- InGenesis (San Jose, CA)
- Job Description InGenesis is seeking an Urgent Care Registered Nurse to join our team in support of our client. In this essential role, you will collaborate with ... care for a diverse, often underserved population. As an urgent care registered nurse and physician extender, you'll assess symptoms, coordinate care,… more
- Adelante (Goodyear, AZ)
- …Goodyear, 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) - Goodyear,...and closure of Healthcare Effectiveness Data & Information Set ( HEDIS ) care gaps of required Quality Metrics.… more
- InGenesis (Fremont, CA)
- InGenesis is seeking an Urgent Care Registered Nurse to join our team in support of our client. In this essential role, you will collaborate with physicians and ... care for a diverse, often underserved population. As an urgent care registered nurse and physician extender, you'll assess symptoms, coordinate care,… more
- CenterWell (Tampa, FL)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... evaluation of variable factors. The Stars Improvement Clinical Professional ( RN ) collaborates with market leadership, and quality ...+ Proven work experience as a HEDIS Nurse or similar role in healthcare quality … more
- CenterWell (Grand Prairie, TX)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... caring community and help us put health first** The Quality RN Professional is responsible for the...+ Proven work experience as a HEDIS Nurse or similar role in healthcare quality … more
- CenterWell (North Miami Beach, FL)
- …Qualifications** + **Bilingual proficiency in English and Haitian Creole is required.** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5+ ... evaluation of variable factors. The Stars Improvement Clinical Professional ( RN ): + Collaborates with market leadership, and quality...+ Proven work experience as a HEDIS Nurse or similar role in healthcare quality … more
- Elevance Health (Baton Rouge, LA)
- …annual and ad hoc medical record reviews such as HEDIS and CPG compliance . + Conducts quality of care investigations and using criteria closes case ... **JR142090 BH Clinical Quality Audit Analyst Sr** Responsible for participating in...behavioral health clinician preferred (LCSW, LPCC, LMFT, Ph.D., Psy.D., RN ). + Will also be responsible for maintaining the… more
- Peak Vista (Colorado Springs, CO)
- …Assistance Program https://www.peakvista.org/resources/benefits-summary Job Summary: The Quality Assurance Registered Nurse ( RN ) is responsible for ... Quality Assurance RN Summary Title: Quality... Quality Assurance RN Summary Title: Quality Assurance RN...to include governing bodies such as AAAHC, HRSA & HEDIS . Compliance with HIPAA and all applicable… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed About Us Covenant ... development of practice guidelines and clinical pathways that support quality improvement activities. The RN Care Coordinator...coordination services within the scope of practice as a registered nurse meeting all required standards both… more
- University of Miami (Medley, FL)
- …QUALIFICATIONS Education: Bachelor's Degree/ Bachelor's Degree in Nursing Certification and Licensing: Registered Nurse ( RN ) CCM a plus Experience: Minimum ... Miami has an exciting opportunity for a Case Manager RN in the Population Health Department. SUMMARY The Case...resources to meet ongoing patient needs and that encourages compliance with medical advice. Identifies patient care issues and… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** Sr. Healthcare Quality Specialist RN is responsible for evaluating and improving quality of care and patient safety at Kelsey-Seybold ... Clinic (KSC). This role combines clinical expertise with quality improvement methodologies to ensure compliance with healthcare standards, promote best… more
- Humana (Richmond, VA)
- …and help us put health first** Humana Healthy Horizons in Virginia is seeking a Quality Compliance Nurse Professional 2 who will be focused on ensuring ... and research to support quality assurance. The Quality Compliance Nurse Professional 2...licensed Practical Nurse (LPN) or a licensed Registered Nurse ( RN ) with an… more
- Centene Corporation (Oklahoma City, OK)
- …providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides ... compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS… more
- Molina Healthcare (Fort Worth, TX)
- …+ Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare,… more
- Centene Corporation (Raleigh, NC)
- …insurance experience required; 2+ years of quality experience preferred. **License/Certification:** Registered Nurse ( RN ), Licensed Practical Nurse , ... of North Carolina.** **Position Purpose:** Identify market trends and oversee functions of quality improvement programs for HEDIS , CAHPS, and/or HOS strategy and… more
- Centene Corporation (Augusta, ME)
- …Master Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred. Pay Range: $26.50 - $47.59 ... education for HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation to plan providers. Assists in… more
- UPMC (Media, PA)
- …for performing functions related to quality management and improvement in compliance with NCQA, HEDIS , URAC, and the Commonwealth of Pennsylvania Department ... UPMC Community Care Behavioral Health is seeking a full-time Quality Management Clinician to support the Quality ...Responsible for professional and staff development plan. + Licensed Registered Nurse (BSN is a bonus) or… more
- Humana (Sterling Heights, MI)
- …Degree. + CPHQ (Certified Professional in Healthcare Quality ) Certification. + Registered nurse ( RN ), physician or physician's assistant licensed in ... Humana's Michigan Medicaid Quality Improvement Program, in alignment with organizational quality and population health goals and ensuring compliance with all… more
- LifePoint Health (Ishpeming, MI)
- …and take appropriate action. Preferred: Quality Improvement License: Licensed Practical Nurse (LPN) or Registered Nurse ( RN ) Certifications: ... Health Coordinator is responsible for providing outreach and education/training to drive quality outcomes and overall health status across the health care continuum.… more
- CVS Health (Lansing, MI)
- …products and VPN. **Preferred Qualifications:** + Licensed Allied Health Professional or Licensed Registered Nurse + Coding or Sales background + Certified Six ... to achieve improved health outcomes. Facilitate sessions on clinic operations, quality standards, regulatory compliance , member experience and patient-centered… more
