- MedStar Family Choice (Washington, DC)
- …Offering Nursing Profession RN Specialty Case Manager Job ID 32984627 Job Title Registered Nurse - Case Manager @ MedStar Family Choice - DC Weekly ... 11/10/2025 Duration 13 Week(s) Job Description Job Title: Case Manager Profession: Registered Nurse Specialty:...also required. Familiarity with CPT coding, ICD-10 coding, and HEDIS measures is preferred . Knowledge of HIPAA… more
- American Traveler (Washington, DC)
- American Traveler is seeking an experienced RN Case Manager with a DC license and case management or utilization management background for a day shift position. ... rotation according to clinical experience and facility policy, Job Requirements *Active DC RN license required at time of consideration, *Minimum 2 years of recent… more
- Healthmap Solutions (Lexington, SC)
- …for those who need us most. Position Summary The Clinical Care Manager is responsible for developing and maintaining long-term relationships with physicians, ... process improvement in provider workflows, Kidney Health Management interventions and HEDIS /STAR measures for identified areas of provider low performance Identify… more
- CenterWell Primary Care (Tampa, FL)
- …operational excellence Use your skills to make an impact Required Qualifications Licensed Registered Nurse ( RN ) without restriction in applicable state 5+ ... us put health first The Stars Improvement, Clinical Professional ( RN ) is responsible for the development, implementation and management...of clinical nursing experience Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- CenterWell Primary Care (North Charleston, SC)
- …operational excellence Use your skills to make an impact Required Qualifications Licensed Registered Nurse ( RN ) without restriction in applicable state 5+ ... community and help us put health first The Quality RN Professional responsible for the development, implementation and management...of clinical nursing experience Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- Molina Healthcare (Long Beach, CA)
- …Certified Professional in Health Quality (CPHQ) Nursing License ( RN may be preferred for specific roles) Certified HEDIS Compliance Auditor (CHCA) To all ... Job Description Job Description Job Summary The Manager , Quality Program Management and Performance oversees and leads activities to maintain compliance with state… more
- COMMUNITY HEALTH GROUP (Chula Vista, CA)
- …facility and medical record reviews, Health Effectiveness Data and Information Set ( HEDIS ) file review and clinical oversight, and the quality reporting. Serving in ... as necessary to support the Corporate Quality Department responsibilities including HEDIS -related activities. Assists the Director of Corporate Quality in producing… more
- Adelante (Goodyear, AZ)
- …Goodyear, AZ Position Type Full Time Job Category Health Care Description POSITION SUMMARY The Registered Nurse ( RN ) will play a pivotal role in guiding ... Registered Nurse (Family/Internal Medicine) - Goodyear,...acting as an advocate for those they serve. The RN will be a vital member of the multidisciplinary… more
- Veterans Affairs, Veterans Health Administration (Jacksonville, NC)
- …Team (Primary Care Provider, Nurse Care Manager , Licensed Practical Nurse , Health Technician, and Clerical Associate. The RN major duties and ... Summary The Fayetteville VA Medical Center is hiring a Registered Nurse for the PACT Outpatient team...Outpatient team located at our Jacksonville CBOC location. The RN selected for this position will provide Veteran-centered care,… 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...2-4 years clinical practice experience required + Experience in HEDIS , MIPS, PQRS, ACO, STARS preferred **Knowledge,… more
- CenterWell (Tampa, FL)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... us put health first** The Stars Improvement, Clinical Professional ( RN ) is responsible for the development, implementation and management...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- Sea Mar Community Health Centers (Tacoma, WA)
- … Nurse Manager - Posting #25738 Salary Rate: $74,958.09 (LPN) - $92,444.35 ( RN ) Position Summary: Full-time Nurse Manager ( RN or LPN) position ... a Patient Centered Medical Home (PCMH) level III. The Nurse Manager works in conjunction with Health...experience in nursing supervision as well as management experience preferred . + Ideal candidates would be Registered … more
- CenterWell (North Miami Beach, FL)
- …Qualifications** + **Bilingual proficiency in English and Haitian Creole is required.** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5+ ... us put health first** The Stars Improvement, Clinical Professional ( RN ) is responsible for the development, implementation and management...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- CenterWell (Greer, SC)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... community and help us put health first** The Quality RN Professional responsible for the development, implementation and management...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- Sea Mar Community Health Centers (Puyallup, WA)
- …a mandatory COVID-19 and flu vaccine organization Nurse Manager - Posting #26096 Nurse Manager RN Annual Salary: $85,470.00 Nurse Manager LPN ... Annual Salary: $74,958.09 Position Summary: Full-time Nurse Manager position available for our Medical Clinic in Puyallup,...up to 50 pounds. Requirements: + Must be a Registered Nurse , BSN, LPN or equivalent and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Levels + Associates degree required. Bachelor's degree preferred . + Active NYS RN or Registered Dietician or Physical Therapist licensure required; or LMSW; ... varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… more
- Sea Mar Community Health Centers (Aberdeen, WA)
- …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager ( RN or LPN) - Posting #27454 Hourly Rate: $36.04 ... Salary: $74,958.09 - 92,444.35 (depending on license/experience) Position Summary: Full-time Nurse Manager position available for our Aberdeen Medical Clinic.… more
- Molina Healthcare (Fort Worth, TX)
- …Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all ... activities and results to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may require remediation + Other… more
- Fallon Health (Brockton, MA)
- …field preferred . **License** : Active, unrestricted license as a Registered Nurse in Massachusetts **Certification** : Certification in Case Management ... Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral...**Experience:** * 1+ years of clinical experience as a Registered Nurse managing chronically ill members or… more
- CareFirst (Baltimore, MD)
- …experience with Medicaid line of business and related regulations. **Licenses/Certifications** Health Services\ RN - Registered Nurse - State Licensure and/or ... Compact State Licensure Upon Hire Required ** Preferred Qualifications** + Solid understanding for COMAR regulations and...concepts including Health Plan Employer Data and Information Sheet ( HEDIS ) and knowledge of the standards of practice for… more
