- Providence (MT)
- …Assistant, or Licensed Practical Nurse + 1+ years' experience in the medical field as a Medical Assistant, Certified Nurse Assistant, or Licensed Practical ... empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits/overreads… more
- CenterWell (Indianapolis, IN)
- …Schedule** : Full-time/40 Hours per Week/Monday through Friday **Job Type** : Field -based Nurse Practitioner, Primary Care House Calls **Assigned Territory** : ... part of our caring community and help us put health first** The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient… more
- Centene Corporation (Oklahoma City, OK)
- …providers at large IPA and/or group practices. Serves to collaborate with providers in the field , to improve HEDIS measures and provides education for HEDIS ... deficiencies impacting plan compliance to meeting State and Federal standards for HEDIS . Conducts telephonic outreach, while embedded in the providers' offices, to… more
- The Cigna Group (Philadelphia, PA)
- Field RN - Chronic Risk / AT Home Care...and participates in patient education and outreach tied to HEDIS initiatives + Works to improve access to care, and ... Program *Sign On Bonus Available!* Field patient care role. Primarily responsible for conducting in...3 or more years of experience as a Registered Nurse + Proficient level of experience with Microsoft Office… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …all dimension requirements for Nurse III; OR a Master's degree in *related field with BSN and two years of specialized nursing experience, one of which is ... tracks, devises strategies to improve Healthcare Effective Data Information Sets ( HEDIS ) metrics, clinical reminders, panel access, timely encounter closures, other… more
- Centene Corporation (Phoenix, AZ)
- …plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS , CAHPS, HOS, Part D and Administrative Operations reports and gap ... providers with existing resources to educate provider practices in appropriate HEDIS (Healthcare Effectiveness Data and Information Set) measures, medical record… more
- VNS Health (Manhattan, NY)
- …Hourly What You Will Do + Collaborates with clinical management and field clinicians to identify, develop and implement quality improvement standards and criteria ... to improve member satisfaction. + Performs onsite medical record reviews for HEDIS or other related compliance or quality improvement initiatives. + Provides… more
- Fallon Health (Berkshire, MA)
- …or follow us on Facebook, Twitter and LinkedIn** **Brief Summary of Purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary team focused ... and Program policies and processes + Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member education, outreach, and… more
- AdventHealth (Westwood, KS)
- …current expertise on quality measures (including but not limited to ACO, CMS, HEDIS etc) . Support and maintain outreach initiatives and other quality improvement ... need to succeed** **:** **Minimum qualifications** : . Bachelor's degree in health-related field or Business or Finance. . Minimum of 2 years of experience working… 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 ... Degree in Health Care Administration, Data Analytics, Business or another related field , required. * Master's Degree, preferred. Minimum Experience: * Minimum of 3-5… more
- Penn Medicine (Philadelphia, PA)
- …to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means ... to push the thinking. The Principal Consultant will support Senior Penn Medicine nurse leaders and stakeholders on issues of broad importance to ensure timely,… more
- University of Miami (Miami, FL)
- …supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of this position ... responsibilities as necessary. CORE QUALIFICATIONS Education: Master's degree in relevant field Certification and Licensing: Valid Florida Licensure in relevant … more
- Trinity Health (Fresno, CA)
- …requirements of Medicare STARS, Healthcare Effectiveness Data and Information Set ( HEDIS ), and Hierarchical Condition Categories (HCC) with provider staff to ... 1. Bachelor's degree in Nursing, Health Education, or related field is required. High school diploma or equivalent and...or equivalent and current licensure as a Licensed Vocational Nurse (LVN) in the State of California and three… more
- University of Miami (Miami, FL)
- …as necessary. CORE QUALIFICATIONS Education: + Bachelor's degree in relevant field required; master's degree in a healthcare-related field highly ... work experience may be considered. Certification and Licensing: + Registered Nurse License preferred + Quality and/or patient safety certification or eligibility… more
- Humana (Oklahoma City, OK)
- …Professional must meet** **one** **of the following requirements:** + Unrestricted Registered Nurse in the State of Oklahoma OR + Physician's Assistant OR + ... public health, or health care administration or another related field OR + Certified Professional in Health Care Quality...Excel **** + Understanding of healthcare quality measures (example HEDIS ) + Knowledge and experience of EPSDT and Child… more
- ChenMed (Philadelphia, PA)
- …and execution of business strategies that increase revenue and quality ratings ( HEDIS /STARS/Clinical Gaps) and support our core model. + Develops protocols and ... in Business or Healthcare Administration or a healthcare related field preferred + Active and good standing Licensed Practical... preferred + Active and good standing Licensed Practical Nurse (LPN) in current state of employment **OR** a… more
- Mount Sinai Health System (New York, NY)
- …Sinai Health System. **Qualifications** + BA or BS degree minimum, in a relevant field of study; Masters degree preferred. + 2 years minimum is preferred in ... Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience working in a health plan or… more