- 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
- 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
- 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
- ChenMed (St. Louis, MO)
- …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
- 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
- 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
- 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