• Quality RN Professional

    CenterWell (Port Arthur, 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
    CenterWell (07/08/25)
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  • Manager , Utilization Management…

    Evolent (Austin, TX)
    …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
    Evolent (08/14/25)
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  • Sr. Specialist, Member & Community Intervention…

    Molina Healthcare (Austin, TX)
    …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
    Molina Healthcare (06/19/25)
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