- Centene Corporation (Phoenix, AZ)
- …and follow up as directed by the Medical Director and/or Credentialing and Quality Improvement Committee (QIC). + Document, investigate and resolve formal and ... Audit medical records, review administrative claims and analyze data and interventions for quality improvement studies and activities + Function as the primary… more
- Providence (CA)
- …the medical field as a Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse ( LPN ). **Preferred Qualifications:** + Associate's ... related to clinical audits to determine potential areas for quality improvement within the HEDIS ...of Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse upon hire.… more
- Centene Corporation (Lansing, MI)
- …position. **A license in one of the following is preferred:** Certified Coding Specialist (CCS), Licensed Practical Nurse ( LPN ), Licensed Master ... member education, outreach interventions and provider education. + Supports quality improvement HEDIS and program...Social Work (LMSW), Licensed Vocational Nurse (LVN), Licensed Mental Health Counselor… more
- Banner Health (AZ)
- …our innovation to employment settings by including remote and hybrid opportunities. As a ** Licensed Practical Nurse ( LPN )** for **Banner Health Plans** ... **Department Name:** Banner Staffing Services-AZ **Work Shift:** Day **Job Category:** Risk, Quality and Safety **Estimated Pay Range:** $26.40 - $44.00 / hour,… more
- Centene Corporation (Austin, TX)
- …experience required; 2+ years of quality experience preferred. **License/Certification:** Registered Nurse (RN), Licensed Practical Nurse , ... **Position Purpose:** Identify market trends and oversee functions of quality improvement programs for HEDIS ,...Licensed Vocational Nurse or Licensed Clinical Social Worker (LCSW), preferred; CPHQ preferredPay Range:… more
- Centene Corporation (Springfield, IL)
- …presentations, creating/exporting reports, and data analysis. Additional Details: * Department: Quality Improvement * Business Unit: Illinois Health Plan * ... record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan… more
- Sea Mar Community Health Centers (Tacoma, WA)
- …Sea Mar's standards, philosophy, and governmental regulations. + Perform monthly audits ( quality improvement audits, etc ) and demonstrate knowledge of State ... Nurse Manager - Posting #25738 Salary Rate: $74,958.09 ( LPN ) - $92,444.35 (RN) Position Summary: Full-time Nurse...centers + Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards.… more
- Centene Corporation (Columbia, SC)
- …preferably in a managed care environment. **License/Certification:** One of the following is preferred. Licensed Practical Nurse ( LPN ); Licensed ... HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation...Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse (RN) preferred. Pay Range:… more
- Centene Corporation (Little Rock, AR)
- …Driver's License required. Pharmacy Technician, Medical Assistant Licensed Vocational Nurse , Licensed Practical Nurse , Social Work ... plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS , CAHPS, HOS,...measures. Acts as an ongoing resource to providers for quality improvement via regular touch points and… more
- CenterWell (Lake Park, FL)
- …not required, unless otherwise specified + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Excellent ... Quality RN Professional collaborates with market leadership, and quality improvement team to develop and implement...your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) without restriction in… more
- Centene Corporation (Lansing, MI)
- …workplace flexibility. **Position Purpose:** Lead data collection and abstraction for company quality measures, including HEDIS , CMS, CHIPRA and/or any other ... nursing, medical assistant, medical coding or data management experience. Experience in quality initiatives (including HEDIS project, study analysis, or NCQA… more
- Centene Corporation (Surfside Beach, SC)
- …pediatric background, and (3) an active RN license.** Additional Details: * Department: MED- Quality Improvement * Business Unit: Absolute Total Care * Schedule: ... record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan… more
- Centene Corporation (Maumee, OH)
- …experience required; 1+ year quality experience preferred. **License/Certification:** Registered Nurse , Licensed Practical Nurse , Licensed ... and have a (2) combination of experience in the following areas: HEDIS , managed care, quality , process improvement / project management (such as lean, CPHQ,… more
- Centene Corporation (Indianapolis, IN)
- …record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan ... providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides… more
- Centene Corporation (Austin, TX)
- …record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan ... providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides… more
- Humana (Lansing, MI)
- …Qualifications** + Knowledge of Humana's internal policies, procedures and systems + RN/ LPN Nurse with quality experience **Additional Information** **WAH ... caring community and help us put health first** The Quality Improvement Professional 1 implements quality...in provider relations and education + Understanding of healthcare quality measures STARS, HEDIS , etc. + Comprehensive… more
- ChenMed (Memphis, TN)
- …or Healthcare Administration or a healthcare related field preferred + Active and good standing Licensed Practical Nurse ( LPN ) in current state of ... with the development and execution of business strategies that increase revenue and quality ratings ( HEDIS /STARS/Clinical Gaps) and support our core model. +… more
- Hackensack Meridian Health (Edison, NJ)
- …other value-based care quality measures. **Licenses and Certifications Required** : + Licensed Practical Nurse or Certified Medical Assistant. + Valid ... chronic disease management. This position is vital to our quality improvement initiatives and directly impacts patient...+ Graduate of an accredited Medical Assistant program or LPN program. + Minimum of 3-5 years of experience… more