- CenterWell Senior 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
- Conviva Senior Primary Care (West Palm Beach, FL)
- …operational excellence Use your skills to make an impact Required Qualifications Licensed Registered Nurse ( RN ) without restriction in applicable state 5+ ... a combination of LPN and RN experience Preferred Qualification Strong knowledge of HEDIS /Stars/CMS Bachelor's...required, unless otherwise specified Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- Molina Healthcare (OH)
- …Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all ... within the department and/or collaboratively with other departments. Please include any HEDIS /Quality experience on your resume. This experience is important for the… 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. + Minimum ... varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… more
- Molina Healthcare (Yonkers, NY)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Care Manager RN provides support for care...proficiency, and ability to navigate online portals and databases. ** Preferred Qualifications** * Certified Case Manager (CCM).… 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
- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... In collaboration with the interdisciplinary team, the Case Manager provides care coordination services evaluating options and services required to meet an… 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
- CenterWell (North Las Vegas, NV)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... a combination of LPN and RN experience ** Preferred Qualification** + Strong knowledge of HEDIS /Stars/CMS...unless otherwise specified + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- CenterWell (North Charleston, 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
- CenterWell (New Smyrna Beach, FL)
- …operational excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5+ ... us put health first** The Stars Improvement Clinical Professional ( RN ): + Collaborates with market leadership, and quality improvement...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… 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
- 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...transportation **Experience:** *1+ years of clinical experience as a Registered Nurse managing chronically ill members or… more
- Bon Secours Mercy Health (MI)
- …contracts and gap closure work. This Population Health Clinical Quality Manager will support a broad spectrum of value-based contracts. **Primary Function/General ... Purpose of Position** The Manager of Population Health Clinical Quality is responsible for...their supervisor, subject to reasonable accommodation. **Licensing/Certification** + Current RN License in the state in which they are… more
- CDPHP (Latham, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... responsibilities. Qualifications: All Levels + Associates degree required. Bachelor's degree preferred . + Active NYS Registered Dietician licensure required. +… more
- Blue KC (MO)
- …discount program** **Job Description Summary:** The Integrated Health Advancement Program Manager leads an integrated behavioral health and health outcome strategy ... outcome initiatives addressing systemic barriers to care, disparities in HEDIS and STAR measures, and drivers of social and...Work, Public Health, Psychology, or related field required + RN , LCSW, or equivalent professional license in MO and… more
- Commonwealth Care Alliance (Boston, MA)
- …Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating strong, collaborative relationships with behavioral ... coordinated care for members. In this role, the Program Manager acts as an account manager , relationship...priorities. * Track provider progress on performance metrics (eg, HEDIS , readmissions, community tenure) and follow up to support… more
- Elevance Health (Sacramento, CA)
- **Behavioral Health Community Partnership Manager ** **(Behavioral Health Provider Quality Manager )** **Sign on Bonus: $2,500** **Candidates must posses a ... insightful analytics to improve the delivery of care. The **Provider Quality Manager ** is responsible for leading Behavioral Health (BH) provider engagement, with a… more
- Commonwealth Care Alliance (Boston, MA)
- …CA-Provider Engagement & Performance Position Summary: The Provider Delegation Performance Manager is responsible for overseeing and improving the performance of ... the implementation of CCA's model of care and strategic objectives. The Manager leads performance evaluation and improvement efforts, including reporting and data… more
- Banner Health (AZ)
- …3. Monitors and tracks Corrective Active Plans (CAPs), in collaboration with the Manager , Supervisor or QM RN and communicates audit results to providers ... including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will...This position is also responsible for assisting the QM RN with the investigation and research of quality of… more
