- The Cigna Group (Mobile, AL)
- …environment, case-management or utilization management position (experience can be a combination of LVN / RN licensure) + Previous HEDIS and/or CMS STARs ... relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR/ CAHPS performance measures. Develop and maintain...and written **Experience** : + Current Licensure as a LPN/ LVN or RN , in the state… more
- The Cigna Group (Hattiesburg, MS)
- …environment, case-management or utilization management position (experience can be a combination of LVN / RN licensure) + Previous HEDIS and/or CMS STARs ... relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a...and written **Experience** : + Current Licensure as a LPN/ LVN or RN , in the state of… more
- Centene Corporation (Omaha, NE)
- …Licensed Marital and Family Therapist (LMFT), Licensed Certified Social Worker (LCSW), Licensed Registered Nurse ( RN ), Acute Care Nurse Practitioner ... regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education for HEDIS measures,... (LPN), Licensed Master Social Work (LMSW), Licensed Vocational Nurse ( LVN ), Licensed Mental Health Counselor (LMHC),… more
- Apex Health Solutions (Houston, TX)
- …Coder (CPC) Certified Professional in Healthcare Quality (CPHQ) Licensed Vocational Nurse ( LVN ) Registered Nurse ( RN ) EXPERIENCE : Mi nimum ... their staff to ensure health plan goals are met as it relates to HEDIS /STARs and Risk Adjustment. This position coaches a practice staff to improve patient outcomes… more
- Centene Corporation (Annapolis, MD)
- …the healthcare or managed care industry. **License/Certification:** Licensed Vocational Nurse ( LVN ), Registered Nurse ( RN ), or Certified Professional ... and interpret summary data and performance reports such as pay for performance, HEDIS and medical cost ratio and develop data driven provider performance strategies.… more