• HEDIS Overreader Registered Nurse

    Insight Global (Philadelphia, PA)
    …to a patient's health plans to make sure it meets a patient's care needs. The HEDIS nurse focuses solely on using HEDIS measuring criteria to review health ... Description A client of Insight Globals is looking for HEDIS (Healthcare Effectiveness Data and Information Set Nursing) RNs...This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for… more
    Insight Global (10/01/24)
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  • Clinical Nurse Auditor, HEDIS

    Providence (WA)
    …best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:** + Be responsible for conducting clinical ... Seasonal Role:_** + This posting is for multiple openings of a Nurse Auditor, HEDIS + This position is affiliated with Providence Health Plan and will be… more
    Providence (10/30/24)
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  • Remote - HEDIS Nurse

    Actalent (Columbia, SC)
    Immediate hiring for "Remote HEDIS Nurses" in US ! Job Description: + Lead data collection and abstraction for company quality measures, including HEDIS , CMS, ... custom measurements. + Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards + Review… more
    Actalent (11/24/24)
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  • HEDIS Nurse (Remote)

    Actalent (Austin, TX)
    Actalent is currently hiring for Remote HEDIS Nurses (RN/LPN)! Job Description: + Lead data collection and abstraction for company quality measures, including ... HEDIS , CMS, CHIPRA and/or any other custom measurements. +...+ Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards… more
    Actalent (11/22/24)
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  • HEDIS Nurse - REMOTE

    Actalent (Austin, TX)
    …* Lead data collection and abstraction for company quality measures, including HEDIS , CMS, and CHIPRA * Assess vendor-delegated abstraction activities and compare ... results to HEDIS standards and/or custom * Review medical records and abstract data for HEDIS and other measure sets * Track and report on issues and outcomes… more
    Actalent (11/09/24)
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  • HEDIS Registered Nurse or LPNs…

    Insight Global (Philadelphia, PA)
    Job Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract position in PA and NJ. PARTIALLY remote position as it ... abstraction & entry of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer equipment, encrypted zip drives… more
    Insight Global (10/01/24)
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  • Quality Management Nurse Consultant

    CVS Health (Phoenix, AZ)
    …time. The QM Nurse Consultant is a work at home role. Experienced HEDIS record review nurse will be responsible for obtaining, reviewing, abstracting, and ... and affordable. **Position Summary** This is a fulltime Quality Management Nurse Consultant opportunity within Arizona. The working schedule is Monday- Friday… more
    CVS Health (10/26/24)
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  • HEDIS Quality LPN

    Robert Half Accountemps (Houston, TX)
    …base of HEDIS /STARs. * Perform datamining tasks. Requirements . Licensed Practical Nurse . Minimum 2 year HEDIS experience and/or knowledge . Solid knowledge ... Description We are seeking a HEDIS Quality LPN to join a fully remote team. The HEDIS Quality LPN focuses on HEDIS operations and data collection. The … more
    Robert Half Accountemps (11/21/24)
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  • Coding Quality Auditor, HEDIS *Remote

    Providence (OR)
    …empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits/overreads ... to determine potential areas for quality improvement within the HEDIS project + Collect data by way of chart...GED Equivalency + Licensure / Certification: Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse +… more
    Providence (11/16/24)
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  • Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4591361) Apply  Senior Medical Management Nurse - ... to County employees and their covered dependents. The Senior Registered Nurse -Ambulatory Care series is distinguished from other nursing classifications in that… more
    Ventura County (11/12/24)
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  • Registered Nurse - Outpatient Clinics

    Veterans Affairs, Veterans Health Administration (Augusta, GA)
    Summary The Registered Nurse is assigned to a designated unit and is accountable to the Nurse Manager for the area. The Registered Nurse understands ... 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 (10/26/24)
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  • Registered Nurse -In Home Primary Care-…

    The Cigna Group (Houston, TX)
    …and referrals to health programs and participates in patient education and outreach tied to HEDIS initiatives 4. Works to improve access to care and works as part of ... needed 3) 3+ years of experience as a Registered Nurse with experience in internal medicine or adult medicine...nursing visits is preferred. 10) Knowledge of STARS and HEDIS metrics a plus If you will be working… more
    The Cigna Group (11/22/24)
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  • Registered Nurse - In Home Primary Care-…

    The Cigna Group (Birmingham, AL)
    …referrals to health programs, and participates in patient education and outreach tied to HEDIS initiatives Works to improve access to care, and works as part of the ... as needed 5+ years of experience as a Registered Nurse Proficient level of experience with Microsoft Office applications,..., ER, internal medicine is preferred.Knowledge of STARS and HEDIS metrics a plus If you will be working… more
    The Cigna Group (11/22/24)
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  • LPN or RN Nurse Case Manager (Onsite…

    The Cigna Group (Bloomfield, CT)
    …manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to ... office. **Experience** : + Current Licensure as a registered nurse , in the state of residence in good standing....can be a combination of LVN/RN licensure) + Previous HEDIS and/or CMS STARs experience a plus. If you… more
    The Cigna Group (10/10/24)
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  • Nurse Manager (RN or LPN)

    Sea Mar Community Health Centers (Puyallup, WA)
    …the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #26096 Nurse Manager RN Annual Salary: $85,470.00 ... Manager LPN Annual Salary: $74,958.09 Position Summary: Full-time Nurse Manager position available for our Medical Clinic in...or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA… more
    Sea Mar Community Health Centers (11/13/24)
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  • Nurse Manager (RN or LPN)

    Sea Mar Community Health Centers (Tacoma, WA)
    …following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #25738 Salary Rate: $74,958.09 (LPN) - $92,444.35 (RN) ... Position Summary: Full-time Nurse Manager (RN or LPN) position available for our...Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA… more
    Sea Mar Community Health Centers (10/30/24)
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  • Quality Improvement (RN) - Maternity (OB/GYN)

    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 state of MI_ ... compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement (Registered Nurse ) contributes to one or more of these quality… more
    Molina Healthcare (10/20/24)
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  • Nurse Practitioner Bilingual Spanish…

    CenterWell (Sun City, AZ)
    …focused on teamwork and providing a positive and welcoming environment for all. The Nurse Practitioner (NP) works in our team-based care environment. We are a value ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
    CenterWell (11/25/24)
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  • Nurse Practitioner

    CenterWell (Savannah, GA)
    …on teamwork and providing a positive and welcoming environment for all. The Nurse Practitioner (NP) works in our team-based care environment. We are a value-based ... of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral...coverage. + Bilingual is a plus + Knowledge of HEDIS quality indicators. **Use your skills to make an… more
    CenterWell (11/22/24)
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  • Nurse Practitioner / Physician Assistant…

    CenterWell (Sun City, AZ)
    …teamwork and providing a positive and welcoming environment for all. The Nurse Practitioner (VSP/PT) provides health promotion and maintenance through the diagnosis ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
    CenterWell (11/19/24)
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