- Spectraforce Technologies Inc (Atlanta, GA)
- Job Title: HEDIS Nurse Abstractor (100% REMOTE ) Duration: 3-4 Months Job Description The Healthcare Effectiveness Data and Information Set ( HEDIS ) ... and other Company personnel to review medical records. The HEDIS Nurse Abstractor will abstract pertinent medical...a reliable internet connection and experience working in a remote setting Education/Experience RN or LPN/LVN license HEDIS… more
- Spectraforce Technologies Inc (Atlanta, GA)
- Title: Quality Assurance Nurse Reviewer (Overread Team), (100% Remote ) Duration: 5 Months Job Description The Healthcare Effectiveness Data and Information Set ( ... HEDIS ) Quality Assurance Nurse Overreader works under...have reliable internet connection and experience working in a remote setting Education: RN or LPN/LVN license required 3-5… more
- Actalent (San Antonio, TX)
- …+ 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...standards + Review medical records and abstract data for HEDIS and other measure sets in compliance with standards… more
- Actalent (Charlotte, NC)
- …Title: Medical Records NurseJob Description The main function of the Medical Records Nurse is to provide and coordinate patient care, educate patients and the public ... and accurately document and record results + Understanding the Nurse Practice Act and legal consequences of nursing actions...of 6 Month(s). Work Site This is a fully remote position. Work Environment This role involves a high-volume… more
- Fallon Health (Worcester, MA)
- …Set ( HEDIS (R)) and MassHealth Appendix Q review. The clinical nurse analyst will provide clinical expertise and support for departmental initiatives and ... the general direction of the Senior Manager, Clinical Quality, the clinical nurse analyst is responsible for developing and implementing the assigned quality… more
- Medical Mutual of Ohio (OH)
- …supporting documentation to enhance NCQA, Healthcare Effectiveness Data and Information Set ( HEDIS ) and Medicare Star ratings as well as data analysis to recommend ... across all lines of business.** + **Applies clinical expertise to collect HEDIS and/or study data through chart review and abstraction.** + **Prepares narratives,… more
- Veterans Affairs, Veterans Health Administration (Charleston, SC)
- Summary The Registered Nurse , Quality Management Consultant-Performance Measurement Specialist (RN-QMC-PM) is responsible to the Deputy, Quality and Patient Safety ... care. Responsibilities The Registered Quality Management (QM) Consultant Registered Nurse (RN) demonstrates leadership, experience, and creative approaches to… more
- CenterWell (Indianapolis, IN)
- …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
- Centene Corporation (El Paso, TX)
- …sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record ... deficiencies impacting plan compliance to meet State and Federal standards for HEDIS . + Under general guidance form Senior Quality Practice Advisors and management,… more
- Molina Healthcare (Houston, TX)
- **_JOB TITLE: Sr. Specialist, Quality Improvement RN (REGISTERED NURSE )_** **_For this position we prefer someone with 5 - 7 years hospital clinical experience and ... Please consider these parameters before applying to this position._** **_This is a remote based position, and you can work from home._** **JOB DESCRIPTION** **Job… more
- CVS Health (Chicago, 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 (Harrisburg, PA)
- …PENNSYLVANIA, PITTSBURGH, MECHANICSBURG, OR PHILADELPHIA AREAS.** **THESE ROLES ARE WORK FROM HOME/ REMOTE WITH 50 - 75% TRAVEL TO ASSIGNED PROVIDER OFFICES AS ... group practices. Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and coding. Supports… more
- Apex Health Solutions (Houston, TX)
- …Manager, Practice Transformation. The PTS is responsible for providing on-site and remote assistance and /or education to clinicians, care teams and their associated ... health plan goals are met as it relates to HEDIS /STARs and Risk Adjustment. This position coaches a practice...(CPC) Certified Professional in Healthcare Quality (CPHQ) Licensed Vocational Nurse (LVN) Registered Nurse (RN) ABOUT APEX… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …tracks, devises strategies to improve Healthcare Effective Data Information Sets ( HEDIS ) metrics, clinical reminders, panel access, timely encounter closures, other ... policies and guidelines. VA offers a comprehensive total rewards package: VA Nurse Total Rewards Pay: Competitive salary, regular salary increases, potential for… more
- Garnet Health (Middletown, NY)
- …quality safety initiatives. This position will also oversee the RN nurse manager, RN coordinators, care coordination managers and value-based coordinator. Salaries ... including WORD, EXCEL, Power Point, and Practice Management Software preferred. HEDIS , NCQA MIPS/MACRA, pay for performance programs and population health management… 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
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator, Chronic Care Management Full time, 80 hours per pay period, Day shift Remote work, equipment provided, some onsite ... resources to assist in care coordination efforts. + Demonstrates knowledge of HEDIS , HCC's and Medicare Risk Adjustment and their impact on pay-per-performance… more
- Veterans Affairs, Veterans Health Administration (Grand Junction, CO)
- …including GAP 10. Utilizing all available tools, such as registries, Almanac, HEDIS measures and survey information, to enable effective and efficient identification ... safe and effective nursing care. The positions requires the nurse to work for periods of time with arms...medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If… more
