- Actalent (Indianapolis, IN)
- REMOTE POSITIONJob Title: HEDIS Coordinator Location: Based out of Indianapolis, IN Job Type: Contract Job Overview We are seeking a detail-oriented HEDIS ... Coordinator to join our team. This role focuses on supporting the HEDIS project, which measures the performance and effectiveness of care provided by healthcare… more
- CVS Health (Baton Rouge, LA)
- …3-5 years of medical record auditing experience + 2+ years of HEDIS experience **Preferred Qualifications** + Managed care experience **Education** + Bachelor's ... Degree in health-related field (eg, Health ed, Wellness, Health Promotion) OR equivalent work experience **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $91,800.00 This pay range… more
- HCA Healthcare (Salt Lake City, UT)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Care Coordinator PRN you want with your current employer? We have an exciting ... committed, caring group of colleagues. Do you want to work as a(an) Care Coordinator PRN where your passion for creating positive patient interactions is valued? If… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator , Quality Management PRN/OCC, Variable Hours, Day Shift About Us Covenant Medical Group employs or manages healthcare ... member of Covenant Health! Position Summary: The RN Care Coordinator II is responsible for integrating evidenced based clinical...abreast of most recent changes in quality related to HEDIS measures, CMS Conditions of Participation, MIPS and other… more
- CVS Health (Harrisburg, PA)
- …The Health Advocate provides support for Healthcare Effectiveness Data and Information Set ( HEDIS ) quality initiatives by performing the following: + Work on one or ... data elements in the CRM tool to support medical record chasing for HEDIS medical record documentation of services. + Provides members with the right information… more
- Actalent (Santa Barbara, CA)
- Health Plan Nurse Coordinator Job Description The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse responsible for working within one of several Health ... Spanish may be required for positions involving member interaction. + Experience with HEDIS medical record abstraction is a plus. + Ability to compose clear,… more
- Actalent (Santa Barbara, CA)
- Job Title: Health Plan Nurse Coordinator Job Description The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse assigned to various Health Services ... + Knowledge of quality improvement theories and methods. + Experience with HEDIS medical record abstraction (as assigned). Additional Skills & Qualifications +… more
- Methodist Health System (Dallas, TX)
- …Day (United States of America) **Job Description :** Your Job: The Care Coordinator will support MMG Primary Care Practices, Physicians, and staff ("Patient Care ... Patient Care team to help MMG achieve quality driven goals. The Care Coordinator participates in planning, providing, and evaluating patient care at the appropriate… more
- Kaniksu Community Health (Sandpoint, ID)
- …Year round, affordable on-site childcare at KCH Kid's Club The Quality Program Coordinator plays a key role in advancing quality improvement, population health, and ... cross-functional teams to improve patient outcomes and organizational performance. The coordinator works closely with leadership and is given opportunities to… more
- LA Care Health Plan (Los Angeles, CA)
- Quality and Population Health Coordinator I (ALD) Job Category: Administrative, HR, Business Professionals Department: Health Education Location: Los Angeles, CA, ... required to achieve that purpose. Job Summary The Quality and Population Health Coordinator I (QPHC) is responsible for outreaching to members to close care gaps.… more
- ChenMed (Houston, TX)
- …exam rooms and ensures their comfort and well-bring prior to leaving. + Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled ... patients. Reports on hospitalizations including HITS census, ENS Ping, etc. + Presents patients with customer service survey during check out and escalates if needed for immediate service recovery. + Participates in daily and weekly huddles to provide details… more
- Trinity Health (Fresno, CA)
- …requirements of Medicare STARS, Healthcare Effectiveness Data and Information Set ( HEDIS ), and Hierarchical Condition Categories (HCC) with provider staff to ... identify health risk factors and gaps in quality of care. The incumbent will interface with clients using motivational interviewing and reflective listening skills in order to develop an understand of barriers to meeting health related goals, develop a client… more
- Health Care Service Corporation (Huntsville, AL)
- …skills - verbal, written and presentation. **Preferred Job Qualifications:** + Previous HEDIS and/or CMS STARs experience + Solid understanding of health insurance, ... customer messaging/design and project management + Strong experience using Microsoft products, including Excel (knowledge of pivot tables, VLOOKUP, etc.) and PowerPoint + Experience in financial/trend analysis + Team player with proven ability to foster and… more
- Healthfirst (WV)
- …demographics as outlined via the Member Reward Card Program Guidelines, HEDIS /QARR Technical Specifications, and CMS/DOH guidelines + Conducts member and provider ... outreach to inform on reward guidance and status using multiple internal systems and applications + Collaborates with internal and external teams to track and document program requirements and implementation status + Documents, communicates and presents… more
- CenterWell (Phoenix, AZ)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. + Bilingual is a plus. **Additional Information** + Guaranteed… more
- Veterans Affairs, Veterans Health Administration (Kenosha, WI)
- …ineligible to apply for incentive. Contact ###@va.gov, the EDRP Coordinator for questions/assistance. MAJOR DUTIES AND RESPONSIBILITIES: - Responsible for ... quality outcomes, care coordination, screenings), Healthcare Effectiveness Data and Information Set ( HEDIS ), All Employee Survey scores, and other metrics as to be… more
- CenterWell (Atlanta, GA)
- …D, Care Coach Nurse, MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience ... + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Additional Information:** + Guaranteed base salary + bi-annual… more
- Beth Israel Lahey Health (Brookline, MA)
- …Description:** **Job Summary:** Reports to: Practice Manager or Ambulatory Practice Coordinator with input from assigned physician(s), nurses or other health care ... relations/IPA or PO, and a familiarity with standard quality measures, eg, HEDIS . 2. Familiarity with different electronic medical records, including WebOMR.… more
- ChenMed (Houston, TX)
- …hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary ... their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office. + For patients that… more
- ChenMed (Warren, MI)
- …hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures. Each primary ... their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office. + For patients that… more