- 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 (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
- Actalent (Dallas, TX)
- …other quality initiatives as necessary Qualifications: - Registered Nurse ( RN ) license. - Experience with HEDIS measures and data abstraction. - Strong ... Description: We are seeking a dedicated and meticulous HEDIS Nurse to assist with the collection, analysis, and presentation of healthcare data. The HEDIS … more
- Providence (Beaverton, OR)
- …**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
- Centers Plan for Healthy Living (Garden City, NY)
- HEDIS Reviewer 990 Stewart Ave, Garden City, NY 11530, USA Req #879 Tuesday, November 5, 2024 Centers Plan for Healthy Living's goal is to create the ultimate ... guidance and plans they need for healthy living. JOB SUMMARY: The HEDIS Reviewer is responsible for supporting the overall direction, coordination and implementation… more
- Actalent (Des Moines, IA)
- Job Title: HEDIS Quality Management Consultant Job Description Support the Quality Management team during the upcoming HEDIS season by reviewing, abstracting, ... and documenting medical records based on NCQA and HEDIS technical specifications. Perform claims research, provider outreach, and...duties as assigned. Essential Skills + Active and Unrestricted RN License with 4+ years of experience. + Strong… more
- Molina Healthcare (Paducah, KY)
- …Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... lead role in 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 **PHY** **S**… more
- Molina Healthcare (OR)
- …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
- Corewell Health (Grand Rapids, MI)
- …Weekly requirement will fall between 20 - 40 hours. Job Summary The HEDIS Record Reviewer performs accurate and efficient medical record review and abstraction for ... HEDIS reporting to support client critical quality initiatives. Medical...follow strict confidentiality of member information. Qualifications Required + ( RN ) - State of Michigan Upon Hire Preferred +… more
- Centene Corporation (Tallahassee, FL)
- …of business partners. Training will encompass, but not limited to: Star measures and HEDIS or HEDIS like measures. Liaise to ensure training curriculum and ... content reflect the latest quality requirements. The HEDIS Clinical Trainer is primarily remote. Candidates will be... experience + 2+ years as a LPN or RN + Prior training experience **Education/Experience:** Associate's degree or… more
- Actalent (Atlanta, GA)
- …* Perform other quality initiatives as necessary Requirements: MUST HAVE experience working prior HEDIS seasons Must have a current RN or LPN license About ... Lead data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other custom measurements. Responsibilities: * Assess… more
- Actalent (Chicago, IL)
- Job Title: HEDIS Review SpecialistJob Description - Will be calling out to providers and doctors' offices to retrieve medical information and ask any follow-up ... and provider clean-up. - Will be part of the HEDIS team during the Jan-May season. Review medical records...- need to be done on critical cases. A RN or LPN/LVN responsible for annual patient chart inspection/audit.… 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
- Humana (Columbus, OH)
- …government contract requires US citizenship for this position.** The **Clinical Quality Registered Nurse ( RN )** collects and reviews records, summarizes ... or more years of clinical nursing experience + Active RN ( Registered Nurse ) license in...a hospital or physician office practice + Knowledge of HEDIS /Stars/CMS/Quality **Additional Information** PLEASE MAKE SURE YOU ATTACH YOUR… 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
- University of Miami (Miami, FL)
- …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Advanced Practice Registered Nurse General Internal Medicine ... day/night Saturday and Sunday, when necessary) The Advanced Practice Registered Nurse (APRN) d elivers medical care...of Medicare annual wellness exam documentation + Knowledge of HEDIS Quality Care Gaps - review and closure +… 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
- Centene Corporation (Trenton, NJ)
- …managed care setting required Experience in a government sponsored managed care program preferred RN - Registered Nurse - State Licensure and/or Compact ... services across the continuum of care to support both direct and indirect HEDIS care gap closure. + Coordinate services between Primary Care Physician (PCP),… 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
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