• HEDIS RN - Quality Auditor

    US Tech Solutions (Newark, NJ)
    …6+ months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to ... state audits, HEDIS measures, and quality-related complaints and referrals. + This...in the healthcare industry. + **Active New Jersey Registered Nurse (RN) License required.** **Skills:** + Knowledge of managed… more
    US Tech Solutions (11/20/25)
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  • RN HEDIS Review Nurse

    Amergis (Houston, TX)
    Amergis Healthcare Staffing is seeking a Pediatric Registered Nurse (RN) to assume responsibility and accountability for the application of the nursing process and ... the delivery of patient care. The Pediatric Registered Nurse (RN) demonstrates ability to make clinical judgments in an effective and efficient manner with… more
    Amergis (12/03/25)
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  • Quality RN - Hoffner

    CenterWell (Orlando, FL)
    …preferred, not required, unless otherwise specified + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Excellent ... across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Data sharing and… more
    CenterWell (11/19/25)
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  • Quality Improvement RN - New Smyrna/Daytona

    CenterWell (New Smyrna Beach, FL)
    …Florida + 5+ years of clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge ... following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial...of HEDIS /Stars/CMS + Excellent presentation and communication skills, both oral… more
    CenterWell (10/16/25)
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  • Quality RN

    CenterWell (North Charleston, SC)
    …state + 5+ years of clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge of ... following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial... HEDIS /Stars/CMS + Excellent presentation and communication skills, both oral… more
    CenterWell (10/16/25)
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  • Coding Quality Auditor, HEDIS *Remote…

    Providence (MT)
    …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...Technical certification/licensure in the area of Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse upon… more
    Providence (12/04/25)
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  • Business Analytics Senior Advisor ( Nurse

    The Cigna Group (Bloomfield, CT)
    …data analysis and comprehensive reporting. As Cigna shifts from traditional HEDIS measurement to digital quality assessment, the Nurse Informaticist ... **Summary:** The Nurse Informaticist applies advanced clinical expertise and informatics...meet changing industry standards and technological advancements. **Key Responsibilities:** ** HEDIS & Clinical Data Analysis** + Oversee HEDIS more
    The Cigna Group (11/26/25)
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  • Health Plans Licensed Practical Nurse LPN…

    Banner Health (AZ)
    …employment settings by including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will be an integral part ... analysis of data from medical records in accordance with HEDIS specifications. Actively works with the HEDIS ...with HEDIS specifications. Actively works with the HEDIS team to ensure understanding of performance measures, methodology… more
    Banner Health (11/27/25)
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  • Paneled Nurse Practitioner

    CenterWell (Anderson, SC)
    …part of our caring community and help us put health first** The Nurse Practitioner, Paneled applies advanced education and clinical competencies to achieve optimal ... patient panel outcomes. The Nurse Practitioner works on problems of diverse scope and...Patient Care:** responsible, internally, for completing/closing all quality metrics ( HEDIS , STARS, EDAPS) for their panel of patients. +… more
    CenterWell (10/01/25)
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  • Associate Quality Practice Advisor

    Centene Corporation (Lansing, MI)
    …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
    Centene Corporation (11/15/25)
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  • Quality Management Clinical Nurse

    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
    UCLA Health (10/12/25)
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  • Nurse Manager (RN or LPN)

    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 (11/10/25)
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  • Nurse Manager (RN or LPN)

    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
    Sea Mar Community Health Centers (10/28/25)
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  • Cardiology Nurse Practitioner

    CenterWell (Houston, TX)
    …of our caring community and help us put health first** The Nurse Practitioner, Cardiology applies advanced education and clinical competencies within the cardiology ... specialty to achieve optimal patient outcomes. The Nurse , Cardiology Practitioner works on problems of diverse scope...coverage + Bilingual is a plus + Knowledge of HEDIS quality indicators preferred **Additional Information** + Guaranteed base… more
    CenterWell (12/03/25)
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  • Nurse Practitioner / Physician Assistant

    CenterWell (Marietta, GA)
    …on teamwork and providing a positive and welcoming environment for all. The Nurse Practitioner (NP) or Physician Assistant (PA) works in our team-based care ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
    CenterWell (11/26/25)
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  • Nurse Manager (RN or LPN)

    Sea Mar Community Health Centers (Vancouver, WA)
    …following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager (RN or LPN) - Posting #27315 Annual Salary: $74,963.20 - 92,435.20 ... (depending on experience) Position Summary: Full-time Nurse Manager position available for our Vancouver - Delaware...or hospitals. + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA… more
    Sea Mar Community Health Centers (11/07/25)
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  • Nurse Practitioner - Occupational Health

    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...programs and clinical practice guidelines (eg VA/DoD CPGs), and HEDIS Measurements. + Teaches patients and family member's ways… more
    ERP International (10/22/25)
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  • Nurse Practitioner or Physician Assistant…

    CenterWell (Phoenix, AZ)
    …teamwork and providing a positive and welcoming environment for all. The Nurse Practitioner (VSP/PRN) provides health promotion and maintenance through the diagnosis ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
    CenterWell (10/16/25)
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  • Nurse Case Manager - Senior Care Options…

    Fallon Health (Lynn, 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 ... requirements and Program policies and processes Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member education, outreach,… more
    Fallon Health (12/05/25)
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  • Nurse Practitioner Primary Care West Seneca…

    Catholic Health (West Seneca, NY)
    …New York State Professional RN license + Completion of an accredited program for Nurse Practitioners + Maintains Adult, Acute Care or Family Nurse Practitioner ... degree preferred EXPERIENCE + Three (3) years' experience as a Nurse Practitioner preferred + Experience in family practice/specialty setting preferred KNOWLEDGE,… more
    Catholic Health (12/03/25)
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