- Molina Healthcare (OH)
- …Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all ... within the department and/or collaboratively with other departments. Please include any HEDIS /Quality experience on your resume. This experience is important for the… more
- HCA Healthcare (Salt Lake City, UT)
- …managing high-risk, multi-morbidity patient populations.** **What qualifications you will need:** + Registered Nurse + Graduate of an accredited college of ... knowledge of electronic medical records, medical terminology, ICD-10, CPT II coding, HEDIS measures, and medical office processes ( preferred ) + Self-motivated… more
- Molina Healthcare (NY)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... in foster care or child welfare systems is strongly preferred . Skilled in closing HEDIS and preventive...proficiency, and ability to navigate online portals and databases. ** Preferred Qualifications** * Certified Case Manager (CCM).… more
- Sea Mar Community Health Centers (Tacoma, WA)
- … Nurse Manager - Posting #25738 Salary Rate: $74,958.09 (LPN) - $92,444.35 ( RN ) Position Summary: Full-time Nurse Manager ( RN or LPN) position ... a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health...experience in nursing supervision as well as management experience preferred . + Ideal candidates would be Registered … more
- University of Southern California (Los Angeles, CA)
- …+ Pref 2 years Experience in an HMO/IPA/Managed care setting Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic Life Support ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an… more
- Sea Mar Community Health Centers (Puyallup, WA)
- …a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #26096 Nurse Manager RN Annual Salary: $85,470.00 Nurse Manager LPN ... Annual Salary: $74,958.09 Position Summary: Full-time Nurse Manager position available for our Medical Clinic in Puyallup,...up to 50 pounds. Requirements: + Must be a Registered Nurse , BSN, LPN or equivalent and… more
- Sea Mar Community Health Centers (Aberdeen, WA)
- …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager ( RN or LPN) - Posting #27454 Hourly Rate: $36.04 ... Salary: $74,958.09 - 92,444.35 (depending on license/experience) Position Summary: Full-time Nurse Manager position available for our Aberdeen Medical Clinic.… more
- Actalent (Sunrise, FL)
- Job Title: OB RN Case Manager Job Description We are seeking an OB RN Case Manager to coordinate care for maternal and child health populations. This ... with Medicaid contracts and promote improved health outcomes. Essential Skills + Active RN license in Florida. + 3-5 years of clinical experience in OB, high-risk… more
- Actalent (Orlando, FL)
- …Management / Must be a Licensed Nurse in FL!! Job Description The OB RN Case Manager will coordinate care for maternal and child health populations, ensuring ... all case management activities accurately using EHR systems. Essential Skills + Active RN license in Florida. + 3-5 years of clinical experience in obstetrics,… more
- Fallon Health (Lowell, MA)
- …field preferred . **License** : Active, unrestricted license as a Registered Nurse in Massachusetts **Certification** : Certification in Case Management ... Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral...**Experience:** * 1+ years of clinical experience as a Registered Nurse managing chronically ill members or… more
- Humana (Canton, IL)
- …Scott, Shelby, Springfield, Tazewell, Vermilion, and Woodford._ + An active, unrestricted, Registered Nurse **( RN )** license, Licensed Clinical Social Worker ... and behavioral health professionals responsible for care management. The Manager , Care Management, works within specific guidelines and procedures; applies… more
- CenterWell (Houston, TX)
- …clinicians and staff, working collaboratively with the Stars Clinical Quality RN /s, to support staffed clinical and operations teams including center administrators. ... improvement best practice initiatives designed to improve Medicare quality measures ( HEDIS ), patient safety and patient experience (CAHPS-HOS). QIP assignment may be… more
- Blue KC (MO)
- …discount program** **Job Description Summary:** The Integrated Health Advancement Program Manager leads an integrated behavioral health and health outcome strategy ... outcome initiatives addressing systemic barriers to care, disparities in HEDIS and STAR measures, and drivers of social and...Work, Public Health, Psychology, or related field required + RN , LCSW, or equivalent professional license in MO and… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...priorities. * Track provider progress on performance metrics (eg, HEDIS , readmissions, community tenure) and follow up to support… more
- Banner Health (AZ)
- …3. Monitors and tracks Corrective Active Plans (CAPs), in collaboration with the Manager , Supervisor or QM RN and communicates audit results to providers ... including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will...This position is also responsible for assisting the QM RN with the investigation and research of quality of… more
- Elevance Health (Sacramento, CA)
- **Behavioral Health Community Partnership Manager ** **(Behavioral Health Provider Quality Manager )** **Sign on Bonus: $2,500** **Candidates must posses a ... insightful analytics to improve the delivery of care. The **Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider engagement, with a… more
- Commonwealth Care Alliance (Boston, MA)
- …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement efforts, including reporting and data… more
- Aspirus Ironwood Hospital (Wausau, WI)
- …aspirus.org. Click here (https://www.aspirus.org/about) to learn more. Credentials: Essential: * REGISTERED NURSE LICENSE Position DIRECTOR - SYSTEM CARE ... system and/or health plan. + Possesses an active Wisconsin or Michigan RN nursing license. + Nationally recognized certification preferred , ie, Certified… more
- CenterWell (Anderson, SC)
- …to the strategic intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: ... per Month (PMPM) costs while maintaining high quality care + Optimizing network; preferred network specialists - contributing to the identification of preferred … more
- CenterWell (Morrow, GA)
- …to the strategic intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: ... per Month (PMPM) costs while maintaining high quality care + Optimizing network; preferred network specialists - contributing to the identification of preferred … more