- 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
- Centene Corporation (Tallahassee, FL)
- …in nursing; 2+ years of experience in nursing, managed care, training, or related field . LPN or RN license required. Pay Range: $54,000.00 - $97,100.00 per ... will encompass, but not limited to: Star measures and HEDIS or HEDIS like measures. Liaise to... experience + 2+ years as a LPN or RN + Prior training experience **Education/Experience:** Associate's degree or… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- Summary The Registered Nurse is assigned to a...Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing ... the Nurse Manager for the area. The Registered Nurse understands professional practice standards and...the continuum of care. Spinal Cord Serves as the RN Team Leader for a team of patients with… more
- Centene Corporation (Springfield, IL)
- …Master Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred. Pay Range: $25.97 - $46.68 ... IPA and/or group practices. Serves to collaborate with providers in the field , to improve HEDIS measures and provides education for HEDIS measures and… 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
- Molina Healthcare (NM)
- **_JOB TITLE: Sr. Specialist, Quality Improvement RN ( REGISTERED NURSE )_** **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function ... QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to one or more of… more
- Providence (OR)
- …them._** **Providence Health Plan is calling a Principal Clinical Informatics Specialist RN who will:** + Combine advanced clinical nursing skills with technical ... understand current state workflows + Educate providers on the HEDIS (R) measure specifications + Possess strong technical knowledge of...in a hospital, clinic or health plan setting + RN License - State of Residency: Oregon, Washington, California… more
- Molina Healthcare (GA)
- **_JOB TITLE: Program Manager: HCS, Clinical Program Design, REGISTERED NURSE_** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and ... Master's degree in Nursing, Gerontology, Public Health, Social Work or related field . **Required Experience** + 5+ years of managed healthcare experience, including… more
- Centene Corporation (Jefferson City, MO)
- …provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, ... plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...in Jackson County, Kansas City, MO area, holding an RN or LPN license and experience working with healthcare… more
- Molina Healthcare (MI)
- …for the implementation, monitoring, and oversight of all chart collection for HEDIS , or HEDIS -like projects, Risk Adjustment, Risk Adjustment Data Validation, ... management of training for all CDA team members as well as company HEDIS training, onboarding for CDA team members, vendor management for chart collection vendors,… more
- Centene Corporation (Springfield, IL)
- …health insurance experience required; 2+ years of quality experience preferred. **License/Certification:** Registered Nurse ( RN ), Licensed Practical Nurse ... market trends and oversee functions of quality improvement programs for HEDIS , CAHPS, and/or HOS strategy and related quality improvement activities. Assists… more
- LA Care Health Plan (Los Angeles, CA)
- …Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and ... care as demonstrated through identifying clinical priorities and outcomes (eg HEDIS , etc.). Assist in the development and implementation of communication strategies… more
- Dignity Health (Bakersfield, CA)
- …special projects as assigned. **Qualifications** **Minimum Qualifications:** - CA Clinical licensure ( Registered Nurse ( RN ), Licensed Vocational Nurse ... of clinical and non-clinical quality management staff. - 3 years HEDIS measures reporting and experience in CMS Stars, P4P, ACO and… more
- UCLA Health (Los Angeles, CA)
- …Specialist (CCS) certification, required + A Certified Risk Adjustment Coder (CRC), required + Registered Nurse ( RN ) or clinical qualifications a plus + ... Bachelor's degree (healthcare or relevant field ) or equivalent experience/training + Five or more years...HCPCS coding systems required + Knowledge of Medicare Advantage STARS/ HEDIS program and NCQA technical specifications, required + Knowledge… more
- Molina Healthcare (Flint, MI)
- …for key performance measurement activities. **Experience with quality, providers and HEDIS is very important for this position. Please highlight this experience ... in healthcare with 1 year experience in health plan quality improvement ( HEDIS ), managed care or equivalent experience. + Demonstrated solid business writing… more
- Molina Healthcare (Tacoma, WA)
- …NCQA accreditation surveys and federal/state QI compliance activities. Experience with QUALITY/ HEDIS is important for this position. Please include any experience in ... Quality/ HEDIS on your application. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Quality Interventions/ QI Compliance contributes to one or more of these quality… more
- University of Miami (Miami, FL)
- …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... + Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of… more
- Humana (Oklahoma City, OK)
- …Compliance Professional must meet** **one** **of the following requirements:** **Unrestricted Registered Nurse in the State of Oklahoma OR** **Physician's ... health services, public health, or health care administration or another related field OR** **Certified Professional in Health Care Quality (CPHQ) OR** **Certified… more
- Molina Healthcare (Los Angeles, CA)
- …and monitoring for key performance measurement activities. Experience with health plan quality/ HEDIS is important for this position. Please make sure your experience ... in quality/ HEDIS is included on your resume. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Provider Quality contributes to one or more of these quality… more
- Molina Healthcare (New York, NY)
- …surveys and federal/state QI compliance activities. **Experience with health plan quality/ HEDIS is important for this position. Please include this experience on ... with Excel and Visio (flow chart equivalent). **Preferred Education** Preferred field : Clinical Quality, Public Health or Healthcare. **Preferred Experience** + 1… more