- 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...nursing care. + Work alongside and offer assistance to medical assistants (MAs) and licensed practical nurses (LPNs) +… 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 ... RN Care Coordinator provides documentation in the patient's medical record to communicate the goals and transition plan...coordination services within the scope of practice as a registered nurse meeting all required standards both… more
- CenterWell (New Smyrna Beach, FL)
- …operational excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5+ ... us put health first** The Stars Improvement Clinical Professional ( RN ): + Collaborates with market leadership, and quality improvement...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
- The Cigna Group (Bloomfield, CT)
- …Excel. **Certifications:** + Nursing Informatics Certification is preferred. **Education** + A valid Registered Nurse ( RN ) license is required. + A Master's ... data analysis and comprehensive reporting. As Cigna shifts from traditional HEDIS measurement to digital quality assessment, the Nurse Informaticist… 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 ... Student Loan Contribution: Up to $20k Other incentives include: Medical , Vision, Dental, 401k match & more available for...patient-centered service and continuous improvement. **Licenses and Certifications** + RN - Registered Nurse -… more
- Molina Healthcare (Rochester, NY)
- …behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Care Manager ( RN ) provides support for care management/care coordination activities...care. This position will be supporting our Complex Adult Medical Care Management program. The ideal candidate will bring… more
- University of Southern California (Alhambra, CA)
- …InterQual guidelines, and Medicaid/Medicare contracts and benefit systems. Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic ... to an alternative level of care. As more complex medical treatment options emerge the Case Manager will look...and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning needs and documents… more
- CVS Health (Austin, TX)
- …clinical, or health care related field. - 1 year of project management experience. - Registered Nurse ( RN ) license in the state of their residence. ... POSC Council and executive sponsors to advance initiatives aimed to achieve HEDIS and CAHPS goals. Provides insights and recommendations to optimize healthcare… more
- Banner Health (AZ)
- …Department. Coordinates, abstracts, and assists with the analysis of data from medical records in accordance with HEDIS specifications. Actively works with ... including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will...will be an integral part of the **Health Plan Medical Management Team** . This assignment-based role focuses on… more
- Fallon Health (Barnstable, MA)
- …care related field preferred. **License** : Active, unrestricted license as a Registered Nurse in Massachusetts **Certification** : Certification in Case ... Set Home Care (MDS HC) Form when a member's medical /functional status changes that warrants a change in rating...**Experience:** * 1+ years of clinical experience as a Registered Nurse managing chronically ill members or… more