• 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 (12/31/24)
    - Save Job - Related Jobs - Block Source
  • 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 (12/31/24)
    - Save Job - Related Jobs - Block Source
  • LCSW / LCPC / PMH-BC - HEDIS Clinical…

    Centene Corporation (Springfield, IL)
    …Health assignments, experience in Behavioral health, alcohol and or substance use disorders. preferred RN - Registered Nurse - State Licensure and/or Compact ... and standards **Education/Experience:** Graduate from an Accredited School of Nursing ( Registered Nurse ), required Bachelor's Degree Bachelor's degree in social… more
    Centene Corporation (01/10/25)
    - Save Job - Related Jobs - Block Source
  • HEDIS Medical Record Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …programs to meet our accreditation and regulatory requirements. Job Responsibilities: The HEDIS Medical Record Specialist will assist the Program Manager in ... for the annual HEDIS submission. During the HEDIS reporting season, the HEDIS Medical...and other various health care delivery systems Education: + Registered Nurse or Licensed Practical Nurse more
    Blue Cross Blue Shield of Massachusetts (12/04/24)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • Registered Nurse - In Home Primary…

    The Cigna Group (Baltimore, MD)
    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 (12/18/24)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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)
    - Save Job - Related Jobs - Block Source
  • 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 (12/12/24)
    - Save Job - Related Jobs - Block Source
  • 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 + 3+ years experience reading and interpreting medical records, including handwritten records + 3+ years experience… more
    CVS Health (01/08/25)
    - Save Job - Related Jobs - Block Source
  • Quality Specialist ( RN )

    Stanford Health Care (Palo Alto, CA)
    …CMS, US News & World Report, HEDIS , PQRS). **Licenses and Certifications** + CA- RN ( Registered Nurse ) . **These principles apply to ALL employees:** ... religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception… more
    Stanford Health Care (12/13/24)
    - Save Job - Related Jobs - Block Source
  • Quality Nurse - Performance Measures

    Veterans Affairs, Veterans Health Administration (Wilmington, NC)
    …dimensions:- Practice- Professional Development- Collaboration- Scientific InquiryIn addition, this registered nurse is accountable and responsible for ... to the Assistant Chief, Quality & Safety. The Quality Nurse is a registered professional nurse...and regulatory activities.- Healthcare Effectiveness Data and Information Set ( HEDIS ) Measures The Quality Nurse is also… more
    Veterans Affairs, Veterans Health Administration (01/03/25)
    - Save Job - Related Jobs - Block Source
  • Associate Quality Practice Advisor

    Centene Corporation (Jefferson City, MO)
    …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
    Centene Corporation (01/10/25)
    - Save Job - Related Jobs - Block Source
  • Primary Care Nurse Practitioner/Physician…

    Commonwealth Care Alliance (Boston, MA)
    …comfortable guiding and coordinating care with those involved in the patient's medical and behavioral care. This role will provide ongoing chronic disease ... etc. + Identify and initiate a plan to meet quality, STAR, and HEDIS measures. + Conduct Annual Visits with patients, taking a detailed history, performing… more
    Commonwealth Care Alliance (11/26/24)
    - Save Job - Related Jobs - Block Source
  • EPSDT Coordinator (Must Reside in MS, LPN/LVN…

    Molina Healthcare (Jackson, MS)
    …assisting Members with scheduling transportation to appointments; reviewing EPSDT and HEDIS data to inform targeted interventions to increase utilization of ... **Job Qualifications** **REQUIRED EDUCATION** : Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) Program OR… more
    Molina Healthcare (01/09/25)
    - Save Job - Related Jobs - Block Source
  • Nurse Practitioner Kenmore Primary Care…

    Catholic Health (Kenmore, NY)
    …required. + ACLS certification preferred. + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred WORKING CONDITIONS: ... 1 Status: Full Time FTE: 1.066667 Bargaining Unit: Trinity Medical Exempt from Overtime: Exempt: Yes Work Schedule: Days...nursing. + Maintains a current New York State Professional RN license + Completion of an accredited program for… more
    Catholic Health (12/21/24)
    - Save Job - Related Jobs - Block Source
  • Wellness Nurse Consultant

    Elevance Health (Walnut Creek, CA)
    **Wellness Nurse Consultant** **Sign Bonus: $5000** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. family of ... is the territory/market that they will work in._ The **Wellness Nurse Consultant** position is responsible for developing and recommending customized, group-specific… more
    Elevance Health (12/28/24)
    - Save Job - Related Jobs - Block Source