- AdventHealth (Woodridge, IL)
- …valid drivers license and reliable form of transportation. EPIC Credential (EPIC CRED) preferred Registered Nurse ( RN ) preferred This facility is an equal ... perks you need for you and your family:** + Benefits from Day One: Medical , Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Days Off from Day… more
- CenterWell (Seneca, SC)
- …to the strategic intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: ... to both state and federalguidelines and regulations + Maintaining medical history and medical records + Ordering...Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice… more
- University of Miami (Miami, FL)
- …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... annual evaluations. This role also works directly with staff, administration, medical directors, and other relevant stakeholders to assure appropriate utilization of… more
- CDPHP (Latham, NY)
- …(ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, Geriatrics, etc.) to ... Examples may include: Utilization Management, Quality, Behavioral Health, Pharmacy, Registered Dietitian and Respiratory Therapist + Accepts responsibility for… more
- CVS Health (Columbia, SC)
- …products and VPN. **Preferred Qualifications:** + Licensed Allied Health Professional or Licensed Registered Nurse + Coding or Sales background + Certified Six ... related role. + 2+ years of process improvement experience related to HEDIS measures. + In-depth knowledge of healthcare regulations, clinical operations, quality… more
- 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...offer a comprehensive benefits package which may include: * Medical , dental, and vision insurance * Life insurance *… more
- Veterans Affairs, Veterans Health Administration (Chesapeake, VA)
- …range of medical clinicians across multiple disciplines (eg medical doctors, nurse practitioners, physician assistants, psychologists, psychiatrists, social ... Summary This vacancy is for an Advanced Medical Support Assistant (AMSA) (Specialty and Primary Care...Health, etc.). Coordinates with the patient care team (LPN, RN , Clinician/Provider, Social worker, Pharmacist, etc.). to review the… more
- Good Samaritan (Sioux Falls, SD)
- …program. Will complete chart reviews, documentation of findings, referral for medical director review and required reporting. Will perform healthcare effectiveness ... data and information set ( HEDIS ) record reviews and assist with clinical questions related...completed. Will review the risk score adjustment information for medical chart record requests and potential medical … more
- Humana (Lansing, MI)
- …+ Knowledge of Humana's internal policies, procedures and systems + RN /LPN Nurse with quality experience **Additional Information** **WAH Internet ... provider relations and education + Understanding of healthcare quality measures STARS, HEDIS , etc. + Comprehensive knowledge of Microsoft Office Word, Excel and… more