- Molina Healthcare (TX)
- …which includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Leads meetings with vendors for the ... Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects,...lead role in the coordination and preparation of the HEDIS medical record review… more
- Somatus (Mclean, VA)
- …be r _esponsible for providing operational/strategic support in planning, coordinating, and validating HEDIS , medical record reviews_ . Reporting directly to ... the best version of themselves, including: + Subsidized, personal healthcare coverage ( medical , dental vision) + Flexible Paid Time Off (PTO) + Professional… more
- Somatus (Mclean, VA)
- …will be responsible for providing operational support in planning, coordinating, and validating HEDIS , medical record reviews. This role will oversee the ... + Support the HEDIS manager to conduct meetings with operations to review performance. + Collaborate across cross functional teams on initiatives to address care… more
- Somatus (Mclean, VA)
- …related to the outreach, collection, and accurate data entering of medical records and service data according to HEDIS / Somatus Technical Specifications. ... be to analyze and process the information collected and review the applicable medical records ...or Vocational Nurse. + 1-3 years experience working in HEDIS or medical records . +… more
- US Tech Solutions (May, OK)
- …the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification criteria or ... collection, and review of medical records to abstract clinical information for HEDIS ...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters… more
- Centene Corporation (Spring Hill, FL)
- …Work or related field. **Candidate Experience:** Required: 1+ year of experience in related HEDIS medical record review or quality improvement with ... of findings in identified databases and ensure accuracy in medical records for data collection, DE and...a managed care environment related to HEDIS record review , quality improvement, medical … more
- AdventHealth (Sebring, FL)
- …Physician Attestation Form (PAF) or Attestation prior to the patients appointment. Perform HEDIS medical record reviews, data collection, chart abstractions, ... reporting, and analysis. Coordinate and perform onsite medical record reviews and medical...record collection at provider offices to support optimum MRA/ HEDIS and quality metric reporting. Identify patients overdue for… more
- Dignity Health (Bakersfield, CA)
- …action plans to address the needs and barriers in collaboration with providers. - Performs medical record review or audits as needed. - Document provider, ... Liaison provides education and acts as a resource for HEDIS measures, appropriate medical record ...work experience of 2 years related HEDIS record collection and measures improvement with analytical review… more
- UCLA Health (Los Angeles, CA)
- …including inspections of clinical areas, patient care practices, and administrative processes + Review medical records of services in preparation for health ... Key responsibilities include: + Travel to various clinic sites and schedule and conduct medical record and facility site audits + Conduct thorough facility site… more
- Community Health Systems (Naples, FL)
- …on performance improvement of the UR KPI's. Ensures proper and accurate medical record documentation. **Essential Functions** + Reviews new admissions using ... Primarily responsible for the collection and confirmation of accurate documentation in the Medical Record + Works with healthcare providers to ensure complete… more
- CVS Health (Tallahassee, FL)
- …care of patients with severe, complex, and/or treatment resistant illnesses through peer review and educational interventions. * Work with medical director teams ... focusing on inpatient care management, clinical coverage review , member appeals clinical review , ...multiple stakeholders. * Help achieve or exceed all applicable HEDIS , Stars and local state performance targets and goals… more
- Prime Therapeutics (Lincoln, NE)
- …to support the Centers for Medicare & Medicaid Services (CMS) Star and HEDIS quality measure programs, including but not limited to: Medication Therapy Management ... qualified members' medications and disease states related to the Star and HEDIS quality measures programs and processes. **Responsibilities** + Receive inbound and… more
- Defense Health Agency (Fort Irwin, CA)
- …and routes of administration. Review requires transcription of information to medical records and official school forms. Documents administration on required ... ( HEDIS ) metrics, procedure preparation, wellness screening paperwork, etc. Review patient appointments, 24-78 hours prior to scheduled appointment and identifies… more
- CVS Health (Jefferson City, MO)
- …enablement. 4. Have oversight of the design, development, and deployment of Care Models and review medical care provided to Enrollees and medical aspects of ... driving clinical excellence, achieving measurable health outcomes, and supporting quality and medical management in a highly matrixed environment. The CMO will also… more
- AmeriHealth Caritas (Washington, DC)
- …informally as needed + ; Thoroughly documents all care coordination activity in the member medical record in the electronic medical management system + ; ... to contractual obligations; + ;Performs clinical case reviews in conjunction with Medical Excellence Department responsible for HEDIS performance + ;Maintains… more
- Trinity Health (Boise, ID)
- …Population Health Team is now hiring for a compassionate and adaptable Medical Assistant! This position will support the Boise area family medicine clinics! ... initiatives (Gaps In Care Closure) focused on Quality measures ( HEDIS ). + This position will be primarily located at...be flexible day to day. + The Saint Alphonsus Medical Group is a multi-specialty, physician-led organization focused on… more
- Adelante (Goodyear, AZ)
- …to find additional resources to support patient care. Administrative Responsibilities + Obtain medical records , labs & diagnostics results as needed. + Align ... individuals with the education and resources necessary for managing their medical conditions effectively. EXPECTATIONS Every Adelante Healthcare employee will strive… more
- ERP International (Barksdale AFB, LA)
- …ensure patients receive appropriate clinical preventive services. Reviews diagnosis and medical records for active-duty members to determine pre-deployment and ... deployment status in a private setting. + Conduct pre-deployment review of health record for any conditions...(HAWC) or other services as required. + Accesses electronic medical records or patient paper charts to… more
- Queen's Health System (Honolulu, HI)
- …rules. * Performs a variety of clerical duties involved in maintaining patient medical records including record assembly, scanning, indexing, location, ... file transfer protocol (FTP) sites for quality and payor review of records ( HEDIS /Risk Adjustment/RAC)....diploma or equivalent. B. EXPERIENCE: * Prior experience in Medical Record Department preferred. * Demonstrated ability… more
- Apicha Community Health Center (New York, NY)
- …disparities and social determinants of health. The role encompasses analysis and review of trends and projections of key clinical metrics, supporting new program ... and agency-wide reports + Validate data using various electronic health record and population health management systems and identify data discrepancies with… more