- 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
- 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
- Martin's Point Health Care (Portland, ME)
- …Point has been certified as a "Great Place to Work" since 2015. Position Summary The Manager , HEDIS Program educates and serves as the HEDIS subject matter ... expert (SME). The Manager , HEDIS Program is responsible for coordinating, implementing, and executing HEDIS Program specific projects, and ensuring… 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 ... critical program milestones, deadlines, and/or deliverables + Participates in quality/ HEDIS improvement activities, meetings, and discussions with and between other… 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
- CVS Health (Lansing, MI)
- …live in Michigan** **Must hold a clinical license, preferably, Nursing License** The Manager of Health Care Quality will support the functions of the Michigan Highly ... Integrated Duals Eligible (HIDE) quality program, including regulatory deliverables, HEDIS activities and reporting and other quality improvement activities. Be a… 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
- CenterWell (Lutz, FL)
- …experience, provider experience and operational excellence **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable ... a combination of LPN and RN experience ** Preferred Qualification** + Strong knowledge of HEDIS /Stars/CMS...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction… more
- Molina Healthcare (Rochester, 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
- 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. + Minimum ... varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist,… 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 (Beverly, 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
- Sharp HealthCare (San Diego, CA)
- … Registered Nurse ( RN ) - CA Board of Registered Nursing -REQUIRED ** Preferred Qualifications** + Master's Degree in nursing, healthcare, quality, ... Bachelor's Degree in Nursing; Bachelor's Degree; Master's Degree; California Registered Nurse ( RN ) - CA...Healthcare Quality (CPHQ) - National Association for Healthcare Quality - PREFERRED + Certified Case Manager (CCM) -… more
- Humana (Springfield, IL)
- …Qualifications** + **Must reside in the state of Illinois.** + An active, unrestricted, Registered Nurse ( RN ) license, Licensed Clinical Social Worker (LCSW) ... and behavioral health professionals responsible for care management. The Manager , Care Management, works within specific guidelines and procedures; applies… 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 ** **(Behaioral 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
