• Integrated Resources, Inc (Memphis, TN)
    …offered and meet & maintain acceptable performance goals. Responsibilities: . The contract nurse is responsible for retrieval, review , and abstraction of medical ... Job Title: Supplemental Data Collection LPN Work Location: Memphis, TN 38103 (Remote with...the state of Tennessee or a compact state. . HEDIS or Supplemental Data Collection experience is preferred, but… more
    JobGet (04/14/24)
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  • LPN /LVN or RN Value Based Care…

    The Cigna Group (Mobile, AL)
    …manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR/ CAHPS performance measures. Develop and maintain a ... and metrics for customers and communicates to provider + Review STAR summary gap report (daily) by payor +...include primary care physician and specialist appointment scheduling + Nurse notifies PCP daily of admissions and discharges +… more
    The Cigna Group (03/26/24)
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  • LPN /LVN or RN Nurse Case Management…

    The Cigna Group (Hattiesburg, MS)
    …manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to ... knowledge- able to type 35WPM + Knowledge of utilization review requirements and procedures + Knowledge of current health...and written **Experience** : + Current Licensure as a LPN /LVN or RN, in the state of residence in… more
    The Cigna Group (03/30/24)
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  • Associate Quality Practice Advisor

    Centene Corporation (Omaha, NE)
    …position. **A license in one of the following is preferred:** Certified Coding Specialist (CCS), Licensed Practical Nurse ( LPN ), Licensed Master ... work experience within a managed care environment related to HEDIS record review , quality improvement, medical coding...Social Work (LMSW), Licensed Vocational Nurse (LVN), Licensed Mental Health Counselor… more
    Centene Corporation (04/17/24)
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  • Patient Care Advocate

    Actalent (Tigard, OR)
    …coaching, preferably in a managed care environment. One of the following Licenses/Certs preferred: Licensed Practical Nurse ( LPN ) Licensed Master ... data entry, medical terminology, health care Top Skills Details: HEDIS ,medical record,quality improvement,member outreach,medicare,chart review ,NCQA Additional Skills… more
    Actalent (04/23/24)
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