- 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 (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
- 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
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …to meet our accreditation and regulatory requirements. Job Responsibilities: The HEDIS Medical Record Specialist will assist the Program Manager in preparing ... for the annual HEDIS submission. During the HEDIS reporting season,...other various health care delivery systems Education: + Registered Nurse or Licensed Practical Nurse certification or… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …Works with IT and Clinical Nurse staff to aid in the loading of HEDIS data and collection of medical records. Works closely with HEDIS vendor support to ... specifications for the annual Healthcare Effectiveness Data and Information Set ( HEDIS ) lifecycle processes for all lines of business (Commercial, Marketplace,… more
- Centene Corporation (Springfield, IL)
- …function of this role is making telephonic outreach to members to help close HEDIS gaps. This is a work-from-home, hybrid-remote role with very limited (up to 10%) ... Illinois-based Registered Nurses (RN) or Licensed Clinical Social Workers (LCSW) with HEDIS quality improvement experience. The schedule is 8-4:30 or 5 PM central… more
- Centene Corporation (Jefferson City, MO)
- …will develop strategy and execute interventions start to finish to improve (mostly) HEDIS performance and other state or CMS measures, by engaging members and ... market trends and oversee functions of quality improvement programs for HEDIS or CAHPS strategy and related quality improvement activities. Assists stakeholders… more
- 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 (Hampton, VA)
- …limited to: Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible for providing competent, evidence-based gender-specific primary ... licensed vocational nurses/nursing assistants as appropriate to the clinic setting. This nurse provides direct Veteran care and care coordination, as it pertains, to… more
- 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 ... as well as customer service programs. Responsibilities The SAIL Coordinator Registered Nurse duties, include but are not limited to the following: Serves as… 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
- The Cigna Group (Baltimore, MD)
- …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
- 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
- Sea Mar Community Health Centers (Bellevue, WA)
- …following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #26005 Salary Rate: $85,470 Position Summary: Full-time ... Nurse Manager position available for our Medical Clinic in...Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA… more
- CenterWell (Madison, TN)
- …part of our caring community and help us put health first** The Nurse Practitioner (VSP/PT) applies advanced education and clinical competencies to achieve optimal ... patient outcomes. The Nurse Practitioner (VSP/PT) works on problems of diverse scope...coverage. + Bilingual is a plus + Knowledge of HEDIS quality indicators. \#LI=-CB1 **Scheduled Weekly Hours** 1 **Pay… more
- CenterWell (Surprise, 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
- Sea Mar Community Health Centers (Vancouver, WA)
- …following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager (RN or LPN) - Posting #26723 Annual Salary: $74,958.09 - 92,444.35 ... (depending on experience) Position Summary: Full-time Nurse Manager position available for our Vancouver - East...or hospitals. + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA… more
- CenterWell (Frankfort, KY)
- …teamwork 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
- CenterWell (Savannah, GA)
- …part of our caring community and help us put health first** The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient ... outcomes. The Nurse Practitioner works on problems of diverse scope and...medicine experience. + Value-based care knowledge and/or experience. + HEDIS quality metrics knowledge and/or experience. **Scheduled Weekly Hours**… more
- Actalent (Santa Barbara, CA)
- Job Title: Health Plan Nurse Coordinator Job Description The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse who works within one of the Health ... proficiency in Spanish is preferred but not required + Experience with HEDIS medical record abstraction. + Knowledge of quality improvement activities and regulatory… more
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