- 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
- Molina Healthcare (Chandler, AZ)
- …member and provider outreach to improve care and service. + Serves as operations and implementation lead for Molina Plan quality improvement interventions using ... Healthcare. **Preferred Experience** + 3+ years' experience with member/ provider ( HEDIS ) outreach and/or quality intervention or improvement studies… 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 (...centers + Focus clinic efforts on patient satisfaction, clinical quality measures, HEDIS , and Meaningful Use standards.… 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...as health education and disease prevention. + Participate in quality assurance activities including meetings and peer review. +… 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 ...health centers or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards… more
- Dignity Health (Phoenix, AZ)
- …campus **Responsibilities** 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...including PCMH, ACN, Payor Population Health Incentives and with quality metrics AZ RN license **PREFERRED** Experience… more
- Centene Corporation (Houston, TX)
- …providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides ... facing teams to improve provider performance in areas of Quality , Risk Adjustment and Operations (claims and...maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS… 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 - ... with Health Center Administrator and Clinical Director in daily operations of the clinic. Nurse Manager oversees...health centers or hospitals. + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards.… more
- Sea Mar Community Health Centers (Lakewood, WA)
- …the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager, RN - Posting #26919 Annual Salary: $85,470.00 - $92,444.35 ... with Health Center Administrator and Clinical Director in daily operations of the clinic. Nurse Manager oversees...health centers or hospitals + Focus clinic efforts on quality measures, HEDIS , and Meaningful Use standards… more
- 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 ... supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk...facing teams to improve provider performance in areas of Quality , Risk Adjustment and Operations (claims and… more
- ChenMed (Maple Heights, OH)
- …with the development and execution of business strategies that increase revenue and quality ratings ( HEDIS /STARS/Clinical Gaps) and support our core model. + ... responsible for the day-to-day management of back office center operations , which may include but is not limited to:...which may include but is not limited to: clinical quality , compliance, human resources, patient experience and direct team… more
- Centene Corporation (Little Rock, AR)
- …Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred.Pay Range: $26.50 - $47.59 per ... education for HEDIS measures and coding. Supports the implementation of quality improvement interventions and audits in relation to plan providers. Assists in… more
- CenterWell (Dallas, TX)
- …experience, m **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5+ years ... represents the scope of provider relationships across the following areas: + Quality /clinical management and population health + HEDIS and Stars performance… more
- CenterWell (Miami Beach, FL)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... Decisions are typically related to schedule, plans and daily operations . Performs escalated or more complex work of a...scope of provider relationships across the following areas: + Quality /clinical management and population health + HEDIS … more
- Apex Health Solutions (Houston, TX)
- …Professional in Healthcare Quality (CPHQ) Licensed Vocational Nurse (LVN) Registered Nurse ( RN ) ABOUT APEX HEALTH SOLUTIONS Apex Health Solutions ... supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk...(3) years of experience with a focus on EMR operations , use, design, and implementation Minimum three (2) years… more
- Sharp HealthCare (San Diego, CA)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** Master's Degree in Nursing; California Registered Nurse ( RN ) - CA Board of Registered Nursing; ... AlignMeasurePerform (AMP); Pay for Performance (P4P) metrics; Medicare Stars; HEDIS ; Performance Guarantees and metrics; and other quality...5 Years experience in a leadership role. + California Registered Nurse ( RN ) - CA… more
- CareFirst (Baltimore, MD)
- …addition to the required work experience. **Licenses/Certifications Upon Hire Required:** Health Services\ RN - Registered Nurse Active State Licensure and/or ... Management standards, program criteria, policies, and procedures to ensure quality of care and manage health care costs. We...health care costs. We are looking for an experienced Registered Nurse and people leader with UM/CM… more
- Molina Healthcare (Buffalo, NY)
- …department scope + Possesses a strong knowledge in data acquisition processes, HEDIS and quality performance management across all LOBs. Some understanding ... experience is needed for positions that are focused on Accreditation, Compliance, HEDIS Interventions, Potential Quality of Care issues, and medical record… more
- Independent Health (Buffalo, NY)
- …The Manager, Quality Programs will lead the execution of identified/approved operations , quality , and population health plans/roadmaps in support of both ... and as requested by the Director. **Qualifications** + Bachelor's degree or Registered Nursing License ( RN ) required. Master's degree preferred. An additional… more
- Elevance Health (Woburn, MA)
- …to ensure high quality care to members and achievement of company HEDIS performance. + Implements strategies that meet clinical, quality , and network ... + Acts as a liaison between strategic providers and Carelon clinical, quality , provider strategy, network departments, operations , claims and provider relations… more