• 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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  • Hedis Nurse - RN Required-…

    Actalent (Dallas, TX)
    …vendors when required * Perform other quality initiatives as necessary Qualifications: - Registered Nurse ( RN ) license. - Experience with HEDIS ... Description: We are seeking a dedicated and meticulous HEDIS Nurse to assist with the...degree in Nursing or related field. - Certification in HEDIS or healthcare quality improvement. - Experience… more
    Actalent (11/02/24)
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  • Clinical Nurse Auditor, HEDIS

    Providence (Beaverton, 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
    Providence (10/30/24)
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  • HEDIS Nurse Chart Abstractor

    Robert Half Accountemps (San Antonio, TX)
    …of patient data and adhere strictly to HIPAA privacy rules and regulations. Requirements + Registered Nurse ( RN ) or Licensed Practical Nurse (LPN) with ... Description We are seeking a quick-thinking and detail-oriented HEDIS Nurse Chart Abstractor who is...specifications. They will also be responsible for assessing the quality and completeness of data, identifying gaps, and helping… more
    Robert Half Accountemps (10/19/24)
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  • HEDIS Review Nurse

    Actalent (Chicago, IL)
    Job Title: HEDIS Review SpecialistJob Description - Will be calling out to providers and doctors' offices to retrieve medical information and ask any follow-up ... be auditing EMRs. - Will be part of the Quality Department for the Medicare Team, working alongside full-time...and provider clean-up. - Will be part of the HEDIS team during the Jan-May season. Review medical records… more
    Actalent (10/27/24)
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  • Clinical Quality Registered

    Humana (Columbus, OH)
    …Government Business government contract requires US citizenship for this position.** The **Clinical Quality Registered Nurse ( RN )** collects and reviews ... or more years of clinical nursing experience + Active RN ( Registered Nurse ) license in...a hospital or physician office practice + Knowledge of HEDIS /Stars/CMS/ Quality **Additional Information** PLEASE MAKE SURE YOU… more
    Humana (11/06/24)
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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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  • Advanced Practice Registered Nurse

    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
    University of Miami (09/14/24)
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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 (10/24/24)
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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 (08/14/24)
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  • Nurse Manager ( RN or LPN)

    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
    Sea Mar Community Health Centers (09/12/24)
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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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  • Clinical Quality Coordinator ( RN )

    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...to community based services + Identify related risk management quality concerns and report these scenarios to the appropriate… more
    Centene Corporation (11/06/24)
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  • RN , Manager, Quality & Patient…

    Sutter Health (Sacramento, CA)
    …Description** : **EDUCATION:** Bachelor's: public health, nursing, **CERTIFICATION & LICENSURE:** RN - Registered Nurse of California **TYPICAL EXPERIENCE:** 8 ... in process improvement (eg, lean or process transformation). Understands applicable quality measures as defined by hedis , integrated healthcare association… more
    Sutter Health (10/24/24)
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  • Quality Program Coordinator/ RN

    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
    Northern Light Health (10/19/24)
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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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