- Medical Mutual of Ohio (OH)
- …Works with IT and Clinical Nurse staff to aid in the loading of HEDIS data and collection of medical records. Works closely with HEDIS vendor support to ... Nurse staff to aid in the loading of HEDIS data and collection of medical records. Works closely...Degree in health care administration, public health, or arelated field . + 2 years experience as a HEDIS… 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
- CVS Health (Austin, TX)
- …to HFS quality strategy and ABHIL population health model. The Quality Management, Nurse Consultant directs analysis and reporting of member and provider data to ... and evaluates targeted member/provider initiatives and supports the development of HEDIS interventions and initiatives within the Quality Management Team. - Reviews… more
- CenterWell (Atlanta, GA)
- …problems of diverse scope and complexity ranging from moderate to substantial. ** Field -Based Nurse Practitioner - Primary Care House Calls** **Territory** ... part of our caring community and help us put health first** The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient… more
- Fallon Health (Lowell, MA)
- …or follow us on Facebook, Twitter and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary team focused ... policies and processes o Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member...advanced) degree in nursing or a health care related field preferred. **License** : Active, unrestricted license as a… more
- CVS Health (Oklahoma City, OK)
- …- Must reside Oklahoma - 3 years experience in clinical, managed care, or health related field . - State of Oklahoma Registered Nurse (RN) license in the state of ... with heart, each and every day. **Position Summary** The Quality Management, Nurse Consultant has a key role in developing and implementing data-driven… more
- Insight Global (Austin, TX)
- Job Description We are seeking Board-Certified Nurse Practitioners to provide telehealth wellness visits that identify care gaps, support preventive care, and ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and Requirements * Active Nurse Practitioner license in at least one of the… more
- Centene Corporation (Lansing, MI)
- …providers at large IPA and/or group practices. Serves to collaborate with providers in the field , to improve HEDIS measures and provides education for HEDIS ... deficiencies impacting plan compliance to meeting State and Federal standards for HEDIS . Conducts telephonic outreach, while embedded in the providers' offices, to… more
- Centene Corporation (Carson City, NV)
- …and member locations._** **_Ideal candidates will have:_** + **_Experience with Quality/ HEDIS measures_** + **_Strong communication skills with comfort speaking to ... plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS , CAHPS, HOS, Part D and Administrative Operations reports and gap… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed About Us Covenant Medical ... abreast of most recent changes in quality related to HEDIS measures, CMS Conditions of Participation, MIPS and other...services within the scope of practice as a registered nurse meeting all required standards both legal and regulatory.… more