QI Compliance…

    Molina Healthcare (New York, NY)
    …Certified Professional in Health Quality (CPHQ) + Active, unrestricted Nursing License ( RN may be preferred for specific roles) + Active, unrestricted ... surveys and federal/state QI compliance activities. **Experience with health plan quality/ HEDIS is important for this position. Please include this experience on… more
    Molina Healthcare (11/28/24)
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  • Health Coach

    CVS Health (Columbus, OH)
    …Hypertension, Primary Care/Geriatric, Oncology -Managed Care and Medicare experience ** Preferred Qualifications** Healthcare licensure and/or certifications ( RN , ... outreaches our Medicare population to improve medication adherence and/or HEDIS diabetes and blood pressure control, providing education and addressing… more
    CVS Health (01/16/25)
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  • Supervisor, Quality Interventions/QI Compliance…

    Molina Healthcare (Long Beach, CA)
    …Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all ... Education** Advanced degree in Clinical Quality, Public Health or Healthcare. ** Preferred Experience** + HEDIS reporting or collection + CAHPS improvement… more
    Molina Healthcare (01/25/25)
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  • Specialist, Quality Interventions/QI Compliance…

    Molina Healthcare (Madison, WI)
    …Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all ... activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. +… more
    Molina Healthcare (01/24/25)
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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 ... is the territory/market that they will work in._ The **Wellness Nurse Consultant** position is responsible for developing and recommending customized, group-specific… more
    Elevance Health (12/28/24)
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  • Behavioral Health Clinical Quality Audit Analyst…

    Elevance Health (Seven Fields, PA)
    …delegated responsibilities. ** Preferred Qualifications:** + Prefer LCSW, LSW, LPC or RN license + Strong knowledge of ASAM and substance use disorder treatment ... ad hoc medical record reviews such as ASAM monitoring, HEDIS and CPG compliance. + Prepares and sends formal...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (01/02/25)
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