- Insight Global (Philadelphia, PA)
- …to a patient's health plans to make sure it meets a patient's care needs. The HEDIS nurse focuses solely on using HEDIS measuring criteria to review health ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Previous HEDIS review experience Active RN License or… more
- Insight Global (Philadelphia, PA)
- Job Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract position in PA and NJ. PARTIALLY remote position as it ... abstraction & entry of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer equipment, encrypted zip drives… more
- 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 admissions for medical necessity, correct orders based on medical condition… more
- Molina Healthcare (Columbus, OH)
- …oversight and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The Lead ... Overreader mentors and trains new team members. Leads special HEDIS /Quality projects. **Job Duties** + Performs the lead role...**O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment **PHY** **S**… more
- Molina Healthcare (Columbus, OH)
- …of HEDIS and NCQA. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active RN license for the State(s) of employment **PHYSICAL DEMANDS:** Working environment ... of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The Lead Overreader meets… more
- MyFlorida (Bonifay, FL)
- REGISTERED NURSE - 64084676 Date: Apr 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 846448 Agency: Department of Health Working Title: REGISTERED NURSE - 64084676 Pay Plan: Career Service Position… more
- Defense Health Agency (Oklahoma City, OK)
- **Overview** **Advanced Practice Registered Nurse , Tinker AFB, Oklahoma** Tinker AFB is located in Oklahoma City, Oklahoma. Oklahoma City offers all of the ... is permitted. Apply for this Job Online (https://careers-civilianmedicaljobs.icims.com/jobs/8586/advanced-practice- registered - nurse -%28family%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336268516) **Location** _US-OK-Oklahoma City_ **Job… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …Nurse ( RN ) licensure required + Registered Nurse ( RN ) licensure required + Supports quality improvement HEDIS measures and clinical quality ... on how to improve clinical and patient outcomes, provides information on HEDIS measures, and ensure feedback is relayed on documenting appropriate medical record… more
- CenterWell (Miami, 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 (Houston, TX)
- …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 is responsible for the development, implementation and...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- Catholic Health Services (Melville, NY)
- Overview Position Summary: The Registered Nurse provides safe, direct patient care utilizing the nursing process in the ambulatory setting. The RN provides ... clinical leadership and is a resource for staff. The Registered Nurse must show an uncompromising commitment...in staff meetings and huddles as appropriate. Participates in Hedis , GPRO, and other quality programs as needed Enters… 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 Covenant Medical Group ... duties. + Provides care coordination services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory. + In… more
- Peak Vista (Colorado Springs, CO)
- …Program https://www.peakvista.org/resources/benefits-summary Job Summary: The Population Health & Quality Assurance Registered Nurse ( RN ) is responsible for ... Population Health & Quality Assurance RN Summary Title:Population Health & Quality Assurance ...to include governing bodies such as AAAHC, HRSA & HEDIS . Compliance with HIPAA and all applicable rules and… more
- MyFlorida (St. Petersburg, FL)
- …and Excellence in all aspects of their work. The OPS Advanced Practice Registered Nurse Specialist is responsible for providing comprehensive health care to ... OPS ADVANCED PRACTICE RN SPECIALIST - 64952403 Date: Apr 13, 2025...and other divisions regarding clinical issues. + Comply with HEDIS measure, Meaningful Use standards, productivity standards, and selected… more
- Sea Mar Community Health Centers (Tacoma, WA)
- …up to 10 pounds and occasionally lift and/or move up to 50 pounds. Requirements: + Registered Nurse , BSN, ADN and licensed to practice nursing in the State of ... - Posting #25738 Salary Rate: $74,958.09 (LPN) - $92,444.35 ( RN ) Position Summary: Full-time Nurse Manager (...Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards. + Provide annual MA… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the group. +...Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist… more
- Sea Mar Community Health Centers (Puyallup, WA)
- …and occasionally lift and/or move up to 50 pounds. Requirements: + Must be a Registered Nurse , BSN, LPN or equivalent and licensed to practice nursing in the ... vaccine organization Nurse Manager - Posting #26096 Nurse Manager RN Annual Salary: $85,470.00 ...or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA… more
- Molina Healthcare (Columbus, OH)
- …strategic team to present and evaluate intervention strategies. **Only individuals with an RN license are being considered at this time.** + Plans and/or implements ... health care providers. **JOB QUALIFICATIONS** **Required Education** Active, unrestricted RN License. **Required Experience** 5+ years' experience in managed… 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. Sea… more
- Dignity Health (Phoenix, AZ)
- …MUST RESIDE IN ARIZONA** The Population Health and Care Quality RN provides managerial oversight of managed care incentives programs (eg quality/ ... HEDIS /PCMH) to maximize incentive capture. Coordinate with medical directors...Payor Population Health Incentives and with quality metrics AZ RN license **PREFERRED** Experience MIPS Ambulatory Quality and Ambulatory… more
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