- 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 (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
- Molina Healthcare (TX)
- **_JOB TITLE: RN ( REGISTERED NURSE ) Program Manager: HCS, Clinical Program Design_** **_Program Specific Preferred skills:_** + _Experience with leading ... and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed...Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) with experience in lieu of RN… more
- 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...position include:** + Bachelor's Degree in Nursing + Dual RN License: Oregon and Washington + 1+ years' experience… more
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- Centene Corporation (Concord, NH)
- …Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred. Hedis experience preferred Pay Range: $25.97 ... to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS ...improve HEDIS measures and provides education for HEDIS measures and coding. Supports the implementation of quality… more
- Molina Healthcare (MI)
- **_JOB TITLE: Sr. Specialist, Quality Improvement RN ( REGISTERED NURSE )_** **_For this position we prefer someone with 5 - 7 years hospital clinical ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of… more
- 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
- 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
- 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
- Northern Light Health (Brewer, ME)
- …obtain information, support, and promote cooperation and collaboration. Credentials + Required Registered Nurse or CST Education + Required Bachelor's Degree 8 ... This includes, but is not limited to, MIPS, eCQMs, HEDIS and CGCAHPS for ambulatory quality and IQR, QHIP,...computers, typing, reading or writing. + Prolonged periods of sitting. Position Quality Program Coordinator/ RN or CSTLocation Req ID… more
- Fallon Health (Lawrence, MA)
- …related field preferred **License/Certifications:** + Active, unrestricted license as a Registered Nurse in Massachusetts; current Driver's license and reliable ... policies and processes + Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member...**Experience:** + 1+ years of clinical experience as a Registered Nurse managing chronically ill members or… more
- Blue KC (Workman, MN)
- …Knowledge of NCQA guidelines and state and federal regulations + Valid and active Registered Nurse compact licensure in Missouri and/or Kansas + Case Management ... or and understanding of wellness principles + Thorough knowledge of NCQA guidelines, HEDIS measures, Gaps in Care, and Social Determinants of Health needs. + Current… more
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