- 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
- CVS Health (Columbia, SC)
- …related role. + 2+ years of process improvement experience related to HEDIS measures. + In-depth knowledge of healthcare regulations, clinical operations, quality ... VPN. **Preferred Qualifications:** + Licensed Allied Health Professional or Licensed Registered Nurse + Coding or Sales background + Certified Six Sigma Green Belt… more
- Molina Healthcare (Rochester, NY)
- …diabetes, asthma, COPD, and chronic kidney disease/ESRD. Skilled in closing HEDIS , preventive care gaps through proactive outreach and coordination with ... setting, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice.… more
- Veterans Affairs, Veterans Health Administration (Hampton, VA)
- …EWL, recall delinquency report, Secure messages, TEXT, VAR, as well as SAIL/ HEDIS metrics that directly impact clinic metrics for patient care. The Advanced MSA ... of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical… more
- Veterans Affairs, Veterans Health Administration (Chesapeake, VA)
- …(CTM), recall delinquency report, secure messages, VeTEXT, VAR, as well as SAIL/ HEDIS metrics that directly impact the PACT team's metrics for patient care. Other ... of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social workers, clinical… more
- CenterWell (Raleigh, NC)
- …put health first** We are seeking a dedicated and compassionate Licensed Practical Nurse (LPN) to join our mission-driven healthcare team. In this role, you'll ... and outcomes. **Preferred Qualifications** + Bilingual skills. + Knowledge of HEDIS measures. + Familiarity with state-specific primary care requirements. +… more
- Humana (Lansing, MI)
- …provider relations and education + Understanding of healthcare quality measures STARS, HEDIS , etc. + Comprehensive knowledge of Microsoft Office Word, Excel and ... Knowledge of Humana's internal policies, procedures and systems + RN/LPN Nurse with quality experience **Additional Information** **WAH Internet Statement** To… more
- Molina Healthcare (Tucson, AZ)
- …investigations, preferably in a managed care setting, or equivalent experience * Registered Nurse . License must be active and unrestricted in state of practice. * ... improvement experience. * Knowledge of Healthcare Effectiveness Data Information Set ( HEDIS ) and National Committee for Quality Assurance (NCQA). * Strong attention… more
- ChenMed (Tampa, FL)
- …and execution of business strategies that increase revenue and quality ratings ( HEDIS /STARS/Clinical Gaps) and support our core model. + Develops protocols and ... healthcare related field preferred + Active and good standing Licensed Practical Nurse (LPN) in current state of employment **OR** a nationally accredited Certified… more