- Liberty Health (Kernersville, NC)
- …RN 's monthly Maintains and facilitates a comprehensive orientation program for new Nurse Practitioners, Physician Assistants, and RN 's Serves as a mentor ... We are currently seeking an experienced: CLINICAL MANAGER - NURSE PRACTITIONER - LIBERTY MEDICAL CARE SERVICES JOB SUMMARY:...Supervises and coaches assigned team of NP's, PA's, and RN 's in collaboration with the Assistant Director of Clinical… more
- 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),...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...and training. Identify and implementing performance improvement based on performance/ quality measures such as but not limited to; VASQIP… more
- The Cigna Group (Birmingham, AL)
- …onsite at provider offices in North Alabama **Experience** : + Current Licensure as a registered nurse , in the state of residence in good standing. + Associates ... case-management, or utilization management position (experience can be a combination of LVN/ RN licensure) + Previous HEDIS and/or CMS STARs experience a… 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. * ... case-management or utilization management position (experience can be a combination of LVN/ RN licensure) * Previous HEDIS and/or CMS STARs experience a… 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 (...centers + Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards.… 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 ...health centers or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards… 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 ( ... Annual Salary: $74,958.09 - 92,444.35 DOE Position Summary: Full-time Nurse Manager position available for our East Vancouver Medical...health centers or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards… 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 ... manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to… 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 ... providers and supports provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS … 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
- CVS Health (Richmond, VA)
- …and consistently applies waiver program requirements, accreditation standards, and HEDIS specifications to assure that activities are processed within guidelines. ... Required Qualifications - 3+ years of clinical experience required - 3+ years of Quality experience required - Virginia resident required - Licensed RN with… 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 ... evaluation of variable factors. The Bilingual Senior Stars, Improvement Nurse / Clinical Professional focuses on areas of clinical...a Health Plan + 3 or more years of Quality Improvement experience + Strong knowledge of Microsoft Office… more
- Commonwealth Care Alliance (Springfield, MA)
- …are based on age, comorbidities, etc. + Identify and initiate a plan to meet quality , STAR, and HEDIS measures. + Conduct Annual Visits with patients, taking a ... individuals with the best possible care in a unique, comprehensive and quality focused model. We are a specialized interdisciplinary team engaged in collaborative… more
- CVS Health (Springfield, IL)
- …and implementing data-driven strategies/interventions that support the delivery of high quality health benefits and services for members. The QM Consultant manages ... access to health care and services and to close quality and health equity gaps. The QM Consultant drives...interventions to improve member experience with Aetna and related HEDIS rates. This role has responsibility for the design,… 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 ... the plan to a detailed and supportive oversight of the activities of the Quality team to ensure maximal performance with HEDIS and accreditations. + Serving… more
- CareFirst (Baltimore, MD)
- …knowledge of the standards of practice for case managers. **Licenses/Certifications** : Health Services\ RN - Registered Nurse - State Licensure and/or ... Navigators. Provide support to confirm adherence to policies, and procedures to promote quality of care and manage health care costs. This position will require… more
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