- CenterWell (Jacksonville, FL)
- **Become a part of our caring community and help us put health first** The Stars Improvement , Clinical Professional ( RN ) is responsible for the development, ... Stars Program in the [SouthEast] market. The Stars Improvement , Clinical Professional ( RN )...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction… more
- CenterWell (Orlando, FL)
- **Become a part of our caring community and help us put health first** The Stars Improvement , Clinical Professional ( RN ) is responsible for the development, ... Stars Program in the North Florida market. The Stars Improvement , Clinical Professional ( RN )...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction… more
- CenterWell (Tampa, FL)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... and help us put health first** **Job Profile Summary** The Manager, Stars Improvement , Clinical responsible for the development, implementation and management… more
- CenterWell (Miami Beach, FL)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... and help us put health first** **Job Profile Summary** The Supervisor, Stars Improvement , Clinical is responsible for supporting the development, implementation… more
- CenterWell (Covington, LA)
- …part of our caring community and help us put health first** The Quality RN Professional/ Stars Improvement , Clinical Professional 2 responsible for the ... independent determination of the appropriate courses of action. The Stars Improvement Clinical Professional ( RN )...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction… more
- Community Health Systems (Naples, FL)
- …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** Under the direction of the UR Director/Manager the UR Nurse reviews all admissions for medical necessity, correct orders based on medical condition… more
- BlueCross BlueShield of North Carolina (NC)
- … for NCQA Healthcare Effectiveness and Data Information Set (HEDIS) measures, MA Stars and developing improvement plans when needed. Implement and manage all ... Set (HEDIS) measures to maximize outcomes of NCQA accreditation, Medicare Stars , HEDIS Measure performance and improve provider satisfaction. + Provides guidance… more
- Defense Health Agency (Oklahoma City, OK)
- **Overview** **Advanced Practice Registered Nurse , Tinker AFB, Oklahoma** Tinker AFB is located in Oklahoma City, Oklahoma. Oklahoma City offers all of the ... is permitted. Apply for this Job Online (https://careers-civilianmedicaljobs.icims.com/jobs/8586/advanced-practice- registered - nurse -%28family%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336268516) **Location** _US-OK-Oklahoma City_ **Job… more
- Highmark Health (Albany, NY)
- …adapt engagement strategies to meet market needs **LICENSES/CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + None **Language (Other than ... Description :** **JOB SUMMARY** This job is for an RN who will be directly responsible for outcomes of...When relevant, dissemination and support of gap closures for STARS and improved coding for government populations. Identification of… more
- UNC Health Care (Raleigh, NC)
- …of employment date. **Licensure/Certification Requirements:** * Licensed to practice as a Registered Nurse in the state of North Carolina. **Professional ... our patient satisfaction rating of an average of 4.9 stars . Our staff is dedicated to our staff and...Two (2) years of health care experience as a Registered Nurse . **Knowledge/Skills/and Abilities Requirements:** * Strong… more
- BrightStar Care (Hubertus, WI)
- …lift, bathing, dressing, meal preparation, linen changes, and light housekeeping. Requirements * Registered Nurse or Licensed Practical Nurse with current ... * Paid Training * Employee recognition program where earned stars may be redeemed for gift cards * Joint...care as defined within the scope of the state's Nurse Practice Act using sound judgment and critical thinking.… more
- ChenMed (Maple Heights, OH)
- …and execution of business strategies that increase revenue and quality ratings (HEDIS/ STARS /Clinical Gaps) and support our core model. + Develops protocols and ... with PCPs to coach and manage clinical staff performance; implements progressive improvement plans and disciplinary action when needed. + Manages medical equipment… more
- Guthrie (Binghamton, NY)
- …with nursing standards of care and practice under the supervision of a Registered Nurse . Maintains collaborative relationships with other nursing staff members, ... to $15,000 Sign-On Bonus for experience nurses Newly Increased RN Rates for 2025 Medical and Dental Insurance (effective...Works collaboratively with and under the direction of a Registered Nurse . A. Demonstrates the ability to… more
- Centene Corporation (Jacksonville, FL)
- …or LCSW- License Clinical Social Worker Licensed Clinical Social Worker Upon Hire required or RN - Registered Nurse - State Licensure and/or Compact State ... fresh perspective on workplace flexibility. **Position Purpose:** Perform quality improvement activities including, but not limited to, member and...Licensure Registered Nurse Pay Range: $55,100.00 - $99,000.00 per year Centene… more
- Dignity Health (Bakersfield, CA)
- …special projects as assigned. **Qualifications** **Minimum Qualifications:** - CA Clinical licensure ( Registered Nurse ( RN ), Licensed Vocational Nurse ... lead a team of dedicated LVNs/RNs in support of organizational quality improvement initiatives across Medicare, Medicaid and Commercial space. He/She will partner… more
- Medical Mutual of Ohio (OH)
- …work in government programs (Medicare) compliance, regulatory audits and process improvement . **Professional Certification(s):** . Registered Nurse with ... Improvement certification preferred (eg Six Sigma). . Legal Nurse Consultant certification preferred. **Technical Skills and Knowledge:** . Strong knowledge… more
- Trinity Health (Boise, ID)
- …experience required. + Minimum of three years' experience in healthcare. ** RN required.** **Hours:** Flexible daytime, traditional office hours. There will be ... related issues or requests. + Manages and uploads new claims in the STARs "ClearSight" module. Interacts with claims management in the system office, local… more
- Molina Healthcare (Atlanta, GA)
- …market desirable. **Preferred License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Utilization ... state, federal, and third-party regulations. + Operational and process improvement experience. + Strong communication and teaming/interpersonal skills. + Strong… more