• Director, Clinical Data Acquisition (Remote)

    Molina Healthcare (MI)
    …+ Serves as operations subject matter expert and lead for Molina Plan quality improvement HEDIS operations using a defined roadmap, timeline and key ... support management. **Job Duties** + Plans and/or implements operational processes for HEDIS operations that meet state and federal reporting requirements/rules… more
    Molina Healthcare (11/09/24)
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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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  • 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 (...centers + Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards.… more
    Sea Mar Community Health Centers (10/30/24)
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  • RN -Utilization Management

    ERP International (Nellis AFB, NV)
    **Overview** ERP International is seeking ** Registered Nurse ( RN ) Utilization Managers** for full-time positions in support of theMike O'Callaghan Military ... of Medical Staff), Coders/Coding Auditors, Medical Management, Referral Management, TRICARE Operations , patient care teams, Quality Improvement, and the Managed… more
    ERP International (11/02/24)
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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 ...health centers or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards… more
    Sea Mar Community Health Centers (11/13/24)
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  • Quality Practice Advisor

    Centene Corporation (Jefferson City, MO)
    …providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides ... facing teams to improve provider performance in areas of Quality , Risk Adjustment and Operations (claims and...maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS more
    Centene Corporation (09/24/24)
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  • Nurse Manager ( RN or LPN)

    Sea Mar Community Health Centers (Yelm, WA)
    …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager ( RN or LPN) - Posting #27117 Hourly Rate: $36.04 - ... with Health Center Administrator and Clinical Director in daily operations of the clinic. Nurse Manager oversees...health centers or hospitals. + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards.… more
    Sea Mar Community Health Centers (11/16/24)
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  • Patient Care Advocate

    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 ... education for HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation to plan providers. Assists in… more
    Centene Corporation (11/16/24)
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  • Quality Improvement Professional

    CenterWell (Raleigh, NC)
    …best practice recommendations and develop practice specific strategies designed to improve Medicare quality measures ( HEDIS ) as well as Part D/Patient Safety and ... make decisions that will positively impact improved outcomes for CMS Stars quality measure ( HEDIS , patient safety and patient satisfaction).** **Provide support… more
    CenterWell (11/21/24)
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  • Quality and Risk Adjustment - Provider…

    Premera Blue Cross (Mountlake Terrace, WA)
    …partnership with Premera Medical Directors and Provider Network Executives, the ** Quality and Risk Adjustment - Provider Clinical Consultant (PCC)** works directly ... assess and recommend processes and procedures to ensure high quality and timely care to our members; recommend ways...is available for documentation and coding best practices for HEDIS and risk adjustment. This role will have a… more
    Premera Blue Cross (11/13/24)
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  • Senior Manager, Practice Innovation

    University of Virginia (Charlottesville, VA)
    …stakeholders to develop relevant in-person and online educational trainings on priority HEDIS quality measures, complex diagnosis documentation for improved risk ... quality metric performance. + Maintains thorough knowledge and understanding of the HEDIS quality measures, their nuances and the specifications to adequately… more
    University of Virginia (11/07/24)
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  • Manager Quality and Patient Safety

    Penn Medicine (Bala Cynwyd, PA)
    quality and patient safety, patient satisfaction and clinical operations . Responsibilities: + Facilitate improvement in patient experience, clinical quality ... hire. + If applicant holds a clinical license (eg RN ), proof of active licensure is required. Education or...considered. + Knowledge of national standards and outcomes for quality , safety, and healthcare - HEDIS Measures… more
    Penn Medicine (09/27/24)
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  • Chief Health Services Officer - Aetna Better…

    CVS Health (Springfield, IL)
    …development, modeling inclusive behaviors, and proactively managing bias **Preferred Qualifications** + Registered Nurse , preferably in the state of IL + ... (ABHIL) is recruiting for an Executive Director, Health Services Operations , to be known at the health plan as...detailed and supportive oversight of the activities of the Quality team to ensure maximal performance with HEDIS more
    CVS Health (10/06/24)
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  • APP, Supervisor - General Internal Medicine - Full…

    University of Miami (Miami, FL)
    …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... preferred + Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge… more
    University of Miami (09/17/24)
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  • Clinical Nurse , Federal Employee Program…

    Blue KC (Workman, MN)
    …Knowledge of NCQA guidelines and state and federal regulations + Valid and active Registered Nurse compact licensure in Missouri and/or Kansas + Case Management ... health needs through communication and available resources to promote member safety, quality of care and cost-effective outcomes. + Completes complex and disease… more
    Blue KC (11/05/24)
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  • Primary Care Nurse Practitioner/Physician…

    Commonwealth Care Alliance (Springfield, MA)
    …are based on age, comorbidities, etc. + Identify and initiate a plan to meet quality , STAR, and HEDIS measures. + Conduct Annual Visits with patients, taking a ... to maintain and advance competency. + Participate in CCA Primary Care's quality improvement efforts and strategic initiatives. Opportunity to join and participate in… more
    Commonwealth Care Alliance (11/26/24)
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  • Clinical Data Audit Consultant

    Centene Corporation (Sacramento, CA)
    …of all data collection, account implementations, and audit activities for Clinical Operations to ensure high- quality tracking and performance of the service ... to examine and define potential clinically related issues and track productivity and quality measures + Reviews, analyzes, and interprets data for required HEDIS more
    Centene Corporation (10/24/24)
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