• Quality Improvement/ HEDIS RN

    CenterWell (San Antonio, TX)
    …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... community and help us put health first** The Quality RN Professional is responsible for the development, implementation and...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
    CenterWell (09/06/25)
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  • Quality Improvement/ HEDIS RN

    CenterWell (Pinellas Park, FL)
    …operational excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5+ ... us put health first** The Stars Improvement Clinical Professional ( RN ): + Collaborates with market leadership, and quality improvement...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
    CenterWell (09/10/25)
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  • Manager HEDIS Program - Remote

    Martin's Point Health Care (Portland, ME)
    …Point has been certified as a "Great Place to Work" since 2015. Position Summary The Manager , HEDIS Program educates and serves as the HEDIS subject matter ... expert (SME). The Manager , HEDIS Program is responsible for coordinating, implementing,...in health care or other related field; Master's Degree preferred + A minimum of five (5) years of… more
    Martin's Point Health Care (08/29/25)
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  • Registered Nurse (Family/Internal…

    Adelante (Buckeye, AZ)
    …Buckeye, AZ Position Type Full Time Job Category Health Care Description POSITION SUMMARY The Registered Nurse ( RN ) will play a pivotal role in guiding ... Registered Nurse (Family/Internal Medicine) - Buckeye,...acting as an advocate for those they serve. The RN will be a vital member of the multidisciplinary… more
    Adelante (07/04/25)
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  • Nurse Manager ( RN or LPN)

    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
    Sea Mar Community Health Centers (07/29/25)
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  • Nurse Manager ( RN or LPN)

    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 (08/11/25)
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  • Quality RN

    CenterWell (North Charleston, SC)
    …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... community and help us put health first** The Quality RN Professional responsible for the development, implementation and management...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
    CenterWell (09/11/25)
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  • Case Manager , RN or Licensed…

    Excellus BlueCross BlueShield (Dewitt, NY)
    …Levels + Associates degree required. Bachelor's degree preferred . + Active NYS RN or Registered Dietician or Physical Therapist licensure required; or LMSW; ... varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… more
    Excellus BlueCross BlueShield (08/28/25)
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  • Nurse Manager ( RN or LPN)

    Sea Mar Community Health Centers (Vancouver, WA)
    …for 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 ... Annual Salary: $74,958.09 - 92,444.35 (depending on experience) Position Summary: Full-time Nurse Manager position available for our Vancouver - Salmon Creek… more
    Sea Mar Community Health Centers (09/11/25)
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  • RN Care Manager Complex Adult Care…

    Molina Healthcare (Buffalo, NY)
    …behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) To all current Molina employees: If you are interested… more
    Molina Healthcare (08/29/25)
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  • Sr. Specialist, Member & Community Intervention…

    Molina Healthcare (El Paso, TX)
    …Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all ... activities and results to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may require remediation + Other… more
    Molina Healthcare (08/24/25)
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  • Manager Integrated Case Mgmt-SCMG…

    Sharp HealthCare (San Diego, CA)
    Registered Nurse ( RN ) - CA Board of Registered Nursing -REQUIRED ** Preferred Qualifications** + Master's Degree in nursing, healthcare, quality, ... Bachelor's Degree in Nursing; Bachelor's Degree; Master's Degree; California Registered Nurse ( RN ) - CA...Healthcare Quality (CPHQ) - National Association for Healthcare Quality - PREFERRED + Certified Case Manager (CCM) -… more
    Sharp HealthCare (08/29/25)
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  • Manager , Care Management

    Humana (Springfield, IL)
    …+ **Must reside in the state of Illinois** + An active, unrestricted, Registered Nurse **( RN )** license, Licensed Clinical Social Worker **(LCSW)** ... and behavioral health professionals responsible for care management. The Manager , Care Management, works within specific guidelines and procedures; applies… more
    Humana (08/29/25)
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  • Quality Improvement Supervisor, Clinical

    CenterWell (Port St. Lucie, FL)
    …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and… more
    CenterWell (08/08/25)
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  • CIC Advanced Practice Clinician - NP / PA - Hybrid

    Commonwealth Care Alliance (Springfield, MA)
    …as NP or PA in primary care or care management AND 3+ years' experience as Registered Nurse or EMT-P in a high touch clinical environment or home care; OR ... locations. This position reports to the CIC APC Clinical Manager . **Supervision Exercised:** No, this position does not have...or PA graduate, must have 5+ years' experience as Registered Nurse or EMT-P in a high… more
    Commonwealth Care Alliance (07/09/25)
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  • Behavioral Health Provider Quality Manager

    Elevance Health (Walnut Creek, CA)
    **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role enables associates ... passionate about transforming American healthcare delivery. The **Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider engagement,… more
    Elevance Health (07/04/25)
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  • Performance Delivery Team Clinical Analyst

    Centene Corporation (Austin, TX)
    …Licenses and Certifications:** A license in one of the following is required: Required Registered Nurse ( RN )Pay Range: $68,700.00 - $123,700.00 per year ... perspective on workplace flexibility. POSITION IS REMOTE MUST HAVE RN LICENSE **Position Purpose:** This position will work with...+ Assist in special projects assigned by the PDT Manager or Executive Team. + Perform other duties as… more
    Centene Corporation (09/12/25)
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  • Epic Training Analyst II

    AdventHealth (Woodridge, IL)
    …have a valid drivers license and reliable form of transportation. EPIC Credential (EPIC CRED) preferred Registered Nurse ( RN ) preferred This facility ... Group. The Analyst will collaborate with the Physician Enterprise Training Delivery Manager and medical group leadership to identify, assess, prioritize, and address… more
    AdventHealth (08/07/25)
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  • Primary Care Physician Lead

    CenterWell (Savannah, 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
    CenterWell (06/27/25)
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  • Specialist, Member & Community Interventions…

    Molina Healthcare (Owensboro, KY)
    …Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) + Certified ... activities and results to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may require remediation +… more
    Molina Healthcare (09/07/25)
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