• HEDIS Overreader Registered

    Insight Global (Philadelphia, PA)
    …. Skills and Requirements Previous HEDIS review experience Active RN License or Active LPN License 2-3 years of clinical ... make sure it meets a patient's care needs. The HEDIS nurse focuses solely on using ...local providers Previous HEDIS review experience Active RN License or Active LPN License 2-3… more
    Insight Global (04/01/25)
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  • HEDIS Registered Nurse

    Insight Global (Philadelphia, PA)
    …Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Active RN License or Active LPN License 2-3 years ... Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract...of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer… more
    Insight Global (04/01/25)
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  • LPN / RN Clinical Manager

    ChenMed (Maple Heights, OH)
    …or Healthcare Administration or a healthcare related field preferred + Active and good standing Licensed Practical Nurse ( LPN ) in current state of ... and execution of business strategies that increase revenue and quality ratings ( HEDIS /STARS/Clinical Gaps) and support our core model. + Develops protocols and… more
    ChenMed (04/24/25)
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  • Nurse Manager ( RN or LPN )

    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 ... Nurse Manager - Posting #25738 Salary Rate: $74,958.09 ( LPN ) - $92,444.35 ( RN ) Position Summary: Full-time...of Washington highly preferred or + LPN and licensed to practice nursing in… 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)
    …up to 50 pounds. Requirements: + Must be a Registered Nurse , BSN, LPN or equivalent and licensed to practice nursing in the State of Washington. + ... Nurse Manager RN Annual Salary: $85,470.00 Nurse Manager LPN Annual Salary: $74,958.09 Position...or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards + Provide annual MA… more
    Sea Mar Community Health Centers (02/12/25)
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  • LPN /MA Care Manager, Advanced Primary Care

    Praxis Health (Portland, OR)
    …of healthcare with Praxis Health! Minimum Qualifications Required Education + High school diploma + Licensed Practical Nurse ( LPN ) or Highly Skilled MA + ... and news Praxis Health. LocationUS-OR-Portland Job ID 2025-6473 # Positions 1 Category Medical Clinic (MA, RN , LPN ,ETC) Schedule Full-time, Monday - Friday more
    Praxis Health (04/23/25)
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  • Nurse Manager ( RN or LPN )

    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 ... from other health care facilities. Candidates in this position must be an RN or LPN . Responsibilities include: + Manage and evaluate approximately 10-12… more
    Sea Mar Community Health Centers (04/11/25)
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  • Patient Care Advocate

    Centene Corporation (Little Rock, AR)
    …preferably in a managed care environment. **License/Certification:** One of the following is preferred. Licensed Practical Nurse ( LPN ); Licensed ... to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS ...Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN more
    Centene Corporation (04/27/25)
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  • Quality Program Strategist II

    Centene Corporation (Raleigh, NC)
    …2+ years of quality experience preferred. **License/Certification:** Registered Nurse ( RN ), Licensed Practical Nurse , Licensed Vocational ... market trends and oversee functions of quality improvement programs for HEDIS , CAHPS, and/or HOS strategy and related quality improvement activities. Assists… more
    Centene Corporation (04/04/25)
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  • Medical Assistant TRI Cardio Buffalo Kensington

    Catholic Health (Buffalo, NY)
    …needs of the department Summary: The Medical Assistant is under the clinical supervision of the Licensed Practical Nurse , Registered Nurse , Nurse ... but not required + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred (Primary Care) WORKING CONDITIONS: + Ability to travel to and… more
    Catholic Health (05/02/25)
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  • Quality Practice Advisor - Medical Affairs

    Centene Corporation (Houston, TX)
    …the following required:** RN , APRN, HCQM, CHP, CPHQ, CPC, CBCS, CCS, LPN , LVN, LMSW, LMFT, LPC, LCSW **Preferred Experience:** + Extensive clinical skills in ... benefits including a fresh perspective on workplace flexibility. **Applicants with HEDIS measures and Medicare STAR Ratings experience** **Work Location: Houston,… more
    Centene Corporation (04/27/25)
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  • Quality Practice Advisor

    Centene Corporation (Oklahoma City, OK)
    …- FRIDAY, 8AM - 5PM CENTRAL TIME ZONE. IDEAL APPLICANT WILL BE A NURSE WITH HEDIS BACKGROUND.** **Position Purpose:** Establishes and fosters a healthy working ... sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for ...adjustment (coding) required **One of the following required:** CCS, LPN , LCSW, LMHC, LMSW, LMFT, LVN, RN ,… more
    Centene Corporation (04/16/25)
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  • Clinical Quality Management Analyst

    BlueCross BlueShield of North Carolina (NC)
    …Bring (Hiring Requirements)** + RN with 3 years of clinical experience or LPN with 5 years of clinical experience required + Must have previous work experience ... quality improvement for NCQA Healthcare Effectiveness and Data Information Set ( HEDIS ) measures, MA Stars and developing improvement plans when needed. Implement… more
    BlueCross BlueShield of North Carolina (04/28/25)
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  • Clinical Quality Manager

    Healthfirst (NY)
    …area **Preferred Qualifications:** + Bachelors Degree from an accredited institution + Clinical license: LPN , RN , LMSW or LCSW + Multiple years of HEDIS ... + Assists in writing member and/or provider articles on HEDIS , QARR, Medicare Advantage, and/or health promotions for the...business + Medical record review experience directly working on HEDIS /QARR in a managed care setting + Good presentation,… more
    Healthfirst (02/08/25)
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  • Quality Improvement Coordinator

    Florida Health Care Plans, Inc. (Daytona Beach, FL)
    …experience in a health care environment, or a graduate of an accredited nursing program ( RN or LPN ) with a current valid Florida license. + Healthcare quality ... claims system, clinical informatics reports, national guidelines, NCQA standards, HEDIS specifications, CMS regulations and other applicable resources. QUALIFICATIONS:… more
    Florida Health Care Plans, Inc. (04/16/25)
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  • Lead Medical Support Assistant

    Veterans Affairs, Veterans Health Administration (Portsmouth, VA)
    …Eye, ENT, Oncology, Women's Health, etc.). Coordinates with the patient care team ( LPN , RN , Clinician/Provider, Social worker, Pharmacist, etc.). to review the ... (CTM), recall delinquency report, secure messages, VeTEXT, VAR, as well as SAIL/ HEDIS metrics that directly impact the PACT team's metrics for patient care. Ensures… more
    Veterans Affairs, Veterans Health Administration (05/02/25)
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