- 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 affordable. **Position Summary** This is a fulltime Quality Management Nurse Consultant opportunity within Arizona. The working schedule is Monday- Friday… more
- Insight Global (Philadelphia, PA)
- …patient's care needs. The HEDIS nurse focuses solely on using HEDIS measuring criteria to review health plans in accordance with healthcare facility ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Previous HEDIS review experience Active RN License… more
- Insight Global (Philadelphia, PA)
- …) Strong computer skills Ability to occasionally travel to local providers Previous HEDIS review experience or experience with Utilization Review , Quality, ... Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract...of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …reviewers. He/she will assist the Program Manager in the training of all temporary HEDIS review staff and will provide direct supervision of temporary staff as ... complex provider organizations and other various health care delivery systems Education: + Registered Nurse or Licensed Practical Nurse certification or… 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 (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...and make specific recommendations based on their goals 4. Review paperwork for patients to ensure it meets all… more
- 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 ... and make specific recommendations based on their goals 4. Review paperwork for patients to ensure it meets all...and participates in patient education and outreach tied to HEDIS initiatives 4. Works to improve access to care… more
- 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
- Centene Corporation (Jefferson City, MO)
- …Licensed Marital and Family Therapist (LMFT), Licensed Certified Social Worker (LCSW), Licensed Registered Nurse ( RN ), Acute Care Nurse Practitioner ... field or equivalent work experience within a managed care environment related to HEDIS record review , quality improvement, medical coding or transferable skill… more
- Commonwealth Care Alliance (Boston, MA)
- …etc. + Identify and initiate a plan to meet quality, STAR, and HEDIS measures. + Conduct Annual Visits with patients, taking a detailed history, performing ... or hospitalization. Such visits include a detailed history of present illness, review of systems, physical exam, ordering of appropriate studies and tests,… more
- 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
- HCA Healthcare (Salt Lake City, UT)
- …managing high-risk, multi-morbidity patient populations.** **What qualifications you will need:** + Registered Nurse + Graduate of an accredited college of ... Medical Home (PCMH), government programs (CMS), accountable care organizations (ACOs), HEDIS , and experience with payor cost sharing initiatives + Excellent oral… more
- Dignity Health (Bakersfield, CA)
- …special projects as assigned. **Qualifications** **Minimum Qualifications:** - CA Clinical licensure ( Registered Nurse ( RN ), Licensed Vocational Nurse ... clinical and non-clinical quality management staff. - 3 years HEDIS measures reporting and experience in CMS Stars, P4P,...Value Based Payment Programs. - 3 years Medical record review project management. - Bachelor's degree or equivalent in… more
- University of Miami (Miami, FL)
- …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and...Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of Hierarchical Condition… more
- Medical Mutual of Ohio (OH)
- …+ **Medical /clinical background highly desirable.** **Professional Certification(s)** + ** Registered Nurse preferred** + **Certified Professional Coder (CPC) ... _Collaborates with internal departments on risk adjustment coding strategies, HEDIS performance, provider performance, and other corporate quality initiatives.… more
- CVS Health (Springfield, IL)
- …development, modeling inclusive behaviors, and proactively managing bias **Preferred Qualifications** + Registered Nurse , preferably in the state of IL + ... of the Quality team to ensure maximal performance with HEDIS and accreditations. + Serving as the SPOC on...such as monitoring report owners and the timely quality review of these reports and works with COO and… more
Related Job Searches:
HEDIS,
HEDIS RN,
HEDIS Review,
HEDIS Review Nurse,
Nurse,
Nurse-rn,
RN,
Review,
Review Nurse,
Review Nurse RN