• 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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  • HEDIS Registered Nurse

    Insight Global (Philadelphia, PA)
    …& entry of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer equipment, encrypted zip drives and ... 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… more
    Insight Global (10/01/24)
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  • 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...and/or custom or other measure set standards * Review medical records and abstract data for HEDIS more
    Actalent (11/02/24)
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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...program + Conduct Audits, which include review of outpatient medical records, hospital records, clinical lab and pharmacy records… more
    Providence (10/30/24)
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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...HEDIS measures. Responsibilities: + Review and abstract selected medical records according to specific HEDIS measures… more
    Robert Half Accountemps (10/19/24)
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  • Consultative Partner HEDIS Nurse

    Corewell Health (Grand Rapids, MI)
    …State of Michigan Upon Hire Preferred + 2 years of previous experience with HEDIS Medical Record Review & Abstraction experience highly preferred + Previous ... fall between 20 - 40 hours. Job Summary The HEDIS Record Reviewer performs accurate and efficient medical record review and abstraction for HEDIS reporting… more
    Corewell Health (11/07/24)
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  • HEDIS Review Nurse

    Actalent (Chicago, IL)
    …alongside full-time members with audits and provider clean-up. - Will be part of the HEDIS team during the Jan-May season. Review medical records from all 5 ... Job Title: HEDIS Review SpecialistJob Description - Will be calling...calling out to providers and doctors' offices to retrieve medical information and ask any follow-up questions needed to… more
    Actalent (10/27/24)
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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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  • Advanced Practice Registered Nurse

    University of Miami (Miami, FL)
    …(5pm to 9am)/weekends, all day/night Saturday and Sunday, when necessary) The Advanced Practice Registered Nurse (APRN) d elivers medical care to a wide ... please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Advanced Practice Registered Nurse General Internal Medicine Full Time… more
    University of Miami (09/14/24)
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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 ... issues, works with Medical Director as needed, and implements corrective actions as...or more years of clinical nursing experience + Active RN ( Registered Nurse ) license in… more
    Humana (11/06/24)
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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 ... all requirements 5. Explain test results, diagnoses and other medical outcomes 6. Cover any additional triage and transition...and participates in patient education and outreach tied to HEDIS initiatives 4. Works to improve access to care… more
    The Cigna Group (10/18/24)
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  • Senior Medical Management Nurse

    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 ... Senior Medical Management Nurse - VCHCP Print...of supervision commensurate with their experience. PAYROLL TITLE: Senior Registered Nurse - Ambulatory Care AGENCY/DEPARTMENT: Health… more
    Ventura County (10/24/24)
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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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  • 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 (...Committee of Quality Assurance (NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse 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 ... case-management, or utilization management position (experience can be a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS STARs experience a… 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 ... Manager LPN Annual Salary: $74,958.09 Position Summary: Full-time Nurse Manager position available for our Medical 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 - ... Committee of Quality Assurance (NCQA) as a Patient Centered Medical Home (PCMH) level III. The Nurse ...care facilities. Candidates in this position must be an RN or LPN. Responsibilities include: + Manage and evaluate… more
    Sea Mar Community Health Centers (09/12/24)
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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 ... data entering medical records utilized for HEDIS (R) supplemental...RN **Preferred Qualifications** + Experience reading and interpreting medical records, including handwritten records + Experience documenting electronically… more
    CVS Health (10/26/24)
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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 ... chart review to assess, plan, gather information, and coordinate medical and supporting services across the continuum of care...continuum of care to support both direct and indirect HEDIS care gap closure. + Coordinate services between Primary… 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 ... assist in care coordination efforts. + Demonstrates knowledge of HEDIS , HCC's and Medicare Risk Adjustment and their impact... license RN license Apply/Share Job Title RN Care Coordinator ID 4113897 Facility Covenant Medical more
    Covenant Health Inc. (10/23/24)
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