- 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
- Providence (OR)
- …**Required qualifications for this position include:** + Degree in Nursing + Oregon Registered Nurse License + 5+ years clinical experience (Nursing) **Preferred ... empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:** + Be... who will:** + Be responsible for conducting clinical quality audits for the Quality Department +… more
- ERP International (Fallon, NV)
- **Overview** ERP International is seeking a ** Registered Nurse ( RN ) Health Educator** for a full-time position in support of the **Naval Health Clinic ... conjunction with performing ambulatory nursing duties. Duties as a RN require a full range of knowledge and skill...to plan, organize, develop, and implement methods of providing quality nursing care/nursing service in an ambulatory care setting.… more
- University of Miami (Miami, FL)
- …this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . Advanced Practice Registered Nurse General Internal Medicine ... day/night Saturday and Sunday, when necessary) The Advanced Practice Registered Nurse (APRN) d elivers medical care...of Medicare annual wellness exam documentation + Knowledge of HEDIS Quality Care Gaps - review and… more
- Ventura County (Ventura, CA)
- …care services to County employees and their covered dependents. The Senior Registered Nurse -Ambulatory Care series is distinguished from other nursing ... amount of supervision commensurate with their experience. PAYROLL TITLE: Senior Registered Nurse - Ambulatory Care AGENCY/DEPARTMENT: Health Care Agency… 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
- The Cigna Group (Harlingen, TX)
- …case-management or utilization management position (experience can be a combination of LVN/ RN licensure) * Previous HEDIS and/or CMS STARs experience a ... manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to… more
- Medical Mutual of Ohio (OH)
- …Nursing preferred.Master's Degree a plus. + 3 years clinical experience as a Registered Nurse preferably in a health plan. **Professional Certification(s)** + ... mind to more than 1.2 million members through our high- quality health, life, disability, dental, vision and indemnity plans....Registered Nurse with current State of Ohio… more
- Northern Light Health (Brewer, ME)
- …obtain information, support, and promote cooperation and collaboration. Credentials + Required Registered Nurse or CST Education + Required Bachelor's Degree 8 ... This includes, but is not limited to, MIPS, eCQMs, HEDIS and CGCAHPS for ambulatory quality and...reading or writing. + Prolonged periods of sitting. Position Quality Program Coordinator/ RN or CSTLocation Req ID… more
- System One (Baltimore, MD)
- …Medical Record Retrieval for Risk Adjustment, internal Supplemental Data Audit (PSV) and other Quality and HEDIS related tasks in the off-season #M2 System One, ... Services is staffing a contract opportunity for a Clinical HEDIS Specialist support a leading health insurance customer. The...for Supplemental Data, and supporting other needs within the Quality Department. Pay: $37/HR 90% Remote May need to… more
- Humana (Tampa, FL)
- …guidance and direction. **Use your skills to make an impact** **Required Qualifications** + Registered Nurse + 5 or more years of Medicare experience working in ... caring community and help us put health first** Senior Stars Improvement Nurse / Senior Stars Improvement, Clinical Professional contributes to the development,… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... the continuum of care. Spinal Cord Serves as the RN Team Leader for a team of patients with...devises strategies to improve Healthcare Effective Data Information Sets ( HEDIS ) metrics, clinical reminders, panel access, timely encounter closures,… more
- Actalent (Remote, OR)
- …to practice in the state of Pennsylvania. Hard skills: + Must be a Registered Nurse + HEDIS Experience + Quality Assurance / Review Experience Work Site ... Remote Patient Care Advocate ( RN ) We are looking for a Registered Nurse who is interested in a fully remote opportunity. Requirements: + Nursing License… more
- Centene Corporation (Oklahoma City, OK)
- …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
- 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
- CVS Health (Dallas, TX)
- …expense reimbursement policy. Preferred Qualifications : Oklahoma residency preferred Oklahoma-licensed registered nurse preferred OR be certified as a Certified ... full accountability for business/financial results related to following as appropriate: HEDIS reporting, quality of care, accreditation activities and/or member… more
- Garnet Health (Middletown, NY)
- …and patient quality safety initiatives. This position will also oversee the RN nurse manager, RN coordinators, care coordination managers and value-based ... your career home with us as a Director of Quality and Patient Safety on our GH Quality...Required Certification/Registration: * Current and ongoing New York State Registered Nurse license. * Primary Care Medical… more
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