• HEDIS Quality Coordinator

    DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
    …Plans is a Medicare Advantage Plan serving Miami-Dade and Broward Counties. The HEDIS Coordinator supports the Healthcare Effectiveness Data and Information Set ... ensure members receive necessary healthcare services. + Perform provider outreach to support HEDIS and medical record...services. + Perform provider outreach to support HEDIS and medical record retrieval projects, including validating fax… more
    DOCTORS HEALTHCARE PLANS, INC. (11/07/24)
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  • Hedis Coordinator

    TEKsystems (Northridge, CA)
    Description: The HEDIS Coordinators perform the functions related to the outreach , collection and accurate data entering of medical records and service data, ... according to HEDIS /ACO Technical Specifications. The Coordinator has excellent...all internal and external customers. Skills: medical records management, OUTREACH , Medical Records, electronic health record, electronic medical record,… more
    TEKsystems (11/07/24)
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  • Clinical Quality Coordinator (RN)

    Centene Corporation (Trenton, NJ)
    …scenarios to the appropriate resources. + Support direct care gap closure of HEDIS measures through member outreach , assessment, and documentation of member ... including a fresh perspective on workplace flexibility. **Position Purpose:** Conduct member outreach , provider outreach , and chart review to assess, plan,… more
    Centene Corporation (11/06/24)
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  • Behavioral Health Coordinator , Orange,…

    Community Based Care of Brevard, Inc. (Orlando, FL)
    Minimum Starting Salary: $62,000/annually Position Summary: The Behavioral Health Coordinator is responsible for providing coordination of behavioral health services ... enrollee attends a seven (7) day follow up appointment. HEDIS Care Gap Reports - Essential Function: Review of...are due, or past due. Provide follow up and outreach as needed. Quality Management - Essential Function: Review… more
    Community Based Care of Brevard, Inc. (10/17/24)
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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 employed and ... educating the patient/families and coordinating additional services needed. The RN Care Coordinator works in collaboration with and provides guidance to the Care… more
    Covenant Health Inc. (10/23/24)
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  • EPSDT Coordinator - Pediatrics

    Molina Healthcare (Grand Rapids, MI)
    **Job Description** EPSDT Coordinator (Early & Periodic Screening, Diagnostic, and Treatment) will be supporting our MI Medicaid Health Plan. This role will provide ... Friday 8:00AM to 5:00PM. - No nights or Holidays **Job Summary** The EPSDT Coordinator oversees all EPSDT activities for the Health Plan and is responsible for… more
    Molina Healthcare (10/20/24)
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  • Quality and Population Health Coordinator

    LA Care Health Plan (Los Angeles, CA)
    Quality and Population Health Coordinator I (ALD) Job Category: Administrative, HR, Business Professionals Department: Health Education Location: Los Angeles, CA, ... required to achieve that purpose. Job Summary The Quality and Population Health Coordinator I (QPHC) is responsible for outreaching to members to close care gaps.… more
    LA Care Health Plan (10/30/24)
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  • Registered Nurse- In Home Primary Care- Hybrid

    The Cigna Group (Philadelphia, PA)
    …Coordinates services and referrals to health programs and participates in patient education and outreach tied to HEDIS initiatives 4. Works to improve access to ... The RN Coordinator serves as the key contact point for...ICU, geriatrics is preferred. 10) Knowledge of STARS and Hedis metrics a plus If you will be working… more
    The Cigna Group (10/18/24)
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  • Community Connector (Snohomish County WA)

    Molina Healthcare (Bothell, WA)
    …such as community-based resources for housing, food, employment, etc. + Provides outreach to locate and/or provide support for disconnected members with special ... in ongoing or project-based activities that may require extensive member outreach (telephonically and/or face-to-face). + Guides members to maintain Medicaid… more
    Molina Healthcare (10/16/24)
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