- Mount Sinai Health System (New York, NY)
- …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 ... or medical economics departments highly valuable. + Experience as a nurse informaticist highly valuable. + Experience working in healthcare provider analytics… 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
- AdventHealth (Woodridge, IL)
- …Knowledge of quality reporting and physician practice regulatory programs (eg, HEDIS , MIPS). Displays advanced knowledge and skills necessary to deliver quality ... and reliable form of transportation. EPIC Credential (EPIC CRED) preferred Registered Nurse (RN) preferred This facility is an equal opportunity employer and… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …cash controls. + Responsible for monitoring and reporting impact program has to hospital HEDIS measures + Report directly to KPH leadership on the progress of the ... **Education:** + Licensed Masters Social Work required or + Registered Professional Nurse required. + RN must be licensed in New York State required.… more
- CenterWell (Las Vegas, NV)
- …for CenterWell in media and press activities + Supervise Physicians and Nurse Practitioners as necessary + Performs other duties as assigned. **Use your ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. **Scheduled Weekly Hours** 40 **Pay Range** The compensation… more
- CenterWell (Atlanta, GA)
- …intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: + Maintaining ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation… more
- Trinity Health (Fresno, CA)
- …requirements of Medicare STARS, Healthcare Effectiveness Data and Information Set ( HEDIS ), and Hierarchical Condition Categories (HCC) with provider staff to ... required. High school diploma or equivalent and current licensure as a Licensed Vocational Nurse (LVN) in the State of California and three (3) years of experience… more
- CareFirst (Baltimore, MD)
- …**Licenses/Certifications Upon Hire Required:** + Health Services\RN - Registered Nurse - State Licensure and/or Compact State Licensure. **Experience:** 3 ... care principles and concepts including Health Plan Employer Data and Information Sheet ( HEDIS ) and knowledge of the standards of practice for case managers. +… more
- Good Samaritan (Sioux Falls, SD)
- …and required reporting. Will perform healthcare effectiveness data and information set ( HEDIS ) record reviews and assist with clinical questions related to chart ... of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains required department… more
- Molina Healthcare (Tampa, FL)
- …Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review, and manages the denial ... policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS , Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice,… more