- Providence (Beaverton, OR)
- …best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:** + Be responsible for conducting clinical ... Seasonal Role:_** + **This posting is for multiple openings of a Nurse Auditor, HEDIS ** + **This position is affiliated with Providence Health Plan and will be… 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
- Providence (AK)
- …empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits/overreads ... to determine potential areas for quality improvement within the HEDIS project + Collect data by way of chart...GED Equivalency + Licensure / Certification: Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse +… more
- Actalent (Remote, OR)
- …you to practice in the state of Pennsylvania. Hard skills: + Must be a Registered Nurse + HEDIS Experience + Quality Assurance / Review Experience Work Site This ... Fully Remote Patient Care Advocate (RN) We are looking for a Registered Nurse who is interested in a fully remote opportunity. Requirements: + Nursing License for… more
- Ventura County (Ventura, CA)
- Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4591361) Apply Senior Medical Management Nurse - ... to County employees and their covered dependents. The Senior Registered Nurse -Ambulatory Care series is distinguished from other nursing classifications in that… 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
- The Cigna Group (Philadelphia, PA)
- …and referrals to health programs and participates in patient education and outreach tied to HEDIS initiatives 4. Works to improve access to care and works as part of ... needed 3) 3+ years of experience as a Registered Nurse 4) Proficient level of experience with Microsoft Office...ICU, geriatrics is preferred. 10) Knowledge of STARS and Hedis metrics a plus If you will be working… more
- Sea Mar Community Health Centers (Puyallup, WA)
- …the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #26096 Nurse Manager RN Annual Salary: $85,470.00 ... Manager LPN Annual Salary: $74,958.09 Position Summary: Full-time Nurse Manager position available for our Medical Clinic in...or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA… more
- Sea Mar Community Health Centers (Tacoma, WA)
- …following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #25738 Salary Rate: $74,958.09 (LPN) - $92,444.35 (RN) ... Position Summary: Full-time Nurse Manager (RN or LPN) position available for our...Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA… more
- CenterWell (Las Vegas, NV)
- …focused on teamwork and providing a positive and welcoming environment for all. The Nurse Practitioner (NP) works in our team-based care environment. We are a value ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
- Sea Mar Community Health Centers (Vancouver, WA)
- …the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager (RN or LPN) - Posting #26861 Hourly Rate: $36.04 - $44.44 ... Annual Salary: $74,958.09 - 92,444.35 (depending on experience) Position Summary: Full-time Nurse Manager position available for our Vancouver - Salmon Creek Medical… more
- EasyHealth (Houston, TX)
- …APRN, Certified Nurse Practitioner + Knowledge of the HCC model, HEDIS , and STAR quality measures + Effectively communicate with elderly and chronically ill ... care. About the Role: We are looking for a Nurse Practitioner to join our Clinical team. The ...Nurse Practitioner to join our Clinical team. The Nurse Practitioner will conduct Health Risk Assessments for Medicare,… more
- EasyHealth (Humacao, PR)
- …license in the state of assignment + Must have license/certification: APRN, Certified Nurse Practitioner + Knowledge of HCC model, HEDIS and STAR quality ... to enable value-based care. About the Role: We are looking for a Nurse Practitioner/Physicians to join our Clinical team. The Nurse Practitioner/Physician will… more
- The Cigna Group (Harlingen, TX)
- …manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to ... management position (experience can be a combination of LVN/RN licensure) * Previous HEDIS and/or CMS STARs experience a plus * Bilingual - preferred Spanish both… 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...medicine experience. + Value-based care knowledge and/or experience. + HEDIS quality metrics knowledge and/or experience. **Scheduled Weekly Hours**… more
- EasyHealth (WV)
- Elevate Healthcare as a Nurse Practitioner - Transform Patient Care with Easy Health! Are you aspiring for a career that not only offers exceptional earnings but ... risk-bearing entities to enable value-based care. About the Role: Nurse Practitioner - In-Home care Embrace the chance to...specialty + Familiarity with the HCC model and quality HEDIS and other STAR measures + Effectively communicate with… more
- EasyHealth (Hanover, NH)
- Elevate Healthcare as a Nurse Practitioner - Transform Patient Care with Easy Health! Are you aspiring for a career that not only offers exceptional earnings but ... risk-bearing entities to enable value-based care. About the Role: Nurse Practitioner - In Home care Embrace the chance...medicine specialty + Familiarity with HCC model and quality HEDIS and other STAR measures + Effectively communicate with… more
- Commonwealth Care Alliance (Boston, MA)
- …etc. + Identify and initiate a plan to meet quality, STAR, and HEDIS measures. + Conduct Annual Visits with patients, taking a detailed history, performing ... certification from the National Commission on Certification of Physician Assistants For Nurse Practitioner: + Graduation from a graduate degree program that is… more
- Conviva (Corpus Christi, TX)
- …part of our caring community and help us put health first** The Nurse Practitioner or Physician Assistant applies advanced education and clinical competencies to ... achieve optimal patient outcomes. The Nurse Practitioner works on problems of diverse scope and...(English and Spanish) is a plus * Knowledge of HEDIS measures and quality indicators * Experience managing Medicare… 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