- Humana (Lansing, MI)
- …Qualifications** + Knowledge of Humana's internal policies, procedures and systems + RN /LPN Nurse with quality experience **Additional Information** **WAH ... in provider relations and education + Understanding of healthcare quality measures STARS, HEDIS , etc. + Comprehensive knowledge of Microsoft Office Word, Excel… more
- Good Samaritan (Sioux Falls, SD)
- …over 100 years of housing and services to seniors with a commitment to quality care and service in a Christian environment.** **Facility:** GSS SD Sf Ctr ... of the assigned area(s) of nursing. Will incorporate responsibilities related to the quality risk and risk score adjustment programs. Assist with the quality … more
- 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 ... of quality reporting and physician practice regulatory programs (eg, HEDIS , MIPS). Displays advanced knowledge and skills necessary to deliver quality… more
- CareFirst (Baltimore, MD)
- …addition to the required work experience. **Licenses/Certifications Upon Hire Required:** + Health Services\ RN - Registered Nurse - State Licensure and/or ... of Care Management standards, program criteria, policies, and procedures to ensure quality of care and manage healthcare costs. The incumbent will initially support… more
- CDPHP (Latham, NY)
- …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... health care services. Examples may include: Utilization Management, Quality , Behavioral Health, Pharmacy, Registered Dietitian and...being met, such as NYS DOH, CMS, NCQA, and HEDIS , serving as internal auditor within the group. +… more
- CenterWell (Atlanta, GA)
- …to the strategic intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: ... + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation… more
- University of Miami (Miami, FL)
- …Providers supervises advance d practice providers (APPs) ( ie, Advanced Registered Nurse Practitioners, Physician Assistants etc.). Key responsibilities of ... Completion of Medicare annual wellness exam documentation preferred + Knowledge of HEDIS Quality Care Gaps - review and closure preferred + Knowledge of… more
- KPH Healthcare Services, Inc. (East Syracuse, NY)
- …by Administration. **Qualifications** **Education:** + Licensed Masters Social Work required or + Registered Professional Nurse required. + RN must be ... and corrective action plans of KPI's required for the quality and success of the program. + Strong focus...for monitoring and reporting impact program has to hospital HEDIS measures + Report directly to KPH leadership on… more