• 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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  • Clinical Nurse Auditor, HEDIS

    Providence (WA)
    …**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 (Remote)

    Actalent (Austin, TX)
    Actalent is currently hiring for Remote HEDIS Nurses ( RN /LPN)! Job Description: + Lead data collection and abstraction for company quality measures, including ... and/or custom or other measure set standards + Review medical records and abstract data for HEDIS ...of Microsoft Applications, including Excel and Access. + Compact RN or LVN/LPN License Why Actalent? + Work with… more
    Actalent (11/22/24)
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  • Remote - HEDIS Nurse

    Actalent (Columbia, SC)
    …to HEDIS standards and/or custom or other measure set standards + Review medical records and abstract data for HEDIS and other measure sets in compliance ... and over-reads .Qualification : + 1+ years of Performing HEDIS expereince Mandatory + Having Compact RN ...range for this position is $25.00 - $35.00/hr. * Medical , dental & vision * Critical Illness, Accident, and… more
    Actalent (11/24/24)
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  • HEDIS Nurse - REMOTE

    Actalent (Austin, TX)
    …CMS, and CHIPRA * Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom * Review medical records and abstract data ... vendors Additional Skills & Qualifications * Recent experience with HEDIS , NCQA, Quality Initiatives/Standards. * Previous HEDIS ...experience * Advanced knowledge of MS Excel. * Current RN or LPN license Work Environment This position will… more
    Actalent (11/09/24)
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  • Registered Nurse - In Home Primary…

    The Cigna Group (Birmingham, AL)
    The RN serves as the key contact point for...licensure as needed 5+ years of experience as a Registered Nurse Proficient level of experience with ... coordinate and streamline all services offered within Evernorth. The RN will educate the patient on healthcare options, provide...and participates in patient education and outreach tied to HEDIS initiatives Works to improve access to care, and… more
    The Cigna Group (11/22/24)
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  • Registered Nurse -In Home Primary…

    The Cigna Group (Houston, TX)
    The RN serves as the key contact point for the...as needed 3) 3+ years of experience as a Registered Nurse with experience in internal medicine or ... coordinate and streamline all services offered within Evernorth. The RN will educate the patient on healthcare options, provide...all requirements 5. Explain test results, diagnoses and other medical outcomes 6. Cover triage and transition of care… more
    The Cigna Group (11/22/24)
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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 - Operating Room

    ERP International (Eglin AFB, FL)
    **Overview** ERP International is seeking a ** Registered Nurse ( RN )** for a full-time position in support of the **Operating Room** at theEglin Hospital, ... Benefits!** Paid Vacation, Paid Sick Time, Plus 11 Paid Federal Holidays!** Medical /Dental/Vision, Health Savings Account available, STD, LTD and Life Insurance! and… more
    ERP International (11/20/24)
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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 (11/12/24)
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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 (11/13/24)
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  • Nurse Manager ( RN or LPN)

    Sea Mar Community Health Centers (Yelm, WA)
    …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager ( RN or LPN) - Posting #27117 Hourly Rate: $36.04 - ... Annual Salary: $74,958.09 - 92,444.35 (depending on license/experience) Position Summary: Full-time Nurse Manager position available for our Yelm Medical Clinic.… more
    Sea Mar Community Health Centers (11/16/24)
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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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  • Sr Specialist, Quality Improvement ( RN

    Molina Healthcare (NM)
    **_JOB TITLE: Sr. Specialist, Quality Improvement RN ( REGISTERED NURSE )_** **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of… more
    Molina Healthcare (11/10/24)
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  • RN Senior Stars Improvement, Clinical…

    Humana (Nashville, TN)
    …goals **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Tennessee + Reside ... a part of our caring community and help us put health first** The RN Senior Stars Improvement, Clinical Consultant / Professional executes the overall Medicare Stars… more
    Humana (11/13/24)
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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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