- 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 ... services, or a related field, or equivalent work experience. + An active Licensed Practical Nurse (LPN) can be substituted for the required education. + 3 to 5 years… more
- Mom's Meals (Ankeny, IA)
- …Care plans + Knowledge of Medicaid benefit programs + Clinical background ( Nurse , Registered Dietitian) + Experience with pilot program development, execution and ... quality ( HEDIS , Stars) measures Physical Requirements + Repetitive motions that include the wrists, hands and/or fingers + Sedentary work that primarily involves… more
- Excellus BlueCross BlueShield (Dewitt, 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
- 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
- AmeriHealth Caritas (Manchester, NH)
- …responsibilities also include supporting the annual medical record review activities including HEDIS and knowledge of Health Plan Rating (HPR). The position also ... 3 days / months for meetings, summits, etc.; **Education/Experience:** + Registered Nurse strongly preferred.; + 3-5 years Managed Care experience required; + 3-5… more
- CenterWell (Jacksonville, FL)
- …+ Active LPN license + IV Certified + 1-2 years' experience as nurse in inpatient or outpatient clinic setting + Multi-tasking and organization skills **Preferred:** ... with Electronic Medical Records, specifically eCW (eClinical Works) + Experience with HEDIS + Knowledge of primary care medicine requirements (state specific) PLEASE… more
- 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
- CenterWell (Savannah, 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
- 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