- Actalent (Austin, TX)
- Actalent is currently hiring for Remote HEDIS Nurses (RN/LPN)! Job Description: + Lead data collection and abstraction for company quality measures, including ... HEDIS , CMS, CHIPRA and/or any other custom measurements. +...+ Assess vendor-delegated abstraction activities and compare results to HEDIS standards and/or custom or other measure set standards… more
- Actalent (Austin, TX)
- …* Lead data collection and abstraction for company quality measures, including HEDIS , CMS, and CHIPRA * Assess vendor-delegated abstraction activities and compare ... results to HEDIS standards and/or custom * Review medical records and...LPN license Work Environment This position will be fully remote . Candidate must have strong internet connection. Hours are… more
- Providence (WA)
- …best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:** + Be responsible for conducting clinical ... + This posting is for multiple openings of a Nurse Auditor, HEDIS + This position is...fill in for staff vacancies. **_Providence Health Plan welcomes remote work for applicants who reside in:_** + Washington… more
- Providence (OR)
- …empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits/overreads ... to determine potential areas for quality improvement within the HEDIS project + Collect data by way of chart...to fill in for staff vacancies.** **Providence welcomes 100% remote work for applicants who reside in the United… more
- 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 ... contract position in PA or NJ. This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for Quality Check… more
- Insight Global (Philadelphia, PA)
- Job Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract position in PA and NJ. PARTIALLY remote position ... of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer...Medical record abstraction into database from onsite visit, assigned remote charts Highlighting member demographics & HEDIS … more
- Robert Half Accountemps (Houston, TX)
- Description We are seeking a HEDIS Quality LPN to join a fully remote team. The HEDIS Quality LPN focuses on HEDIS operations and data collection. The ... /STARs. * Perform datamining tasks. Requirements . Licensed Practical Nurse . Minimum 2 year HEDIS experience and/or knowledge . Solid knowledge of managed care… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- Summary The Registered Nurse is assigned to a designated unit and is accountable to the Nurse Manager for the area. The Registered Nurse understands ... tracks, devises strategies to improve Healthcare Effective Data Information Sets ( HEDIS ) metrics, clinical reminders, panel access, timely encounter closures, other… more
- 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 state of MI_ ... _Quality Improvement RN will work in remote setting supporting Maternity Medicaid population. Connect with Medicaid members to ensure all gaps of care or required… more
- CenterWell (Atlanta, GA)
- …part of our caring community and help us put health first** The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient ... outcomes. The Nurse Practitioner works on problems of diverse scope and...an associated $15,000 sign-on bonus **This is not a remote or work-from-home position.** **This position is considered field-based,… more
- Molina Healthcare (NM)
- **_JOB TITLE: Sr. Specialist, Quality Improvement RN (REGISTERED NURSE )_** **JOB DESCRIPTION** **Job Summary** Molina's Quality Improvement function oversees, plans, ... compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Senior Specialist, Quality Improvement (Registered Nurse ) contributes to one or more of these quality… more
- CVS Health (Springfield, IL)
- …to bring accessible healthcare to our members. ** This position is fully remote . Eligible candidates can live anywhere in the US, Illinois resident preferred. Aetna ... of the Quality team to ensure maximal performance with HEDIS and accreditations. + Serving as the SPOC on...behaviors, and proactively managing bias **Preferred Qualifications** + Registered Nurse , preferably in the state of IL + Illinois… more
- Centene Corporation (Springfield, IL)
- …group practices. Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and coding. Supports ... deficiencies impacting plan compliance to meeting State and Federal standards for HEDIS . Conducts telephonic outreach, while embedded in the providers' offices, to… more
- Centene Corporation (Springfield, IL)
- …market trends and oversee functions of quality improvement programs for HEDIS , CAHPS, and/or HOS strategy and related quality improvement activities. Assists ... determine appropriate solutions. + Conduct evaluations to assist with HEDIS gap closure, CAHPS and/or HOS performance and assess...+ Complies with all policies and standards **This is remote positions for candidates located in eastern or central… more
- Dignity Health (Bakersfield, CA)
- **Overview** This position is remote /work from home** **within California** **.** The purpose of Dignity Health Management Services Organization (Dignity Health MSO) ... Paid Time Off and Sick Leave. **Responsibilities** This position is remote /work from home** **within California** **.** **Position Summary:** The Manager, Clinical… more
- Humana (Tallahassee, FL)
- …needs **Use your skills to make an impact** **Required Qualifications:** + Active licensed nurse in the state of Florida or Enhanced Nurse License Compact, eNLC, ... deadlines + Understanding of healthcare quality measures such as CAHPS, NCQA, HEDIS , etc. + Ability to build strong relationships and collaborate with… more
- Veterans Affairs, Veterans Health Administration (Portsmouth, VA)
- …(CTM), recall delinquency report, secure messages, VeTEXT, VAR, as well as SAIL/ HEDIS metrics that directly impact the PACT team's metrics for patient care. Other ... of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical… more