• HEDIS Overreader Registered

    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 (10/01/24)
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  • HEDIS Registered Nurse

    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
    Insight Global (10/01/24)
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  • Clinical Nurse Auditor, HEDIS

    Providence (WA)
    …**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
    Providence (10/30/24)
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  • HEDIS Nurse (Remote)

    Actalent (Austin, TX)
    Actalent is currently hiring for Remote HEDIS Nurses ( RN /LPN)! Job Description: + Lead data collection and abstraction for company quality measures, ... and outcomes related to abstractions and over-reads Qualifications: + Experience in quality initiatives including HEDIS project, study analysis, or NCQA… more
    Actalent (11/22/24)
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  • HEDIS Nurse - REMOTE

    Actalent (Austin, TX)
    Job Description * Lead data collection and abstraction for company quality measures, including HEDIS , CMS, and CHIPRA * Assess vendor-delegated abstraction ... vendors Additional Skills & Qualifications * Recent experience with HEDIS , NCQA, Quality Initiatives/Standards. * Previous ...experience * Advanced knowledge of MS Excel. * Current RN or LPN license Work Environment This position will… more
    Actalent (11/09/24)
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  • Remote - HEDIS Nurse

    Actalent (Columbia, SC)
    …in US ! Job Description: + Lead data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other custom measurements. ... and over-reads .Qualification : + 1+ years of Performing HEDIS expereince Mandatory + Having Compact RN OR LPN license is Mandatory If you are Interested… more
    Actalent (11/24/24)
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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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  • Registered Nurse - Operating Room

    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
    ERP International (11/20/24)
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  • Quality Improvement ( RN )…

    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 ... and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to… more
    Molina Healthcare (10/20/24)
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  • Senior Medical Management Nurse - VCHCP

    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
    Ventura County (11/12/24)
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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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  • LPN or RN Nurse Case Manager (Onsite…

    The Cigna Group (Bloomfield, CT)
    …requires working onsite at providers office. **Experience** : + Current Licensure as a registered nurse , in the state of residence in good standing. + Associates ... case-management, or utilization management position (experience can be a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS STARs experience a… more
    The Cigna Group (10/10/24)
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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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  • 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 - ... as they apply to health centers or hospitals. + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA trainings… more
    Sea Mar Community Health Centers (11/16/24)
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  • Sr Specialist, Quality Improvement…

    Molina Healthcare (NM)
    **_JOB TITLE: Sr. Specialist, Quality Improvement RN ( REGISTERED NURSE )_** **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function ... and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement ( Registered Nurse ) contributes to… more
    Molina Healthcare (11/10/24)
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  • Quality Management Nurse Consultant

    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
    CVS Health (10/26/24)
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  • RN Senior Stars Improvement, Clinical…

    Humana (Nashville, TN)
    …goals **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Tennessee + Reside ... a part of our caring community and help us put health first** The RN Senior Stars Improvement, Clinical Consultant / Professional executes the overall Medicare Stars… more
    Humana (11/13/24)
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  • RN Care Coordinator

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 hours per pay period, Day Shift Covenant Medical Group is Covenant Health's ... of TN. RN license RN license Apply/Share Job Title RN Care Coordinator ID 4113897 Facility Covenant Medical Management Department Name QUALITY MANAGEMENT more
    Covenant Health Inc. (10/23/24)
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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 ... * Provides Utilization Management activities and functions by using MTF specific Quality Improvement processes to identify areas for review from data, suspected… more
    ERP International (11/02/24)
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  • SCO Nurse Case Manager-Lowell/Lawrence Area

    Fallon Health (Lawrence, MA)
    …related field preferred **License/Certifications:** + Active, unrestricted license as a Registered Nurse in Massachusetts; current Driver's license and reliable ... Founded in 1977 in Worcester, Massachusetts, we deliver equitable, high- quality coordinated care and are continually rated among the...**Experience:** + 1+ years of clinical experience as a Registered Nurse managing chronically ill members or… more
    Fallon Health (11/09/24)
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