- Intermountain Health (Murray, UT)
- **Job Description:** The Provider Quality and Practice Transformation Consultant Registered Nurse is responsible for working directly with providers and care ... + Expert in Healthcare Effectiveness Data and Information Set ( HEDIS ), National Committee for Quality Assurance (NCQA), & Centers...through an accredited institution. Education is verified. + Current RN license in the State of Utah + 5… more
- Veterans Affairs, Veterans Health Administration (Missoula, MT)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... Primary Care and Outpatient Specialty clinic. Act as the Nurse Manger during time of Nurse Manager...limited to; VASQIP data, customer Veteran satisfaction, AES results, HEDIS , SHEP and hand hygiene. Maintain patient and employee… more
- The Cigna Group (Harlingen, TX)
- …Duties as assigned. Supervisory Responsibilities: * None **Experience:** * Current Licensure as a Registered Nurse , in the state of Texas in good standing. * ... utilization management position (experience can be a combination of LVN/ RN licensure) * Previous HEDIS and/or CMS STARs experience a plus **Job Related Skills:**… more
- Sea Mar Community Health Centers (Tacoma, WA)
- …up to 10 pounds and occasionally lift and/or move up to 50 pounds. Requirements: + Registered Nurse , BSN, ADN and licensed to practice nursing in the State of ... - Posting #25738 Salary Rate: $74,958.09 (LPN) - $92,444.35 ( RN ) Position Summary: Full-time Nurse Manager (...Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA… more
- Sea Mar Community Health Centers (Puyallup, WA)
- …and occasionally lift and/or move up to 50 pounds. Requirements: + Must be a Registered Nurse , BSN, LPN or equivalent and licensed to practice nursing in the ... vaccine organization Nurse Manager - Posting #26096 Nurse Manager RN Annual Salary: $85,470.00 ...or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA… more
- The Cigna Group (Mobile, AL)
- …case-management or utilization management position (experience can be a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS STARs experience a ... manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR/ CAHPS performance measures. Develop and maintain a… more
- Sea Mar Community Health Centers (Seattle, WA)
- …following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse ( RN /LPN) Floor Supervisor - Posting #25734 Hourly Rate: $43.27 Position ... maintained and locked when clinic is closed. + The RN /LPN will work closely with the Nurse ...but not limited to: JCAHO, NPSG, Department of Health, HEDIS , PET and contractual obligations. + The RN… more
- 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 #26368 Nurse Manager ( ... or LPN) Annual Salary: $74,958.09 - 92,444.35 DOE Position Summary: Full-time Nurse Manager position available for our East Vancouver Medical Clinic in Vancouver,… more
- The Cigna Group (Nashville, TN)
- …case-management or utilization management position (experience can be a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS STARs experience a ... relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a...and written **Experience** : + Current Licensure as a RN , in the state of residence in good… more
- Centene Corporation (St. Louis, MO)
- …Licensed Marital and Family Therapist (LMFT), Licensed Certified Social Worker (LCSW), Licensed Registered Nurse ( RN ), Acute Care Nurse Practitioner ... sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record… more
- Providence (WA)
- …Formal education or training in supervision, management, or leadership + Oregon Registered Nurse License + 3+ years of experience directly managing ... empower them._** **Providence Health Plan is calling a Manager Utilization Management RN , Prior Authorization who will:** + Be responsible for Management and… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... are not limited to: Assumes the role of Charge or Co-charge Nurse . Demonstrates timely and effective communication. Promotes seamless care coordination. Ensures… more
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... the continuum of care. Spinal Cord Serves as the RN Team Leader for a team of patients with...devises strategies to improve Healthcare Effective Data Information Sets ( HEDIS ) metrics, clinical reminders, panel access, timely encounter closures,… more
- Humana (Tallahassee, FL)
- …guidance and direction **Use your skills to make an impact** **Required Qualifications** + Registered Nurse + Bilingual English and Spanish, Must be able to ... an in-depth evaluation of variable factors. The Bilingual Senior Stars, Improvement Nurse / Clinical Professional focuses on areas of clinical emphasis + Requires… more
- Commonwealth Care Alliance (Springfield, MA)
- …etc. + Identify and initiate a plan to meet quality, STAR, and HEDIS measures. + Conduct Annual Visits with patients, taking a detailed history, performing ... the National Commission on Certification of Physician Assistants For Nurse Practitioner: + Graduation from a graduate degree program...graduate degree program that is designed to prepare the RN for practice as a certified NP; and holds… more
- CVS Health (Springfield, IL)
- …and strategic interventions to improve member experience with Aetna and related HEDIS rates. This role has responsibility for the design, content and reporting ... committee reports, reviews documentation and interprets data in line with HEDIS , regulatory, and accreditation requirements for patterns, population outcomes and to… more
- CVS Health (Richmond, VA)
- …and consistently applies waiver program requirements, accreditation standards, and HEDIS specifications to assure that activities are processed within guidelines. ... 3+ years of Quality experience required - Virginia resident required - Licensed RN with current unrestricted state of Virginia licensure required - Must possess… more
- Elevance Health (Rancho Cordova, CA)
- **Wellness Nurse Consultant** **Sign Bonus: $5000** At **Federal Health Products and Services - FHPS** , a proud member of the Elevance Health, Inc. family of ... 50 miles of a pulse point site listed above. The **Wellness Nurse Consultant** position is responsible for developing and recommending customized, group-specific… more
- Centene Corporation (Jefferson City, MO)
- …the integration of innovative approaches to defined programs to improve healthcare quality preferred RN - Registered Nurse - State Licensure and/or Compact ... field. required:** 5+ years managed care experience related to HEDIS OR GPRO record review, quality improvement, medical coding...Licensure Upon Hire required and APRN-BC - Advanced Practice Registered Nurse , Board Certified Upon Hire required… more
- CVS Health (Chicago, IL)
- …roles. + 5+ years of Medicaid experience, preferably in the State of Illinois. + Registered Nurse , preferably in the State of Illinois. + Experience with data ... oversight of the activities of the Quality team to ensure maximal performance with HEDIS and accreditations. + Serving as the SPOC on health services operations (CM,… more
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