• HEDIS Overreader Registered Nurse

    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 (12/31/24)
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  • HEDIS Registered Nurse or LPNs…

    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
    Insight Global (12/31/24)
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  • Patient Care Advocate - HEDIS

    Actalent (Atlanta, GA)
    …coaching preferably in a managed care environment - License/Certification preferred but not required: Licensed Practical Nurse ( LPN ); Licensed Master ... embedded. + Advises and educates Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding...Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse (RN) preferred. - Telephonic… more
    Actalent (03/06/25)
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  • Senior Patient Care Advocate

    Centene Corporation (Columbus, GA)
    …Licenses and Certifications: A license in one of the following is required: Preferred Licensed Practical Nurse ( LPN ) **Preferred Licensed ... to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS ...(C-SW):** **Preferred Licensed Social Worker (LSW):** Preferred Licensed Registered Nurse (RN) Pay Range: $26.50… more
    Centene Corporation (03/04/25)
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  • Patient Care Advocate

    Centene Corporation (Little Rock, AR)
    …preferably in a managed care environment. **License/Certification:** One of the following is preferred. Licensed Practical Nurse ( LPN ); Licensed ... a fresh perspective on workplace flexibility. This is a remote position; The office is located in Little Rock,...Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse (RN) preferred.Pay Range: $26.50… more
    Centene Corporation (03/16/25)
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  • Provider Quality Liaison

    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 (01/10/25)
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  • Quality Program Strategist II

    Centene Corporation (Jefferson City, MO)
    …2+ years of quality experience preferred. **License/Certification:** Registered Nurse (RN), Licensed Practical Nurse , Licensed Vocational Nurse ... trends and oversee functions of quality improvement programs for HEDIS , CAHPS, and/or HOS strategy and related quality improvement...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
    Centene Corporation (03/14/25)
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  • Quality Practice Advisor

    Centene Corporation (Oklahoma City, OK)
    …- FRIDAY 8AM - 5PM CENTRAL TIME ZONE.** **IDEAL APPLICANT WILL BE A NURSE WITH HEDIS BACKGROUND.** **Position Purpose:** Establishes and fosters a healthy ... benefits including a fresh perspective on workplace flexibility. **THIS POSITION IS REMOTE /WORK FROM HOME. PREFER APPLICANTS RESIDE IN THE CENTRAL TIME ZONE. WILL… more
    Centene Corporation (02/23/25)
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  • Quality Program Strategist

    Centene Corporation (Harrisburg, PA)
    …Health insurance experience required; 1+ year quality experience preferred. **License/Certification:** Registered Nurse , Licensed Practical Nurse , ... remote . Ideal candidat, will have experience working on HEDIS initiatives and strategies, located in eastern or central...Licensed Vocational Nurse or Licensed Clinical Social Worker preferred; CPHQ preferred Pay Range:… more
    Centene Corporation (03/13/25)
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  • Process Improvement Professional

    Humana (Richmond, VA)
    …reside in the Commonwealth of Virginia.** + Bachelor's degree **OR** an active LPN license in the Commonwealth of Virginia without disciplinary action. + Two (2) ... requirements with occasional short turnaround time. **Preferred Qualifications** + Registered Nurse (RN) or bachelor's degree or advanced degree in social work.… more
    Humana (03/18/25)
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