• Nurse Practitioner w/peds/newborn bilingual…

    CenterWell (Plant City, FL)
    …part of our caring community and help us put health first** The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient ... outcomes. The Nurse Practitioner works on problems of diverse scope and...leadership. + Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.… more
    CenterWell (07/11/25)
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  • Registered Nurse (Family/Internal Medicine)

    Adelante (Goodyear, AZ)
    Registered Nurse (Family/Internal Medicine) - Goodyear, AZ Job Details Job Location Adelante Healthcare Goodyear - Goodyear, AZ Position Type Full Time Job Category ... Health Care Description POSITION SUMMARY The Registered Nurse (RN) will play a pivotal role in guiding...Clinical Collaboration + Collaborate with the clinical team to review and act on Tasks/PTAs sent by providers. +… more
    Adelante (07/04/25)
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  • Quality Management, Nurse Consultant

    CVS Health (Oklahoma City, OK)
    …with heart, each and every day. **Position Summary** The Quality Management, Nurse Consultant has a key role in developing and implementing data-driven ... committee reports, reviews documentation and interprets data in line with HEDIS , regulatory, and accreditation requirements for patterns, population outcomes and to… more
    CVS Health (08/01/25)
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  • Associate Quality Practice Advisor

    Centene Corporation (Spring Hill, FL)
    …field or equivalent work experience within a managed care environment related to HEDIS record review , quality improvement, medical coding or transferable skill ... or related field. **Candidate Experience:** Required: 1+ year of experience in related HEDIS medical record review or quality improvement with experience in data… more
    Centene Corporation (07/31/25)
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  • LPN or MA Care Manager - Portland or Eugene

    Praxis Health (Portland, OR)
    …+ Coordinate with centralized PXH/Regence teams to drive performance in: + HEDIS metric tracking + Transitional Care Management (TCM) + Annual Wellness Visit ... are included in the Interdisciplinary Team (IDT) agenda for review 3. High Emergency Room Utilization Oversight + Monitor...Required Education + High school diploma + Licensed Practical Nurse (LPN) or Highly Skilled MA + Basic Healthcare… more
    Praxis Health (07/23/25)
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  • NP/PA Bilingual Spanish

    CenterWell (North Las Vegas, NV)
    …focused on teamwork and providing a positive and welcoming environment for all. The Nurse Practitioner (NP) works in our team-based care environment. We are a value ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
    CenterWell (07/29/25)
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  • Care Management Supervisor (Hybrid)

    CareFirst (Baltimore, MD)
    …Utilizes MCG to act as a resource for the nurses to conduct concurrent review for medical necessity and appropriate level of care for Commercial and Government lines ... and manage health care costs. **We are looking for an experienced Registered Nurse and people leader with UM/CM experience** **living within the Washington DC and/or… more
    CareFirst (07/09/25)
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  • RN

    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 to providing the...in staff meetings and huddles as appropriate. Participates in Hedis , GPRO, and other quality programs as needed Enters… more
    Catholic Health Services (06/18/25)
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  • APP, Supervisor - General Internal Medicine - Full…

    University of Miami (Miami, FL)
    …preferred + Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge ... faculty or staff position using the Career worklet, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER\_eRecruiting\_ApplyforaJob.pdf) . APP, Supervisor -… more
    University of Miami (06/16/25)
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  • RN Care Coordinator II

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed About Us Covenant Medical ... the patient that will meet identified needs. + Facilitates timely documentation review with the Clinical Documentation Improvement (CDI) specialist, as necessary to… more
    Covenant Health Inc. (07/23/25)
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