- Signet Health (Clinton, MD)
- …generous salary and PTO. We are hiring for a Behavioral Health Registered Nurse - ED Evaluator. Full-time, three (3) 12-hour day shifts for Monday, Wednesday ... members with appropriate community resources Perform reports documenting compliance with HEDIS measures Perform chart reviews to evaluate compliance with HEDIS… more
- Signet Health (Clinton, MD)
- …members with appropriate community resources. Perform reports documenting compliance with HEDIS measures. Perform chart reviews to evaluate compliance with HEDIS ... Skills: Graduation from an accredited nursing program with active compact Registered Nurse license for Maryland required OR Licensed Clinical Social Worker (LCSW-C)… more
- The Cigna Group (Mobile, AL)
- …manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR/ CAHPS performance measures. Develop and maintain a ... include primary care physician and specialist appointment scheduling + Nurse notifies PCP daily of admissions and discharges +...+ Support Chart reviews and Pulls medical records for HEDIS + Supports Health Plan with CAHPS and STARS… 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 ... * None **Experience:** * Current Licensure as a Registered Nurse , in the state of Texas in good standing....can be a combination of LVN/RN licensure) * Previous HEDIS and/or CMS STARs experience a plus **Job Related… more
- The Cigna Group (Philadelphia, PA)
- …manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to ... None **Qualifications** : + Current Licensure as a registered nurse , in the state of residency. in good standing....can be a combination of LVN/RN licensure) + Previous HEDIS and/or CMS STARs experience a plus + **Bilingual**… more
- Centene Corporation (Springfield, IL)
- …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
- 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
- CVS Health (Springfield, IL)
- …and evaluates targeted member/provider initiatives and supports the development of HEDIS interventions and initiatives within the Quality Management Team. The QM ... systems to apply appropriate clinical criteria and policies in line with HEDIS , regulatory, and accreditation requirements for member and/or provider issues. Works… more
- CVS Health (Richmond, VA)
- …and consistently applies waiver program requirements, accreditation standards, and HEDIS specifications to assure that activities are processed within guidelines. ... experience using Microsoft Excel Preferred Qualifications - Managed Care and HEDIS experience preferred Education - Associates degree minimum required - Bachelor's… more
- CenterWell (Newport News, VA)
- …a part of our caring community and help us put health first** The Nurse Practitioner provides health promotion and maintenance through the diagnosis and treatment of ... of variable factors and determining the best course of action. Responsibilities: The Nurse Practitioner (NP) works in our team-based care environment. We are a… more
- CenterWell (North 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)
- …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 (RN 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, WA. Sea… more
- CenterWell (Indianapolis, IN)
- …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
- Conviva (Margate, FL)
- **Become a part of our caring community and help us put health first** The Nurse Practitioner (NP) works in our team-based care environment. We are a value based ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
- EasyHealth (Brooklyn, NY)
- …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
- Conviva (Sarasota, FL)
- …experience. \#EliteHealth **Use your skills to make an impact** **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
- EasyHealth (Ponce, PR)
- …license in the state of assignment + Must have license/certification: APRN, Certified Nurse Practitioner + Knowledge of HCC model, HEDIS and STAR quality ... members in 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
- EasyHealth (DE)
- 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 ... outcomes for the 60M+ Medicare members. 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
- Conviva (Margate, FL)
- …of our caring community and help us put health first** The Cardiology Nurse Practitioner serves as a health-care provider who specializes in diagnosis, management, ... follow-up of patients with any suspected or known heart diseases. The Nurse Practitioner work assignments involve outpatient office and telehealth visits, curbside… more
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