- US Tech Solutions (Newark, NJ)
- …6+ months contract with potential extends or Convert** **Job Description:** + The HEDIS Nurse Auditor is responsible for conducting quality audits related to ... state audits, HEDIS measures, and quality-related complaints and referrals. + This...in the healthcare industry. + **Active New Jersey Registered Nurse (RN) License required.** **Skills:** + Knowledge of managed… more
- Providence (WA)
- **Description** The on-call HEDIS Clinical Audit Coordinator is responsible for conducting clinical quality audits for the Quality Department. The auditor identifies ... objective specifications for the Healthcare Effectiveness and Data Information Set ( HEDIS ) program. Audits include review of outpatient medical records, hospital… more
- CenterWell (Covington, LA)
- …preferred, not required, unless otherwise specified + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Excellent ... across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and… more
- CenterWell (Orlando, FL)
- …preferred, not required, unless otherwise specified + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Excellent ... across the following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Data sharing and… more
- CenterWell (New Smyrna Beach, FL)
- …Florida + 5+ years of clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement + Strong knowledge ... following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial...of HEDIS /Stars/CMS + Excellent presentation and communication skills, both oral… more
- Providence (Lubbock, TX)
- …empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits/overreads ... to determine potential areas for quality improvement within the HEDIS project + Collect data by way of chart...Technical certification/licensure in the area of Medical Assistant, Certified Nurse Assistant, or Licensed Practical Nurse upon… more
- Ventura County (Ventura, CA)
- Senior Medical Management Nurse - VCHCP Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5113983) Apply Senior Medical Management Nurse - ... and patient-centered care. Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review, case management, and… more
- The Cigna Group (Bloomfield, CT)
- …data analysis and comprehensive reporting. As Cigna shifts from traditional HEDIS measurement to digital quality assessment, the Nurse Informaticist ... **Summary:** The Nurse Informaticist applies advanced clinical expertise and informatics...meet changing industry standards and technological advancements. **Key Responsibilities:** ** HEDIS & Clinical Data Analysis** + Oversee HEDIS… more
- Banner Health (AZ)
- …employment settings by including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will be an integral part ... analysis of data from medical records in accordance with HEDIS specifications. Actively works with the HEDIS ...with HEDIS specifications. Actively works with the HEDIS team to ensure understanding of performance measures, methodology… more
- CenterWell (Anderson, SC)
- …part of our caring community and help us put health first** The Nurse Practitioner, Paneled applies advanced education and clinical competencies to achieve optimal ... patient panel outcomes. The Nurse Practitioner works on problems of diverse scope and...Patient Care:** responsible, internally, for completing/closing all quality metrics ( HEDIS , STARS, EDAPS) for their panel of patients. +… more
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