- 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 ... requires previous HEDIS review experience. This person will be responsible for Quality Check of FDC/ HEDIS nurses. This person will use healthcare data and… more
- Insight Global (Philadelphia, PA)
- …providers via fax, abstraction & entry of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer equipment, ... Previous HEDIS review experience or experience with Utilization Review, Quality , Medical Record auditing Bachelors Degree null We are a company committed… more
- Centene Corporation (Springfield, IL)
- … Registered Nurses ( RN ) or Licensed Clinical Social Workers (LCSW) with HEDIS quality improvement experience. The schedule is 8-4:30 or 5 PM central time ... improve overall quality metric performance. + **Monitors HEDIS quality improvement initiatives that may include...Behavioral health, alcohol and or substance use disorders. preferred RN - Registered Nurse -… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …the collection and abstraction of HEDIS medical records + Work on HEDIS quality improvement activities including clinical gaps in care, provider newsletter ... We are responsible for the reporting of our annual quality management and reporting programs to meet our accreditation...and other various health care delivery systems Education: + Registered Nurse or Licensed Practical Nurse… more
- Veterans Affairs, Veterans Health Administration (Wilmington, NC)
- … Nurse is accountable to the Assistant Chief, Quality & Safety. The Quality Nurse is a registered professional nurse , qualified by education and ... of accreditation and regulatory activities.- Healthcare Effectiveness Data and Information Set ( HEDIS ) Measures The Quality Nurse is also responsible… 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
- ERP International (Eglin AFB, FL)
- **Overview** ERP International is seeking a ** Registered Nurse ( RN )** for a full-time position in support of the **Operating Room** at theEglin Hospital, ... Facilitate the achievement of optimal outcomes in relation to clinical care, quality and cost effectiveness. * Ensure compliance with standards of care and… more
- 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 (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 (Vancouver, WA)
- …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager ( RN or LPN) - Posting #26861 Hourly Rate: $36.04 - ... as they apply to health centers or hospitals. + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA trainings… more
- CVS Health (Phoenix, AZ)
- …more personal, convenient and affordable. **Position Summary** This is a fulltime Quality Management Nurse Consultant opportunity within Arizona. The working ... Consultant is a work at home role. Experienced HEDIS record review nurse will be responsible...tool. + Typical office working environment with productivity and quality expectations. + Professional customer service demeanor a plus… more
- Stanford Health Care (Palo Alto, CA)
- …CMS, US News & World Report, HEDIS , PQRS). **Licenses and Certifications** + CA- RN ( Registered Nurse ) . **These principles apply to ALL employees:** ... **This is a Stanford Health Care job.** **A Brief Overview** The Quality Specialist is responsible for coordinating, monitoring, and improving clinical care redesign… more
- Centene Corporation (Jefferson City, MO)
- …Licensed Marital and Family Therapist (LMFT), Licensed Certified Social Worker (LCSW), Licensed Registered Nurse ( RN ), Acute Care Nurse Practitioner ... providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS … more
- Commonwealth Care Alliance (Boston, 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 ... individuals with the best possible care in a unique, comprehensive and quality focused model. We are a specialized interdisciplinary team engaged in collaborative… 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 ... open preventive care gaps to prioritize outreach and support quality initiatives for those Members and their PCPs. +...**REQUIRED EDUCATION** : Completion of an accredited Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN)… more
- Centene Corporation (Trenton, NJ)
- …Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred.Pay Range: $26.50 - $47.59 per ... to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS ...HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation to plan… more
- Centene Corporation (Baton Rouge, LA)
- …improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS / quality , cost and utilization, etc. Evaluates provider performance and ... This is a hybrid role seeking an LPN or RN that will be a liaison in the Baton...and external opportunities and initiate process changes to increase quality and improve staff, provider and member satisfaction +… more
- HCA Healthcare (Salt Lake City, UT)
- …managing high-risk, multi-morbidity patient populations.** **What qualifications you will need:** + Registered Nurse + Graduate of an accredited college of ... We care like family! Jump-start your career as a(an) Manager Care Quality today with MountainStar Healthcare. **Benefits** MountainStar Healthcare, offers a total… more
- Dignity Health (Bakersfield, CA)
- …special projects as assigned. **Qualifications** **Minimum Qualifications:** - CA Clinical licensure ( Registered Nurse ( RN ), Licensed Vocational Nurse ... - 5 years of oversight/supervision/management/leadership of clinical and non-clinical quality management staff. - 3 years HEDIS ...non-clinical quality management staff. - 3 years HEDIS measures reporting and experience in CMS Stars, P4P,… 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 ... Qualifications** + Advanced Excel **** + Understanding of healthcare quality measures (example HEDIS ) + Knowledge and experience of EPSDT and Child Health… more
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