- Actalent (Iowa City, IA)
- Job Title: HEDIS Nurse Job Description + We are seeking a dedicated and meticulous HEDIS Nurse to assist with the collection, analysis, and presentation ... of healthcare data. + The HEDIS Nurse will be responsible for managing all aspects of the HEDIS (Healthcare Effectiveness Data and Information Set) process,… more
- 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
- Providence (OR)
- …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
- 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
- Humana (Columbus, OH)
- … Nurse Professional 2 performs clinical reviews and supports the staff involved in HEDIS hybrid season review. The Quality Compliance Nurse works to gain more ... and help us put health first** The Quality Compliance Nurse helps in providing an accurate, timely, and compliant...timely, and compliant abstraction of medical records to meet HEDIS measurement and reporting requirements as outlined by the… more
- Providence (MT)
- …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
- TEKsystems (Baltimore, MD)
- Description: PURPOSE: The Clinical Medical Review Nurse an RN with clinical experience will report to the Clinical Support Supervisor - HEDIS and be part of the ... Quality Team. The main duties include conducting thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record… more
- 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
- System One (Baltimore, MD)
- ALTA IT Services is staffing a contract opportunity for a Clinical HEDIS Specialist support a leading health insurance customer. The main duties include conducting ... thorough HEDIS overreads in line with NCQA guidelines. Additional tasks...Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for… more
- The Cigna Group (Philadelphia, PA)
- …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 4) Proficient level of experience with Microsoft Office...ICU, geriatrics is preferred. 10) Knowledge of STARS and Hedis metrics a plus If you will be working… more
- 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 (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
- GEHA (Lee's Summit, MO)
- …personalized customer experience, sustained by a nimble and efficient organization. The Nurse Consultant II provides professional nursing care to our members through ... and/or clinical and/or plan policy development and management. The Nurse Consultant II will be involved in research and...A minimum of 4 years of experience working with HEDIS measures and associated gap closure. + Preferred experience… more
- CenterWell (Lexington, KY)
- …and providing a positive and welcoming environment for all. **Responsibilities:** The Nurse Practitioner (NP) works in our team-based care environment. We are a ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
- EasyHealth (Green Bay, WI)
- …APRN, Certified Nurse Practitioner + Knowledge of the HCC model, HEDIS , and STAR quality measures + Effectively communicate with elderly and chronically ill ... care. About the Role: We are looking for a Nurse Practitioner to join our Clinical team. The ...Nurse Practitioner to join our Clinical team. The Nurse Practitioner will conduct Health Risk Assessments for Medicare,… more
- CenterWell (New Orleans, LA)
- …a part of our caring community and help us put health first** The Nurse Practitioner (NP) works in our team-based care environment. We are a value-based care ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …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 - $44.44 ... Annual Salary: $74,958.09 - 92,444.35 (depending on experience) Position Summary: Full-time Nurse Manager position available for our Vancouver - Salmon Creek Medical… more
- EasyHealth (Humacao, PR)
- …license in the state of assignment + Must have license/certification: APRN, Certified Nurse Practitioner + Knowledge of HCC model, HEDIS and STAR quality ... to enable value-based care. About the Role: We are looking for a Nurse Practitioner/Physicians to join our Clinical team. The Nurse Practitioner/Physician will… more
- The Cigna Group (Harlingen, TX)
- …manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to ... management position (experience can be a combination of LVN/RN licensure) * Previous HEDIS and/or CMS STARs experience a plus * Bilingual - preferred Spanish both… more
- EasyHealth (Alameda, CA)
- Elevate Healthcare as a Nurse Practitioner - Transform Patient Care with Easy Health! Are you aspiring for a career that not only offers exceptional earnings but ... risk-bearing entities to enable value-based care. About the Role: Nurse Practitioner - In-Home care Embrace the chance to...specialty + Familiarity with the HCC model and quality HEDIS and other STAR measures + Effectively communicate with… more
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