- 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...Preferred Qualifications: - Bachelor's degree in Nursing or related field . - Certification in HEDIS or healthcare… 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
- Actalent (Detroit, MI)
- …Social Worker (LMSW), Certified Social Worker (C-SW), Licensed Social Worker (LSW), Licensed Registered Nurse ( RN ). Work Environment This position requires ... face-to-face interaction. This role involves collaborating with providers in the field to improve HEDIS measures, providing education on 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
- 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 ... continuum of care to support both direct and indirect HEDIS care gap closure. + Coordinate services between Primary...and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be… 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
- CareFirst (Baltimore, MD)
- …Equity Accreditation, & Healthcare Effectiveness Data and Information Set ( HEDIS ) performance, across Medicaid and Medicare populations. Develop and operationalize ... effectiveness of work processes that impacts Accreditation, customer satisfaction, HEDIS & STARS performance. We are looking for an...public health, economics, mathematics, computer science, or a related field OR in lieu of a Bachelor's degree, an… more
- CVS Health (Tallahassee, FL)
- …health care more personal, convenient and affordable. **Position Summary** **This is a Field based role requiring 50% travel with in the state of Florida. Candidates ... work both internally and externally with some travel time in the field to assigned provider offices. **Required Qualifications** + Bachelor's degree in healthcare… more
- Centene Corporation (Columbia, SC)
- …Lead data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other custom measurements. + Assess vendor-delegated ... abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards + Review medical records and abstract data for HEDIS … more
- Fallon Health (Boston, MA)
- … field preferred **License/Certifications:** + Active, unrestricted license as a Registered Nurse in Massachusetts; current Driver's license and reliable ... policies and processes + Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member...**Experience:** + 1+ years of clinical experience as a Registered Nurse managing chronically ill members or… 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
- 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 (AZ)
- …accreditation surveys and federal/state QI compliance activities. **A background in quality/ HEDIS is very important for this position. Please have that experience ... with Excel and Visio (flow chart equivalent). **Preferred Education** Preferred field : Clinical Quality, Public Health or Healthcare. **Preferred Experience** +… more
- Molina Healthcare (West Seattle, 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
- Martin's Point Health Care (Portland, ME)
- …client value and business results. Education/Experience + Bachelor's degree in a clinical field of study ( RN , Pharmacy, etc.); Master's degree in nursing or ... Director Health Plan Quality to support initiatives such as HEDIS , Member Safety, QIPs, QII's, CMS Stars and accreditation....related field preferred + 10 years of experience in health… 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