- Centene Corporation (Columbus, OH)
- …management and quality improvement.** **Have one of the following active: Ohio-licensed registered nurse , physician, or physician's assistant, or be certified as ... experience, including quality improvement experience. **Buckeye Health Plan Only:** Ohio-licensed registered nurse , physician, or physician's assistant, or be… more
- University of Rochester (Rochester, NY)
- …Officer for Primary Care. **MINIMUM EDUCATION & EXPERIENCE** + Bachelor degree Required + Registered Nurse ( RN ) Preferred + 5 years of experience in ... data analytics to evaluate performance with PCMH requirements, including a retrospective review of electronic medical records and data. + Performs rigorous data… more
- University of Miami (Miami, FL)
- …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and...Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of Hierarchical Condition… more
- AmeriHealth Caritas (Manchester, NH)
- …Approximately 3 days / months for meetings, summits, etc.; **Education/Experience:** + Registered Nurse strongly preferred.; + 3-5 years Managed Care experience ... addition, responsibilities also include supporting the annual medical record review activities including HEDIS and knowledge of...the annual medical record review activities including HEDIS and knowledge of Health Plan Rating (HPR). The… more
- CenterWell (Savannah, GA)
- …to the strategic intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: ... inquiries, requests, and complaints from patients + Ongoing chart review / audit of clinical staff to ensure quality...Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice… 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 ... (CTM), recall delinquency report, secure messages, VeTEXT, VAR, as well as SAIL/ HEDIS metrics that directly impact the PACT team's metrics for patient care. Other… more