- UnitedHealth Group (Brooklyn, NY)
- …Home Base Medical Care, part of the Optum family of businesses, is seeking a Nurse Practitioner or Physician Assistant to join our team in Brooklyn, NY. Optum is a ... or following hospitalization. Meets with members and/or their legal representatives to review newly developed or modified care plans; involves the PCP in these… more
- Homebase Medical (Los Angeles, CA)
- …searching for an experienced full-time Advanced Practice Clinicians (Physician Assistant or Nurse Practitioner) to join our expanding house call practice. You will ... to document patient visit/interaction accurately and timely. Knowledge of HCC coding and HEDIS gaps. Active participation in an on-call rotation is required. We seek… more
- HEALTH CARE PARTNERS (Conway, SC)
- …that matches patient age, sex and health issues. Maintain current knowledge of all Hedis Measures and review with every patient visit. Participate in the ... proper documentation of the patient's plan of care, including triage encounters, nurse visits, medication administration, injections, etc. and review clinical… more
- Molina Healthcare (Long Beach, CA)
- …by the Chief Medical Officer. Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the ... Administration, Public Health, Healthcare Administration, etc. PREFERRED EXPERIENCE: Peer Review , medical policy/procedure development, provider contracting experience. Experience with… more
- Insight Global (Philadelphia, PA)
- …patient's care needs. The HEDIS nurse focuses solely on using HEDIS measuring criteria to review health plans in accordance with healthcare facility ... in PA or NJ. This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for Quality Check of FDC/ HEDIS … more
- Insight Global (Philadelphia, PA)
- …) Strong computer skills Ability to occasionally travel to local providers Previous HEDIS review experience or experience with Utilization Review , Quality, ... Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract...of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer… more
- Somatus (Mclean, VA)
- …**Required Education and Experience:** **Required** + Licensed as a Practicing or Vocational Nurse . + 1-3 years experience working in HEDIS or medical records. ... mental well-being + Community engagement opportunities + And more! The Clinical HEDIS Coordinator I will perform the functions related to the outreach, collection,… more
- UCLA Health (Los Angeles, CA)
- Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards and ... facilitate appropriate Health Education opportunities. Additionally, you will performs HEDIS related activities, Pay for Performance activities, Provider Access and… more
- Community Health Systems (Naples, FL)
- **Job Summary** Under the direction of the UR Director/Manager the UR Nurse reviews all admissions for medical necessity, correct orders based on medical condition ... improvement programs + Addresses facility and departmental communication through daily review of all correspondence, including incoming email messages. + Performs… more
- Veterans Affairs, Veterans Health Administration (Elizabeth City, NC)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... limited to: Patient Aligned Care Team (PACT) Outpatient Staff Registered Nurse (RN) is responsible for providing competent, evidence-based gender-specific primary… more
- Defense Health Agency (Fort Irwin, CA)
- …( HEDIS ) metrics, procedure preparation, wellness screening paperwork, etc. Review patient appointments, 24-78 hours prior to scheduled appointment and identifies ... **Overview** **Practical Nurse - FT Irwin,CA** **About the Position: This...assigned rooms for clinic schedule. Attends clinic huddle to review scheduled patients with Primary Care Manager to coordinate… more
- ERP International (Barksdale AFB, LA)
- **Overview** ERP International is seeking a ** Nurse Practitioner,** for a Full-Time position supporting **Occupational Health** at Barksdale AFB, LA. Apply online ... including a one hour lunch **Core Duties:** The Family Nurse Practitioner (FNP) works as an independent health care...deployment status in a private setting. + Conduct pre-deployment review of health record for any conditions that may… more
- CenterWell (Morrow, GA)
- …and providing a positive and welcoming environment for all. **Responsibilities:** The Nurse Practitioner (NP) works in our team-based care environment. We are a ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
- CenterWell (Kansas City, KS)
- …teamwork and providing a positive and welcoming environment for all. Responsibilities: The Nurse Practitioner (NP) works in our team-based care environment. We are a ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
- MyFlorida (Gainesville, FL)
- ADVANCED PRACTICE REGISTERED NURSE OR PHYSICIAN ASSISTANT-CERTIFIED - 64067906 Date: Jul 19, 2025 The State Personnel System is an E-Verify employer. For more ... 854945 Agency: Department of Health Working Title: ADVANCED PRACTICE REGISTERED NURSE OR PHYSICIAN ASSISTANT-CERTIFIED - 64067906 Pay Plan: Career Service Position… more
- CenterWell (Plant City, FL)
- …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...leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.… 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 ... Fallon Health Pharmacist, referring members in need of medication review based upon Program process o Develops and fosters...policies and processes o Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member… more
- CenterWell (Las Vegas, NV)
- …teamwork and providing a positive and welcoming environment for all. The Nurse Practitioner / Physician Assistant takes medical histories, examines and treats ... defined by Clinical Leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. + Participates in potential… more
- Hackensack Meridian Health (Tinton Falls, NJ)
- …healthcare and serve as a leader of positive change. The **Registered Nurse , RN Community Based Care Management** provides direct support to physician practices ... who require care management, coaching, education, supervision, and/or support. The nurse will coordinate care, resources & services across the healthcare continuum… more
- Adelante (Goodyear, AZ)
- Registered Nurse (Family/Internal Medicine) - Goodyear, AZ Job Details Job Location Adelante Healthcare Goodyear - Goodyear, AZ Position Type Full Time Job Category ... Health Care Description POSITION SUMMARY The Registered Nurse (RN) will play a pivotal role in guiding...Clinical Collaboration + Collaborate with the clinical team to review and act on Tasks/PTAs sent by providers. +… more
