- UPMC (Pittsburgh, PA)
- …for performing functions related to quality management and improvement, in compliance with NCQA, HEDIS , URAC the Commonwealth of Pennsylvania Department of ... UPMC Community Care Behavioral Health is hiring full-time Quality Management Specialists! This position involves extensive travel throughout Pennsylvania, with… more
- CenterWell (Savannah, GA)
- …to the strategic intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: ... relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding… more
- University of Miami (Miami, FL)
- …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... preferred + Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge… more
- ERP International (Barksdale AFB, LA)
- …NP experience after graduation Licensure:** Current, full, active, and unrestricted Registered Nurse license Life Support Certification:** Possess current ARC ... **Overview** ERP International is seeking a ** Nurse Practitioner,** for a Full-Time position supporting **Occupational Health** at Barksdale AFB, LA. Apply online… more
- Molina Healthcare (Owensboro, KY)
- …Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) + Certified Community Health Worker (CCHW) + Bi-Lingual ... Specialist, Member & Community Interventions implements new and existing clinical quality member intervention initiatives including all lines of business (Medicare,… more
- Molina Healthcare (Covington, KY)
- …to improve the efficiency of clinical operations teams to meet cost and quality goals. + Accountable for ensuring compliance with contractual, accreditation and ... initiate and maintain cross-team relationships. + Demonstrated experience meeting Quality Accreditation Standards (NCQA/ HEDIS /STARS). **Required License, Certification,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …the use of medical and health care services for members. The SN CHA Nurse may also perform other technical and administrative tasks essential to the efficient ... external stakeholders to obtain the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members.… more