• Manager, Care Management

    Humana (Springfield, IL)
    …reside in the state of Illinois** + An active, unrestricted, Registered Nurse **(RN)** license, Licensed Clinical Social Worker **(LCSW)** **OR** Licensed Clinical ... is higher. **Preferred Qualifications** + Advanced degree in nursing or business health field . + Certified Case Manager (CCM). + Previous experience working in a… more
    Humana (08/29/25)
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  • Data Science Analyst I - Urology

    Mount Sinai Health System (New York, NY)
    …in breakthrough research while training the next generation of leaders in the field . The Data Science Analyst I collaborates with stakeholders from across the ... + BA or BS degree minimum, in a relevant field of study; Masters degree preferred. + 2 years...reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience working in… more
    Mount Sinai Health System (09/17/25)
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  • APP, Supervisor - General Internal Medicine - Full…

    University of Miami (Miami, FL)
    …supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of this position ... + Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of… more
    University of Miami (09/15/25)
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  • Center Clinical Manager

    ChenMed (Fort Myers, FL)
    …and execution of business strategies that increase revenue and quality ratings ( HEDIS /STARS/Clinical Gaps) and support our core model. + Develops protocols and ... in Business or Healthcare Administration or a healthcare related field preferred + Active and good standing Licensed Practical... preferred + Active and good standing Licensed Practical Nurse (LPN) in current state of employment **OR** a… more
    ChenMed (09/18/25)
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  • Resource Coordinator

    AmeriHealth Caritas (Dover, DE)
    …and other organizations. + Informs members of the required actions to fulfill HEDIS , EPSDT, and Plan requirements and other referred outreach through phone calls or ... Associate's degree in healthcare, human services, or a related field , or equivalent work experience. + An active Licensed...or equivalent work experience. + An active Licensed Practical Nurse (LPN) can be substituted for the required education.… more
    AmeriHealth Caritas (08/29/25)
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  • Case Manager, RN or Licensed Behavioral Health…

    Excellus BlueCross BlueShield (Dewitt, NY)
    …and scope of practice requirements for each specific health-related field /specialty, + Maintains confidentiality and conducts information management procedures per ... Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and… more
    Excellus BlueCross BlueShield (08/28/25)
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  • Data Science Analyst II-Geriatric and Palliative…

    Mount Sinai Health System (New York, NY)
    …Sinai Health System. **Qualifications** + BA or BS degree minimum, in a relevant field of study; Masters degree preferred. + 5 years minimum in analytics development ... Medicare regulations and related reporting requirements, such as STARS,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience working in a health plan or… more
    Mount Sinai Health System (06/29/25)
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