- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Quality (CPHQ) or Certification in Health Care Quality and Manager (CHQM) * Registered Nurse * Solid knowledge of Medicare Advantage Business Compensation and ... on coding accuracy and Quality programs such as including HEDIS and Stars. Your Responsibilities As part of a...discover more about what we have to offer, please review our benefits page. Role Designation Hybrid Anchored in… more
- Good Samaritan (Sioux Falls, SD)
- …quality risk and risk score adjustment programs. Assist with the quality improvement review and audit related to potential quality risk issues and adverse events as ... complete chart reviews, documentation of findings, referral for medical director review and required reporting. Will perform healthcare effectiveness data and… more
- Veterans Affairs, Veterans Health Administration (Chesapeake, VA)
- …ENT, Oncology, Women's Health, etc.). Coordinates with the patient care team (LPN, RN , Clinician/Provider, Social worker, Pharmacist, etc.). to review the clinic ... report, secure messages, VeTEXT, VAR, as well as SAIL/ HEDIS metrics that directly impact the PACT team's metrics...delivery model. Coordinates] with the patient care team to review clinic[appointment availability] (utilization) [ ] to ensure that… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …by Administration. **Qualifications** **Education:** + Licensed Masters Social Work required or + Registered Professional Nurse required. + RN must be ... the program. + Attends discharge meetings as necessary to review areas of concern and create plans for resolution....for monitoring and reporting impact program has to hospital HEDIS measures + Report directly to KPH leadership on… more