• HEDIS Overreader Registered

    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 ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Previous HEDIS review experience Active RN License or… more
    Insight Global (10/01/24)
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  • Clinical Nurse Auditor, HEDIS

    Providence (OR)
    …**Required qualifications for this position include:** + Degree in Nursing + Oregon Registered Nurse License + 5+ years clinical experience (Nursing) **Preferred ... empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:** + Be...position include:** + Bachelor's Degree in Nursing + Dual RN License: Oregon and Washington + 1+ years' experience… more
    Providence (09/20/24)
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  • HEDIS Registered Nurse

    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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  • Registered Nurse - In Home Primary…

    The Cigna Group (Philadelphia, PA)
    The RN Coordinator serves as the key contact point for...as needed 3) 3+ years of experience as a Registered Nurse 4) Proficient level of experience with ... and participates in patient education and outreach tied to HEDIS initiatives 4. Works to improve access to care...to meet shared objectives **Minimum Qualifications:** 1) Active, unrestricted RN license in all states we provide services 2)… more
    The Cigna Group (07/19/24)
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  • Registered Nurse Health Educator

    ERP International (Fallon, NV)
    **Overview** ERP International is seeking a ** Registered Nurse ( RN ) Health Educator** for a full-time position in support of the **Naval Health Clinic ... conjunction with performing ambulatory nursing duties. Duties as a RN require a full range of knowledge and skill...Manager, review and make recommendations as necessary to improve Hedis data. Input data to the DD2766 automated flow… more
    ERP International (08/26/24)
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  • Advanced Practice Registered Nurse

    University of Miami (Miami, FL)
    …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Advanced Practice Registered Nurse General Internal Medicine ... day/night Saturday and Sunday, when necessary) The Advanced Practice Registered Nurse (APRN) d elivers medical care...of Medicare annual wellness exam documentation + Knowledge of HEDIS Quality Care Gaps - review and closure +… more
    University of Miami (09/14/24)
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  • Patient Care Advocate

    Actalent (Remote, OR)
    Fully Remote Patient Care Advocate ( RN ) We are looking for a Registered Nurse who is interested in a fully remote opportunity. Requirements: + Nursing ... you to practice in the state of Pennsylvania. Hard skills: + Must be a Registered Nurse + HEDIS Experience + Quality Assurance / Review Experience Work Site… more
    Actalent (09/21/24)
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  • Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …care services to County employees and their covered dependents. The Senior Registered Nurse -Ambulatory Care series is distinguished from other nursing ... amount of supervision commensurate with their experience. PAYROLL TITLE: Senior Registered Nurse - Ambulatory Care AGENCY/DEPARTMENT: Health Care Agency… more
    Ventura County (08/07/24)
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  • Nurse Manager ( RN or LPN)

    Sea Mar Community Health Centers (Tacoma, WA)
    …up to 10 pounds and occasionally lift and/or move up to 50 pounds. Requirements: + Registered Nurse , BSN, ADN and licensed to practice nursing in the State of ... - Posting #25738 Salary Rate: $74,958.09 (LPN) - $92,444.35 ( RN ) Position Summary: Full-time Nurse Manager (...Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA… more
    Sea Mar Community Health Centers (07/30/24)
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  • Nurse Manager ( RN or LPN)

    Sea Mar Community Health Centers (Puyallup, WA)
    …and occasionally lift and/or move up to 50 pounds. Requirements: + Must be a Registered Nurse , BSN, LPN or equivalent and licensed to practice nursing in the ... vaccine organization Nurse Manager - Posting #26096 Nurse Manager RN Annual Salary: $85,470.00 ...or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA… more
    Sea Mar Community Health Centers (08/14/24)
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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 Medical… more
    Sea Mar Community Health Centers (09/12/24)
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  • LVN/LPN or RN Nurse Case Management…

    The Cigna Group (Harlingen, TX)
    …case-management or utilization management position (experience can be a combination of LVN/ RN licensure) * Previous HEDIS and/or CMS STARs experience a ... manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to… more
    The Cigna Group (08/29/24)
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  • Field RN - At Home Care- Must reside in

    The Cigna Group (Philadelphia, PA)
    Field RN - Chronic Risk / AT Home Care Program *Sign...needed + 3 or more years of experience as a Registered Nurse + Proficient level of experience with ... education for the members assigned to the provider. Field RN supports providers and their respective patients, and also...and participates in patient education and outreach tied to HEDIS initiatives + Works to improve access to care,… more
    The Cigna Group (08/20/24)
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  • Clinical Quality Management Nurse

    Medical Mutual of Ohio (OH)
    …Nursing preferred.Master's Degree a plus. + 3 years clinical experience as a Registered Nurse preferably in a health plan. **Professional Certification(s)** + ... to enhance NCQA, Healthcare Effectiveness Data and Information Set ( HEDIS ) and Medicare Star ratings as well as data...Registered Nurse with current State of Ohio...Registered Nurse with current State of Ohio unrestricted license. +… more
    Medical Mutual of Ohio (08/20/24)
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  • Clinical Medical Review Nurse

    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...go onsite in Baltimore, MD Must have LPN or RN Responsibilities: + Accurately and efficiently over-read medical record… more
    System One (09/27/24)
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  • RN Senior Stars Improvement

    Humana (Tampa, FL)
    …guidance and direction. **Use your skills to make an impact** **Required Qualifications** + Registered Nurse + 5 or more years of Medicare experience working in ... caring community and help us put health first** Senior Stars Improvement Nurse / Senior Stars Improvement, Clinical Professional contributes to the development,… more
    Humana (08/30/24)
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  • Quality Program Coordinator/ RN or CST

    Northern Light Health (Brewer, ME)
    …obtain information, support, and promote cooperation and collaboration. Credentials + Required Registered Nurse or CST Education + Required Bachelor's Degree 8 ... This includes, but is not limited to, MIPS, eCQMs, HEDIS and CGCAHPS for ambulatory quality and IQR, QHIP,...computers, typing, reading or writing. + Prolonged periods of sitting. Position Quality Program Coordinator/ RN or CSTLocation Req ID… more
    Northern Light Health (08/23/24)
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  • RN Outpatient Clinics (Primary Care,…

    Veterans Affairs, Veterans Health Administration (Augusta, GA)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... the continuum of care. Spinal Cord Serves as the RN Team Leader for a team of patients with...devises strategies to improve Healthcare Effective Data Information Sets ( HEDIS ) metrics, clinical reminders, panel access, timely encounter closures,… more
    Veterans Affairs, Veterans Health Administration (08/03/24)
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  • Patient Care Advocate

    Centene Corporation (Oklahoma City, OK)
    …Master Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred. Pay Range: $25.97 - $46.68 ... to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS ...improve HEDIS measures and provides education for HEDIS measures and coding. Supports the implementation of quality… more
    Centene Corporation (09/25/24)
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  • Primary Care Nurse Practitioner/Physician…

    Commonwealth Care Alliance (Boston, MA)
    …etc. + Identify and initiate a plan to meet quality, STAR, and HEDIS measures. + Conduct Annual Visits with patients, taking a detailed history, performing ... the National Commission on Certification of Physician Assistants For Nurse Practitioner: + Graduation from a graduate degree program...graduate degree program that is designed to prepare the RN for practice as a certified NP; and holds… more
    Commonwealth Care Alliance (09/11/24)
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