• Registered Nurse

    Adelante (Peoria, AZ)
    …Peoria, 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 - Peoria, AZ Job Details...acting as an advocate for those they serve. The RN will be a vital member of the multidisciplinary healthcare… more
    Adelante (06/13/25)
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  • Utilization Review - Registered

    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
    Community Health Systems (04/25/25)
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  • Government Business Quality Management Health Plan…

    Elevance Health (Metairie, LA)
    …an equivalent background. ** Preferred Skills, Capabilities and Experiences:** + Registered Nurse ( RN ) or Certified Professional Healthcare Quality ... preferred . + Previous experience working with NCQA, and HEDIS strongly preferred . Please be advised that...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
    Elevance Health (06/10/25)
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  • Quality Improvement RN

    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
    CenterWell (05/14/25)
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  • Quality Improvement RN

    CenterWell (Kissimmee, 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 ) 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 (05/13/25)
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  • Quality RN - West Charleston (Vegas)

    CenterWell (Las Vegas, NV)
    …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 (04/08/25)
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  • Nurse Manager ( RN or LPN)

    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
    Sea Mar Community Health Centers (04/29/25)
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  • Nurse Manager ( RN or LPN)

    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
    Sea Mar Community Health Centers (05/13/25)
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  • Case Manager , RN or Licensed…

    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
    Excellus BlueCross BlueShield (06/18/25)
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  • Nurse Manager ( RN or LPN)

    Sea Mar Community Health Centers (Lacey, WA)
    …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager ( RN or LPN) - Posting #27416 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 Lacey Medical Clinic,… more
    Sea Mar Community Health Centers (06/17/25)
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  • Senior Care Options, Supervisor - RN

    Fallon Health (Worcester, MA)
    …field preferred **License** : Active, unrestricted license as a Registered Nurse in Massachusetts **Certification:** Certification in Case Management ... * A minimum of two years' clinical experience as a licensed Registered Nurse managing/coordinating/facilitating/providing care for member populations required *… more
    Fallon Health (06/12/25)
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  • Transition of Care Coach ( RN ) Remote…

    Molina Healthcare (Rochester, NY)
    …or home health. **Required License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Must have ... supporting our Transitions of Care Management program. We are looking for RN candidates with experience in hospital discharge planning workflows and understanding of… more
    Molina Healthcare (06/15/25)
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  • Specialist, Member & Community Interventions…

    Molina Healthcare (Dallas, 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 +… more
    Molina Healthcare (06/19/25)
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  • Sr. Specialist, Member & Community Interventions…

    Molina Healthcare (Dallas, 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
    Molina Healthcare (06/19/25)
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  • Senior Care Options Nurse Case…

    Fallon Health (Worcester, 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
    Fallon Health (06/19/25)
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  • Manager Clinical Quality Improvements

    Dignity Health (Bakersfield, CA)
    …special projects as assigned. **Qualifications** **Minimum Qualifications:** - CA Clinical licensure ( Registered Nurse ( RN ), Licensed Vocational Nurse ... system/national level in the population health space. **Position Summary:** The Manager , Clinical Quality Improvement, is responsible for leading multiple large… more
    Dignity Health (05/11/25)
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  • Manager , Health Plan Quality Interventions…

    Molina Healthcare (OH)
    …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing, ... implementing, and monitoring the success of quality improvement interventions. The Manager works to coordinate resources and training within the health plan and… more
    Molina Healthcare (06/15/25)
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  • Manager , Quality Program Management…

    Molina Healthcare (Reno, NV)
    …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 Summary** The Manager , Quality Program Management and Performance oversees and...and experience with Excel and Visio (flow chart equivalent) ** PREFERRED QUALIFICATIONS:** + Advanced degree in Nursing, Public Health,… more
    Molina Healthcare (06/22/25)
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  • LPN or MA Care Manager - Portland

    Praxis Health (Eugene, OR)
    …healthcare clinic, and we're searching for an experienced LPN or MA Care Manager to join our advanced primary care team. This is a high-impact, in-house ... with centralized PXH/Regence teams to drive performance in: + HEDIS metric tracking + Transitional Care Management (TCM) +...Required Education + High school diploma + Licensed Practical Nurse (LPN) or Highly Skilled MA + Basic Healthcare… more
    Praxis Health (04/23/25)
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  • Care Management Supervisor - (Hybrid)

    CareFirst (Baltimore, MD)
    …addition to the required work experience. **Licenses/Certifications Upon Hire Required:** Health Services\ RN - Registered Nurse Active State Licensure and/or ... health care costs. We are looking for an experienced Registered Nurse and people leader with UM/CM...and procedures, achieve individual and departmental goals. Supports the Manager of Inpatient Management. + Oversees associates conducting care… more
    CareFirst (04/17/25)
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