- Prime Therapeutics (Lincoln, NE)
- …to support the Centers for Medicare & Medicaid Services (CMS) Star and HEDIS quality measure programs, including but not limited to: Medication Therapy Management ... qualified members' medications and disease states related to the Star and HEDIS quality measures programs and processes. **Responsibilities** + Receive inbound and… more
- Defense Health Agency (Fort Irwin, CA)
- …and routes of administration. Review requires transcription of information to medical records and official school forms. Documents administration on required ... ( HEDIS ) metrics, procedure preparation, wellness screening paperwork, etc. Review patient appointments, 24-78 hours prior to scheduled appointment and identifies… more
- CVS Health (Jefferson City, MO)
- …enablement. 4. Have oversight of the design, development, and deployment of Care Models and review medical care provided to Enrollees and medical aspects of ... driving clinical excellence, achieving measurable health outcomes, and supporting quality and medical management in a highly matrixed environment. The CMO will also… more
- AmeriHealth Caritas (Washington, DC)
- …informally as needed + ; Thoroughly documents all care coordination activity in the member medical record in the electronic medical management system + ; ... to contractual obligations; + ;Performs clinical case reviews in conjunction with Medical Excellence Department responsible for HEDIS performance + ;Maintains… more
- Trinity Health (Boise, ID)
- …Population Health Team is now hiring for a compassionate and adaptable Medical Assistant! This position will support the Boise area family medicine clinics! ... initiatives (Gaps In Care Closure) focused on Quality measures ( HEDIS ). + This position will be primarily located at...be flexible day to day. + The Saint Alphonsus Medical Group is a multi-specialty, physician-led organization focused on… more
- Adelante (Goodyear, AZ)
- …to find additional resources to support patient care. Administrative Responsibilities + Obtain medical records , labs & diagnostics results as needed. + Align ... individuals with the education and resources necessary for managing their medical conditions effectively. EXPECTATIONS Every Adelante Healthcare employee will strive… more
- ERP International (Barksdale AFB, LA)
- …ensure patients receive appropriate clinical preventive services. Reviews diagnosis and medical records for active-duty members to determine pre-deployment and ... deployment status in a private setting. + Conduct pre-deployment review of health record for any conditions...(HAWC) or other services as required. + Accesses electronic medical records or patient paper charts to… more
- Queen's Health System (Honolulu, HI)
- …rules. * Performs a variety of clerical duties involved in maintaining patient medical records including record assembly, scanning, indexing, location, ... file transfer protocol (FTP) sites for quality and payor review of records ( HEDIS /Risk Adjustment/RAC)....diploma or equivalent. B. EXPERIENCE: * Prior experience in Medical Record Department preferred. * Demonstrated ability… more
- Apicha Community Health Center (New York, NY)
- …disparities and social determinants of health. The role encompasses analysis and review of trends and projections of key clinical metrics, supporting new program ... and agency-wide reports + Validate data using various electronic health record and population health management systems and identify data discrepancies with… more
- Commonwealth Care Alliance (Boston, MA)
- …Informatics & Sys Dev * Upload patient documentation into CCA's electronic medical record (eCW) * Communicates any identified discrepancies in documentation ... * Obtain documentation from outside EMRs in preparation of HEDIS review , ACA and MDS assessments. *...Responsible for recording accurately and consistently in CCAs electronic medical record . * Support clinical teams by… more