- 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 ... more
- Actalent (Atlanta, GA)
- …Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred. + Telephonic experience is ... more
- Centene Corporation (Lansing, MI)
- …Master Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred. Pay Range: $26.50 - $47.59 ... more
- AmeriHealth Caritas (Columbus, OH)
- …issue when possible.;; ; **Education & Experience: ;** + Bachelor's Degree in a Health-Related field required. + Registered Nurse ;required.; + 3 to 5 years ... more
- Excellus BlueCross BlueShield (Rochester, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... more
- Molina Healthcare (Jackson, MS)
- …assisting Members with scheduling transportation to appointments; reviewing EPSDT and HEDIS data to inform targeted interventions to increase utilization of ... more
- Centene Corporation (Oklahoma City, OK)
- …- FRIDAY 8AM - 5PM CENTRAL TIME ZONE.** **IDEAL APPLICANT WILL BE A NURSE WITH HEDIS BACKGROUND.** **Position Purpose:** Establishes and fosters a healthy ... more
- Centene Corporation (New York, NY)
- …health insurance experience required; 2+ years of quality experience preferred. **License/Certification:** Registered Nurse ( RN ), Licensed Practical Nurse ... more
- Fallon Health (Worcester, MA)
- … field preferred. **License** : Active, unrestricted license as a Registered Nurse in Massachusetts **Certification** : Certification in Case Management ... more
- Centene Corporation (Tacoma, WA)
- …Healthcare Administration required **Experience in Behavioral Healthcare field preferred:** Registered Nurse ( RN ) certification, Licensed Mental Health ... more
- Centene Corporation (Las Vegas, NV)
- …improvement projects focused on improving maternity utilization outcomes and increasing HEDIS performance. + Develop and design educational content and resource ... more
- Stanford Health Care (Palo Alto, CA)
- …+ Proficiency in MS Office Suite - Word, Excel, PowerPoint. **Licenses and Certifications** + CA- RN ( Registered Nurse ) or + ARRT - Radiology Tech License or ... more
- Dignity Health (Bakersfield, CA)
- …special projects as assigned. **Qualifications** **Minimum Qualifications:** - CA Clinical licensure ( Registered Nurse ( RN ), Licensed Vocational Nurse ... more
- UCLA Health (Los Angeles, CA)
- …work effectively with common office software, coding software, and EMR systems, required + Registered Nurse ( RN ) or clinical qualifications a plus + ... more
- University of Miami (Miami, FL)
- …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... more
- Elevance Health (San Juan, PR)
- …its affiliated companies, they serve more than 118 million people. **Clinical Nurse Adherence** **Location:** This position will work a hybrid model (3-4 days/week ... more
- Whidbey General Hospital (Coupeville, WA)
- …data for the Medical Staff Office for credentialing providers. + Assist Quality Review RN with data to help clinic managers understand what gaps need to be closed ... more
- Elevance Health (MO)
- …managing clinical program development for population-based clinical quality measures, including HEDIS within a clinical area and across Medicaid line of business. ... more
- Elevance Health (Cerritos, CA)
- …to ensure high-quality care to members and achievement of company HEDIS performance. Implements strategies that meet clinical, quality, and network improvement ... more
- Centene Corporation (Jefferson City, MO)
- …and implementation of care management processes to ensure NCQA, URAC, and HEDIS measures + Develop and implement standardization in measuring and monitoring ... more