- AltaMed Health Services Corporation (Anaheim, CA)
- …of clinical care services/programs, which include patient experience, patient safety, HEDIS quality measures, financial goals, etc. The Supervisor also ... clinical care services/programs, which includes patient experience, patient safety, HEDIS quality measures, financial goals, etc. The...in staff supervision A current, valid license as a registered nurse through the California Board of… more
- InGenesis (San Jose, CA)
- Urgent Care Registered Nurse -San Jose Job Details Professional Discipline : Registered Nurse Specialty : - Employment Type : Full Time City : San Jose ... 135,000 Job Description: InGenesis is seeking an Urgent Care Registered Nurse to join our team in...industry landscape shifts with new challenges in patient care, quality and compliance requirements, workforce retention, and… more
- Athari (New York, NY)
- …being investigated by the Quality Management Department, and collaborates with Quality Management on HEDIS , STAR ratings and CAHPS score improvement ... implementation, and annual review of the Integrated Care Management and Quality Management/ Quality Improvement Plan. *Provides oversight for the implementation… more
- South Side Healthy Community Organization Inc (Chicago, IL)
- …will focus on optimizing clinical performance, improving patient outcomes, ensuring compliance with quality standards, and supporting value-based care models ... data analytics tools to track and assess clinical performance metrics, such as HEDIS , STAR ratings, ACO quality measures, and other relevant performance… more
- MLee Healthcare Staffing and Recruiting, Inc (Albuquerque, NM)
- Ambulatory Nurse Quality Coordinator / RN - Full Time Schedule: Full-Time Salary Range: Competitive pay, based on experience and qualifications. Location: ... and driving quality initiatives? As an Ambulatory Nurse Quality Coordinator , you will play...patient outcomes. Support value-based purchasing contracts, ACO initiatives, and HEDIS compliance by analyzing performance data and… more
- Healthmap Solutions (Lexington, SC)
- …meetings/interactions and member interactions for consistency and coordination and in compliance with National Committee for Quality Assurance (NCQA) standards ... for better health, for those who need us most. Position Summary The RN Clinical Care Manager is responsible for developing and maintaining long-term relationships… more
- FoundCare, Inc. (West Palm Beach, FL)
- … goals with patient care. Requirements Qualifications & Requirements: Education & Licensure: Registered Nurse ( RN ) license required. Bachelor of Science in ... Job Type Full-time Description The Quality Nurse Manager is responsible for... Manager is responsible for overseeing and improving clinical quality , patient safety, and regulatory compliance within… 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,...and closure of Healthcare Effectiveness Data & Information Set ( HEDIS ) care gaps of required Quality Metrics.… more
- InGenesis (Fremont, CA)
- InGenesis is seeking an Urgent Care Registered Nurse to join our team in support of our client. In this essential role, you will collaborate with physicians and ... care for a diverse, often underserved population. As an urgent care registered nurse and physician extender, you'll assess symptoms, coordinate care,… more
- CenterWell (Tampa, FL)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... evaluation of variable factors. The Stars Improvement Clinical Professional ( RN ) collaborates with market leadership, and quality ...+ Proven work experience as a HEDIS Nurse or similar role in healthcare quality … more
- CenterWell (Grand Prairie, TX)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... caring community and help us put health first** The Quality RN Professional is responsible for the...+ Proven work experience as a HEDIS Nurse or similar role in healthcare quality … 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+ ... evaluation of variable factors. The Stars Improvement Clinical Professional ( RN ): + Collaborates with market leadership, and quality...+ Proven work experience as a HEDIS Nurse or similar role in healthcare quality … more
- Humana (Stuart, FL)
- …And more **Use your skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse ( RN ) without restriction in applicable state** + 5+ ... caring community and help us put health first** The Quality Improvement Clinical Professional ( RN ) is responsible...to the in-network providers to establish working relationships + Quality /clinical management and population health + HEDIS … more
- Elevance Health (Baton Rouge, LA)
- …annual and ad hoc medical record reviews such as HEDIS and CPG compliance . + Conducts quality of care investigations and using criteria closes case ... **JR142090 BH Clinical Quality Audit Analyst Sr** Responsible for participating in...behavioral health clinician preferred (LCSW, LPCC, LMFT, Ph.D., Psy.D., RN ). + Will also be responsible for maintaining the… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed About Us Covenant ... development of practice guidelines and clinical pathways that support quality improvement activities. The RN Care Coordinator...coordination services within the scope of practice as a registered nurse meeting all required standards both… more
- The Cigna Group (Bloomfield, CT)
- …other stakeholders to foster collaboration and support for program initiatives. + ** Compliance and Quality Assurance:** Ensure programs comply with regulatory ... enterprise. + Design & Execution: Oversees the design and implementation of clinical quality initiatives, studies, and pilots to improve HEDIS (C) results,… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** Sr. Healthcare Quality Specialist RN is responsible for evaluating and improving quality of care and patient safety at Kelsey-Seybold ... Clinic (KSC). This role combines clinical expertise with quality improvement methodologies to ensure compliance with healthcare standards, promote best… more
- Humana (Richmond, VA)
- …and help us put health first** Humana Healthy Horizons in Virginia is seeking a Quality Compliance Nurse Professional 2 who will be focused on ensuring ... and research to support quality assurance. The Quality Compliance Nurse Professional 2...licensed Practical Nurse (LPN) or a licensed Registered Nurse ( RN ) with an… more
- Centene Corporation (Oklahoma City, OK)
- …providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides ... compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS… more
- Molina Healthcare (Fort Worth, TX)
- …+ Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees: If you are interested ... & Community Interventions oversees and implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare,… more
