• Hedis Nurse - RN Required-…

    Actalent (Dallas, TX)
    …other quality initiatives as necessary Qualifications: - Registered Nurse ( RN ) license. - Experience with HEDIS measures and data abstraction. - Strong ... Description: We are seeking a dedicated and meticulous HEDIS Nurse to assist with the collection, analysis, and presentation of healthcare data. The HEDIS more
    Actalent (11/02/24)
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  • HEDIS Nurse Chart Abstractor

    Robert Half Accountemps (San Antonio, TX)
    …of patient data and adhere strictly to HIPAA privacy rules and regulations. Requirements + Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) with ... Description We are seeking a quick-thinking and detail-oriented HEDIS Nurse Chart Abstractor who is passionate about healthcare and improving service delivery… more
    Robert Half Accountemps (10/19/24)
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  • 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 (Beaverton, 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 (10/30/24)
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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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  • HEDIS Review Nurse

    Actalent (Chicago, IL)
    Job Title: HEDIS Review SpecialistJob Description - Will be calling out to providers and doctors' offices to retrieve medical information and ask any follow-up ... and provider clean-up. - Will be part of the HEDIS team during the Jan-May season. Review medical records...- need to be done on critical cases. A RN or LPN/LVN responsible for annual patient chart inspection/audit.… more
    Actalent (10/27/24)
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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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  • Registered Nurse - Outpatient…

    Veterans Affairs, Veterans Health Administration (Augusta, GA)
    Summary The Registered Nurse is assigned to a designated...the continuum of care. Spinal Cord Serves as the RN Team Leader for a team of patients with the ... and is accountable to the Nurse Manager for the area. The Registered Nurse understands professional practice standards and principals and applies these… more
    Veterans Affairs, Veterans Health Administration (10/26/24)
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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 (10/18/24)
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  • Clinical Quality Registered Nurse

    Humana (Columbus, OH)
    …government contract requires US citizenship for this position.** The **Clinical Quality Registered Nurse ( RN )** collects and reviews records, summarizes ... or more years of clinical nursing experience + Active RN ( Registered Nurse ) license in...a hospital or physician office practice + Knowledge of HEDIS /Stars/CMS/Quality **Additional Information** PLEASE MAKE SURE YOU ATTACH YOUR… more
    Humana (11/06/24)
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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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  • 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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  • 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 (10/24/24)
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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 (10/30/24)
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  • LPN or RN Nurse Case Manager (Onsite…

    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 ... or utilization management position (experience can be a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS STARs experience a plus. If you will be… more
    The Cigna Group (10/10/24)
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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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  • Clinical Quality Coordinator ( RN )

    Centene Corporation (Trenton, NJ)
    …managed care setting required Experience in a government sponsored managed care program preferred RN - Registered Nurse - State Licensure and/or Compact ... services across the continuum of care to support both direct and indirect HEDIS care gap closure. + Coordinate services between Primary Care Physician (PCP),… more
    Centene Corporation (11/06/24)
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  • RN Care Coordinator

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 hours per pay period, Day Shift Covenant Medical Group is Covenant Health's employed ... patient by educating the patient/families and coordinating additional services needed. The RN Care Coordinator works in collaboration with and provides guidance to… more
    Covenant Health Inc. (10/23/24)
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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 ... including all eligible beneficiaries, to civilian hospitals and notifies Clinical Nurse Case Manager and Patient Administration Element as required. * Serve… more
    ERP International (11/02/24)
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