- Molina Healthcare (NY)
- …and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The overreader ... projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor which includes ongoing review...**O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment **PHY** **S**… more
- Molina Healthcare (Buffalo, NY)
- …Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The ... lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of...**O** **C** **I** **A** **TI** **O** **N** **:** Active RN license for the State(s) of employment **PHY** **S**… more
- Molina Healthcare (Yonkers, NY)
- …for the implementation, monitoring, and oversight of all chart collection for HEDIS , or HEDIS -like projects, Risk Adjustment, Risk Adjustment Data Validation, ... for all CDA team members as well as company HEDIS training, onboarding for CDA team members, vendor management...Certified Professional in Health Quality (CPHQ) * Nursing License ( RN may be preferred for specific roles) * Certified… more
- Catholic Health Services (Melville, NY)
- Overview Position Summary: The Registered Nurse provides safe, direct patient care utilizing the nursing process in the ambulatory setting. The RN provides ... clinical leadership and is a resource for staff. The Registered Nurse must show an uncompromising commitment...in staff meetings and huddles as appropriate. Participates in Hedis , GPRO, and other quality programs as needed Enters… more
- Excellus BlueCross BlueShield (Dewitt, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the group. +...Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist… more
- Molina Healthcare (Bronx, NY)
- …behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must ... asthma, COPD, and chronic kidney disease/ESRD. Skilled in closing HEDIS and preventive care gaps through proactive outreach and...Remote position based in New York A New York RN licensure is required Work schedule Monday - Friday… more
- Molina Healthcare (Rochester, NY)
- …in one or more of the following critical QI functional areas: HEDIS Performance Measurement, which conducts data collection, reporting and monitoring for key ... with key departments within Molina and at Molina plans. + Leads HEDIS Performance Measurement programs using knowledge, skills and technical expertise in performance… more
- Catholic Health (Springville, NY)
- …The Medical Assistant is under the clinical supervision of the Licensed Practical Nurse , Registered Nurse , Nurse Practitioner, Physician Assistant ... but not required + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred (Primary Care) WORKING CONDITIONS: + Ability to travel to and… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the use of medical and health care services for members. The SN CHA Nurse may also perform other technical and administrative tasks essential to the efficient ... as DOH, CMS, Medicaid, and accreditation requirements such as NCQA, URAC and HEDIS functionalities are met or exceeded. Accesses Health Commerce System (HCS) and… more
- Elevance Health (Latham, NY)
- …adherence to National Committee for Quality Assurance (NCQA) standards and HEDIS reporting. + Hires, trains, coaches, counsels, and evaluates performance of ... and experience, which would provide an equivalent background. + Current active unrestricted RN , PA, LSW, LCSW, LPC, LMHC or other accepted license (as allowed by… more