- Molina Healthcare (Fort Worth, TX)
- …* At least 7 years health care management/leadership experience. * Registered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse ... Committee for Quality Assurance (NCQA)/Healthcare Effectiveness Data Information Set ( HEDIS )/Medicare STARS). * Excellent organizational and time-management skills. *… more
- Community Health Systems (Naples, FL)
- Join us as a **Registered Nurse (RN) - Utilization Review position** at Physicians Regional Collier Unit: Utilization Review Shift: Mon-Fri (this is an onsite ... available for Full and Part-Time roles **Job Summary** The Utilization Review Nurse - RN reviews hospital admissions, extended stays, and supporting documentation to… more
- Catholic Health (Williamsville, NY)
- …The Medical Assistant is under the clinical supervision of the Licensed Practical Nurse , Registered Nurse , Nurse Practitioner, Physician Assistant and/or ... but not required + Knowledge of Patient Centered Medical Home, with MIPS, HEDIS requirements preferred (Primary Care) WORKING CONDITIONS: + Ability to travel to and… 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 to providing the...staff meetings and huddles as appropriate. + Participates in Hedis , GPRO, and other quality programs as needed +… more
- Beth Israel Lahey Health (Brookline, MA)
- …with routine procedures under proper supervision as directed by physician, Nurse Practitioner. Schedules follow-up tests and appointments. Arranges patient transport ... as needed. Sorts/distributes lab results daily to appropriate physician or nurse practitioner. Maintains patient confidentiality. 4. Assists with procuring medical… more
- University of Southern California (Alhambra, CA)
- …the status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning needs and documents is computer system ... + Outcomes Management 1. Participates in core measure or HEDIS measure processes in identification of appropriate patients. 2....contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic Life… more
- Covenant Health Inc. (Knoxville, TN)
- Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift About Us Covenant Medical Group employs or manages ... 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
- CenterWell (Clarksville, IN)
- …you'll be part of a collaborative, multidisciplinary team that includes nurse practitioners, pharmacists, care coaches, behavioral health specialists, and more-all ... DEA license and/or Medicaid and Medicare numbers. + Familiarity with HEDIS quality indicators and Medicare guidelines. **Compensation & Benefits** + Competitive… more
- CDPHP (Latham, NY)
- …Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ensure continuity and ... all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the group. + Responsible for all aspects of… more
- CenterWell (Lexington, KY)
- …you'll be part of a collaborative, multidisciplinary team that includes nurse practitioners, pharmacists, care coaches, behavioral health specialists, and more-all ... environment + Knowledge of Medicare guidelines and coverage + Knowledge of HEDIS quality indicators **Compensation & Benefits** + Competitive base salary + annual… more