- CHRISTUS Health (Santa Fe, NM)
- …limited to the following: CHQCA and community provider practices including training on HEDIS measures and annual quality abstraction to support (Medicare Shared ... and preparation of data results related to all aspects of care coordination operations including; ACO care gap closures, CMS data metrics and documentation that… more
- Centene Corporation (St. Louis, MO)
- …Licensed Marital and Family Therapist (LMFT), Licensed Certified Social Worker (LCSW), Licensed Registered Nurse ( RN ), Acute Care Nurse Practitioner ... practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Provides education...Provider Relations to improve provider performance in areas of Quality , Risk Adjustment and Operations (claims and… 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
- 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
- Actalent (Syracuse, NY)
- …Master Social Work LMSW -Certified Social Worker C-SW -Licensed Social Worker LSW - Registered Nurse RN preferred Education/Experience: Required: A Bachelor's ... Provider Relations to improve provider performance in areas of Quality Risk Adjustment Operations claims and encounters....projects instrumental to the function of the department. Skills: HEDIS , managed care, quality improvement, RN… more
- Centene Corporation (Lubbock, 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 (Vancouver, WA)
- …for the following position(s): Sea Mar is a mandatory COVID-19 and flu vaccine organization Nurse Manager ( RN or LPN) - Posting #26368 Nurse Manager ( ... 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
- Veterans Affairs, Veterans Health Administration (Augusta, GA)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... the continuum of care. Spinal Cord Serves as the RN Team Leader for a team of patients with...devises strategies to improve Healthcare Effective Data Information Sets ( HEDIS ) metrics, clinical reminders, panel access, timely encounter closures,… more
- Centene Corporation (Jefferson City, MO)
- …of innovative approaches to defined programs to improve healthcare quality preferred RN - Registered Nurse - State Licensure and/or Compact State ... Licensure Upon Hire required and APRN-BC - Advanced Practice Registered Nurse , Board Certified Upon Hire required ACNP-BC - Acute Care Nurse Practitioner -… more
- AdventHealth (Altamonte Springs, FL)
- …Data and Data Analysis related to healthcare EDUCATION AND EXPERIENCE PREFERRED: * Registered Nurse candidate is preferred *Master's Degree is preferred *Lean ... belt or PDSA training is preferred LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED: * Registered Nurse This facility is an equal opportunity employer and… more
- Baystate Health (Springfield, MA)
- …care success including medical management, financial risk methodologies, risk adjustment capture, HEDIS quality outcomes, and care management. **You Belong At ... DIVERSE PATIENTS. DIVERSE LOCATIONS. **Education:** Master of Science (Required) **Certifications:** Registered Nurse - State of Massachusetts **Equal Employment… more
- Centene Corporation (St. Louis, MO)
- … Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set ( HEDIS ) performance + Responsible for quality improvement aspects of ... to improve overall STARS ratings for Medicare products (including HEDIS , CAHPS, HOS) + Oversee provider satisfaction surveys and...experience. + 7+ years of quality management, quality improvement or healthcare operations experience. +… more
- Commonwealth Care Alliance (Farmington Hills, MI)
- …or education. + Previous quality experience Experience Desired: + 1-2 years of HEDIS quality experience (as evident by HEDIS audits) Knowledge, Skills & ... **Why This Role is Important to Us:** The Specialist, Quality -- Provider Engagement -- ACO/PO monitors Quality Measures within Accountable Care Organization… more
- CVS Health (Chicago, IL)
- …roles. + 5+ years of Medicaid experience, preferably in the State of Illinois. + Registered Nurse , preferably in the State of Illinois. + Experience with data ... (ABHIL) is recruiting for an Executive Director, Health Services Operations , to be known at the health plan as...detailed and supportive oversight of the activities of the Quality team to ensure maximal performance with HEDIS… more
- CVS Health (Springfield, IL)
- …of practice transformation advisors, and collaborate to tailor and implement the Quality and Practice Transformation strategies across the IL provider network, with ... a focus on alignment of practice operations and capabilities with Medicaid member needs, and to...population outcomes. Using innovation, integration, and data, links the quality management activities to business goals. Health Care … more
- Queen's Health System (Honolulu, HI)
- … quality improvement initiatives **MINIMUM QUALIFICATIONS:** + Current Hawaii State license as Registered Nurse + Bachelor's degree in Nursing + Two (2) years ... data (preferably Epic) preferred. + Experience with health care regulatory and clinical quality measurements frameworks such as NCQA HEDIS , Meaningful Use, PQRS,… more
- Emory Healthcare/Emory University (Atlanta, GA)
- **Overview** This role works to directly and positively affect various HEDIS quality measure outcomes as related to various value-based performance contracts. In ... to assist with coordination of health maintenance screenings/assessments directly related CMS/ HEDIS quality measures and medication adherence measures by… more
- Commonwealth Care Alliance (Boston, MA)
- …plans are high functioning and medically appropriate, including care management, health plan operations , quality improvement, and HEDIS . The incumbent will ... RI products as relate to the development and implementation of population health and quality improvement strategies, with an emphasis on HEDIS metrics and health… more
- Humana (Tallahassee, FL)
- …guidance and direction **Use your skills to make an impact** **Required Qualifications** + Registered Nurse + Bilingual English and Spanish, Must be able to ... an in-depth evaluation of variable factors. The Bilingual Senior Stars, Improvement Nurse / Clinical Professional focuses on areas of clinical emphasis + Requires… more
- Centene Corporation (FL)
- …in Florida **Position Purpose:** Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members ... as high risk to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assess members' current… more
