- 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...2-4 years clinical practice experience required + Experience in HEDIS , MIPS, PQRS, ACO, STARS preferred **Knowledge,… more
- CenterWell (Tampa, FL)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... 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 (Orlando, 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
- Evolent (Tallahassee, FL)
- …for utilization management and use of project resources. **Qualifications - Required and Preferred ** + RN Licenses (Active and Unrestricted) - Required + ... with a global workforce and a working knowledge of clinical quality metrics such as HEDIS and NCQA - Preferred . + Skilled in inpatient and outpatient utilization… more
- CenterWell (Port St. Lucie, FL)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and… more
- Elevance Health (Tampa, FL)
- …of ICD-10 CM, CMS guidelines including Risk Adjustment payment model, STARS and HEDIS highly preferred . + Clinical review experience. Please be advised that ... life through home-care and community based services. **Clinical Quality Consultant Nurse Practitioner** Location: **Virtual** - This role enables associates to work… more
- Molina Healthcare (FL)
- …Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all ... activities and results to identify opportunities for improvement + Surfaces to the Manager and Director any gaps in processes that may require remediation + Other… more