- 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 ... position in PA or NJ. This is a fully remote position and requires previous HEDIS review...HEDIS review experience Active RN License or Active LPN License 2-3 years of clinical experience 3+ years… 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
- Centene Corporation (Madison, WI)
- …competitive benefits including a fresh perspective on workplace flexibility. NOTE: This is a remote role. The schedule is based in 8-5 pm central time zone. This ... concerning quality improvement deliverables related to NCQA, State Contract, HEDIS . Medicaid is the focus although there will be...given to applicants with (1) an active RN or LPN credential, (2) residence in either central or eastern… more
- Centene Corporation (Jefferson City, MO)
- …position. **A license in one of the following is preferred:** Certified Coding Specialist (CCS), Licensed Practical Nurse ( LPN ), Licensed Master ... workplace flexibility. CLINICAL LICENSE STRONGLY PREFERRED THIS POSITION IS REMOTE FOR MISSOURI OCCASIONAL TRAVEL TO PROVIDER OFFICES IF...Social Work (LMSW), Licensed Vocational Nurse (LVN), Licensed Mental Health Counselor… more
- Centene Corporation (New York, NY)
- …preferably in a managed care environment. **License/Certification:** One of the following is preferred. Licensed Practical Nurse ( LPN ); Licensed ... to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS ...Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse (RN) preferred.Pay Range: $26.50… 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, Part D and Administrative Operations reports and gap… more
- Centene Corporation (Tallahassee, FL)
- …flexibility. **_The ideal candidate should have strong experience with pediatric HEDIS measures, be comfortable with public speaking and presentations, and have ... provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures,… more
- Centene Corporation (Springfield, IL)
- …provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, ... plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...have an RN license in IL. This position is remote with up to 25% travel to provider offices… more
- Covenant Health Inc. (Knoxville, TN)
- …Care Managment Full Time, 80 Hours Per Pay Period, Day Shift Primarily Remote , some onsite clinic visits and meetings, equipment provided (phone and Computer). ... resources to assist in care coordination efforts. + Demonstrates knowledge of HEDIS , HCCs, and Medicare Risk Adjustment and their impact on pay-per-performance… more