• Quality Improvement ( RN ) - Maternity…

    Molina Healthcare (Ypsilanti, MI)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must live and have a current active unrestricted RN license in the ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of… more
    Molina Healthcare (10/20/24)
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  • LPN or RN Nurse Case Manager

    The Cigna Group (Bloomfield, CT)
    …requires working onsite at providers office. **Experience** : + Current Licensure as a registered nurse , in the state of residence in good standing. + Associates ... case-management, or utilization management position (experience can be a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS STARs experience a… more
    The Cigna Group (10/10/24)
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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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  • Sr Specialist, Quality Improvement ( RN

    Molina Healthcare (NM)
    **_JOB TITLE: Sr. Specialist, Quality Improvement RN ( REGISTERED NURSE )_** **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of… more
    Molina Healthcare (11/10/24)
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  • Program Manager - Clinical Program Design…

    Molina Healthcare (GA)
    **_JOB TITLE: Program Manager : HCS, Clinical Program Design, REGISTERED NURSE_** **Job Summary** Molina Healthcare Services (HCS) works with members, providers ... specific to population health and case management program requirements, as well as HEDIS and STARs._ ** Preferred License, Certification, Association** Any of the… more
    Molina Healthcare (11/14/24)
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  • Nurse Manager ( RN or LPN)

    Sea Mar Community Health Centers (Yelm, WA)
    …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager ( RN or LPN) - Posting #27117 Hourly Rate: $36.04 ... Annual Salary: $74,958.09 - 92,444.35 (depending on license/experience) Position Summary: Full-time Nurse Manager position available for our Yelm Medical Clinic.… more
    Sea Mar Community Health Centers (11/16/24)
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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 (11/02/24)
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  • Manager , Transitional Care Management Pop…

    Trinity Health (Boise, ID)
    …Regional Medical Campus. **SKILLS, KNOWLEDGE, EDUCATION AND EXPERIENCE:** Must possess a Registered Nurse License. Bachelor of Science degree in nursing required ... with 3-5 + years or more years of related experience. Master's preferred . 3+ years of leadership/supervisor/ manager experience required. 2 -3+ years of care/case… more
    Trinity Health (11/20/24)
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  • SCO Nurse Case Manager

    Fallon Health (Lawrence, MA)
    …field preferred **License/Certifications:** + Active, unrestricted license as a Registered Nurse in Massachusetts; current Driver's license and reliable ... Facebook, Twitter and LinkedIn** **Brief Summary of Purpose:** The Nurse Case Manager (NCM) is an integral...**Experience:** + 1+ years of clinical experience as a Registered Nurse managing chronically ill members or… more
    Fallon Health (11/09/24)
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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 (11/13/24)
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  • Senior Manager , Practice Innovation

    University of Virginia (Charlottesville, VA)
    …. + Graduate of an accredited program of clinical specialty; ie MD, DO, RN , Pharmacy, Social Work or Therapy Services preferred . **Experience:** + Minimum of ... to develop relevant in-person and online educational trainings on priority HEDIS quality measures, complex diagnosis documentation for improved risk adjustment, and… more
    University of Virginia (11/07/24)
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  • Clinical Nurse , Federal Employee Program…

    Blue KC (Workman, MN)
    …Knowledge of NCQA guidelines and state and federal regulations + Valid and active Registered Nurse compact licensure in Missouri and/or Kansas + Case Management ... or within 3 years of transferring into the Case Manager role + Membership of local Case Management Society...Office applications such as Word, Excel and Power Point ** Preferred Qualifications:** + Bachelor's degree in nursing with minimum… more
    Blue KC (11/05/24)
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  • Quality Improvement Professional

    CenterWell (Raleigh, NC)
    …and develop practice specific strategies designed to improve Medicare quality measures ( HEDIS ) as well as Part D/Patient Safety and Patient Experience (CAHPS-HOS). ... that will positively impact improved outcomes for CMS Stars quality measure ( HEDIS , patient safety and patient satisfaction).** **Provide support at all levels for… more
    CenterWell (11/21/24)
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  • Manager Quality and Patient Safety

    Penn Medicine (Bala Cynwyd, PA)
    …Cape May & Somers Point)** Summary: The Quality and Patient Safety Manager participates in the planning, implementation and evaluation of the quality, patient ... safety and operational performance improvement program. The Manager serves as the project manager for...hire. + If applicant holds a clinical license (eg RN ), proof of active licensure is required. Education or… more
    Penn Medicine (09/27/24)
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  • Supervisor, Transitional Care Services

    LA Care Health Plan (Los Angeles, CA)
    …Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and ... Worker (LCSW) - Active, current and unrestricted California License Licenses/Certifications Preferred Certified Case Manager (CCM) Required Training Physical… more
    LA Care Health Plan (10/26/24)
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  • Specialist, Provider Engagement (Remote in MI)

    Molina Healthcare (Flint, MI)
    …Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) + Experience ... for key performance measurement activities. **Experience with quality, providers and HEDIS is very important for this position. Please highlight this experience… more
    Molina Healthcare (10/18/24)
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  • Sr Specialist, Quality Interventions/QI Compliance…

    Molina Healthcare (AZ)
    … Education** Preferred field: Clinical Quality, Public Health or Healthcare. ** Preferred Experience** + Experience in Quality/ HEDIS . + 1 year of health ... in Health Quality (CPHQ) + Active, unrestricted Nursing License ( RN may be preferred for specific roles)...preferred for specific roles) + Active, unrestricted Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees:… more
    Molina Healthcare (10/10/24)
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  • Specialist, Quality Interventions/QI Compliance…

    Molina Healthcare (Tacoma, WA)
    …Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all ... NCQA accreditation surveys and federal/state QI compliance activities. Experience with QUALITY/ HEDIS is important for this position. Please include any experience in… more
    Molina Healthcare (10/04/24)
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  • Senior Provider Engagement Specialist

    Molina Healthcare (Seattle, WA)
    …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 (10/27/24)
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