- US Tech Solutions (Newark, NJ)
- …of related experience, preferably in the healthcare industry. + **Active New Jersey Registered Nurse ( RN ) License required.** **Skills:** + Knowledge of ... with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting...managed care principles and medical terminology. + Familiarity with HEDIS guidelines… more
- InGenesis (Fremont, CA)
- InGenesis is seeking an Urgent Care Registered Nurse to join our team in support of our client. In this essential role, you will collaborate with physicians and ... a diverse, often underserved population. As an urgent care registered nurse and physician extender, you'll assess...Improvement & Population Health: * Contribute to UDS and HEDIS measure performance through proactive panel management. * Help… more
- Ventura County (Ventura, CA)
- …CNA_MOA_2023-2028.pdf (ventura.org) (https://vcportal.ventura.org/CEO/HR/MOA/docs/CNA\_MOA\_2023-2028.pdf) PAYROLL TITLE: Senior Registered Nurse - Ambulatory ... Senior Medical Management Nurse - VCHCP Print...Care DISTINGUISHING CHARACTERISTICS: The Senior Registered Nurse -Ambulatory Care series is distinguished from other nursing classifications… more
- 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 (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 (Lacey, WA)
- …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager ( RN or LPN) - Posting #27416 Hourly Rate: $36.04 - ... Salary: $74,958.09 - 92,444.35 (depending on license/experience) Position Summary: Full-time Nurse Manager position available for our Lacey Medical Clinic,… more
- CenterWell (North Charleston, SC)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... community and help us put health first** The Quality RN Professional responsible for the development, implementation and management...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- Catholic Health Services (Melville, NY)
- Overview Position Summary: The Registered Nurse provides safe, direct patient care utilizing the nursing process in the ambulatory setting. The RN provides ... clinical leadership and is a resource for staff. The Registered Nurse must show an uncompromising commitment...nursing care. + Work alongside and offer assistance to medical assistants (MAs) and licensed practical nurses (LPNs) +… more
- CenterWell (Orlando, FL)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... RN experience **Preferred Qualification** + Strong knowledge of HEDIS /Stars/CMS + Bachelor's Degree in Nursing + 3+ years...unless otherwise specified + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- CenterWell (New Smyrna Beach, FL)
- …operational excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5+ ... us put health first** The Stars Improvement Clinical Professional ( RN ): + Collaborates with market leadership, and quality improvement...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- Humana (Gainesville, FL)
- …operational excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5 ... and is not fully remote. The Senior Stars Improvement, Clinical Professional ( RN ) is responsible for the development, implementation and management oversight of the… more
- Community Health Systems (Naples, FL)
- Join us as a ** Registered Nurse ( RN ) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri (this is an ... Student Loan Contribution: Up to $20k Other incentives include: Medical , Vision, Dental, 401k match & more available for...patient-centered service and continuous improvement. **Licenses and Certifications** + RN - Registered Nurse -… more
- Actalent (Santa Barbara, CA)
- …with HEDIS medical record abstraction. Additional Skills & Qualifications + Registered Nurse ( RN ) license. + Bilingual skills in Spanish may be ... Plan Nurse CoordinatorJob Description The Health Plan Nurse Coordinator is a Registered Nurse...Confidentiality laws and regulations. + Adhere to Health Plan, Medical Management, and Health Services policies and procedures. +… more
- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... to an alternative level of care. As more complex medical treatment options emerge the Case Manager will look...and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning needs and documents… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …(ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ... being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the group. +...Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist… more
- Banner Health (AZ)
- …Department. Coordinates, abstracts, and assists with the analysis of data from medical records in accordance with HEDIS specifications. Actively works with ... including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will...will be an integral part of the **Health Plan Medical Management Team** . This assignment-based role focuses on… more
- Fallon Health (Worcester, MA)
- …care related field preferred. **License** : Active, unrestricted license as a Registered Nurse in Massachusetts **Certification** : Certification in Case ... Set Home Care (MDS HC) Form when a member's medical /functional status changes that warrants a change in rating...**Experience:** * 1+ years of clinical experience as a Registered Nurse managing chronically ill members or… more
- Molina Healthcare (Tucson, AZ)
- …quality investigations, preferably in a managed care setting, or equivalent experience * Registered Nurse . License must be active and unrestricted in state of ... concerns, and mortalities. * Performs quality monitoring activities, including audits of medical record quality, services and service sites, health and safety, and… more
- Centene Corporation (Topeka, KS)
- …Licensed Marital and Family Therapist (LMFT), Licensed Certified Social Worker (LCSW), Licensed Registered Nurse ( RN ), Acute Care Nurse Practitioner ... or related field. Candidate Experience: Required: 1+ year of experience in related HEDIS medical record review or quality improvement with experience in data… more
- ERP International (Barksdale AFB, LA)
- …NP experience after graduation Licensure:** Current, full, active, and unrestricted Registered Nurse license Life Support Certification:** Possess current ARC ... **Overview** ERP International is seeking a ** Nurse Practitioner,** for a Full-Time position supporting **Occupational Health** at Barksdale AFB, LA. Apply online… more