• 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)
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  • HEDIS Registered Nurse

    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 (12/31/24)
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  • 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)
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  • HEDIS Medical Record Specialist

    Blue Cross Blue Shield of Massachusetts (Hingham, MA)
    …complex provider organizations and other various health care delivery systems Education: + Registered Nurse or Licensed Practical Nurse certification or ... to meet our accreditation and regulatory requirements. Job Responsibilities: The HEDIS Medical Record Specialist will assist the Program Manager in preparing… more
    Blue Cross Blue Shield of Massachusetts (12/04/24)
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  • Temporary Hedis Abstraction & Review…

    Commonwealth Care Alliance (Boston, MA)
    011370 CCA-Population Health Strategy **Position Summary:** Reporting to the Manager of HEDIS or her/his delegate, the HEDIS Abstraction & Review Specialist will ... support quality controls for the HEDIS Medical Record Review. HEDIS ratings are...experience **Desired Licensing (nice to have):** + Current unrestricted RN license in the Commonwealth of Massachusetts preferred **MA… more
    Commonwealth Care Alliance (12/31/24)
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  • Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (Sioux City, IA)
    …of HEDIS and NCQA **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active RN license for the State(s) of employment **STATE SPECIFIC REQUIREMENTS:** **PHYSICAL ... to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will… more
    Molina Healthcare (01/08/25)
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  • Sr. Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (AZ)
    …Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... Duties** + Performs the coordination and preparation of the HEDIS medical record review which includes ongoing review of...**O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment To all… more
    Molina Healthcare (01/03/25)
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  • Sr. Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (MI)
    …knowledge of HEDIS and NCQA **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active RN license for the State(s) of employment To all current Molina employees: ... conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team… more
    Molina Healthcare (12/05/24)
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  • HEDIS Lead

    Elevance Health (Atlanta, GA)
    …Elevance Health location. **Responsible for coordinating, implementing, and executing HEDIS Quality Department specific projects, ensuring consistency with company ... strategy, commitments, and goals.** PRIMARY DUTIES: + Leads annual HEDIS medical record collection and abstraction process; synthesizes aggregate plan and product… more
    Elevance Health (01/08/25)
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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...and participates in patient education and outreach tied to HEDIS initiatives 4. Works to improve access to care… more
    The Cigna Group (11/22/24)
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  • 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 ... 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
    The Cigna Group (12/18/24)
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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, ... the Flight Commander, to include elective, urgent and emergency procedures. The OR nurse will assess, plan, implement, and evaluate nursing care for all patients… more
    ERP International (11/20/24)
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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 (...Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA… more
    Sea Mar Community Health Centers (10/30/24)
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  • 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:** ... **SHC Commitment to Providing an Exceptional Patient & Family Experience** _Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt… more
    Stanford Health Care (12/13/24)
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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 ...or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA… more
    Sea Mar Community Health Centers (11/13/24)
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  • Clinical Quality Management Director - Hybrid -…

    The Cigna Group (Scottsdale, AZ)
    …of clinical quality initiatives, studies, and pilots to improve HEDIS (C) results, patient experience, enterprise quality opportunities. Analyzes results ... and US Employer segment through clinical initiatives designed to optimize the HEDIS and Quality Star Ratings (QRS). Encourages participation of matrix partners in… more
    The Cigna Group (01/01/25)
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  • 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 ... sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record… more
    Centene Corporation (01/10/25)
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  • 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 - ... Annual Salary: $74,958.09 - 92,444.35 (depending on experience) Position Summary: Full-time Nurse Manager position available for our Vancouver - Salmon Creek Medical… more
    Sea Mar Community Health Centers (12/12/24)
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