• Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …CNA_MOA_2023-2028.pdf (ventura.org) (https://vcportal.ventura.org/CEO/HR/MOA/docs/CNA\_MOA\_2023-2028.pdf) PAYROLL TITLE: Senior Registered Nurse - Ambulatory ... Care DISTINGUISHING CHARACTERISTICS: The Senior Registered Nurse -Ambulatory Care series is distinguished from other nursing classifications in that they are… more
    Ventura County (12/07/25)
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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...staff meetings and huddles as appropriate. + Participates in Hedis , GPRO, and other quality programs as needed +… more
    Catholic Health Services (12/16/25)
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  • Medical Records Review Nurse

    System One (Baltimore, MD)
    …for quality measures (including HEDIS ). Navigate EMR systems to retrieve and review records. Qualifications + Licensure: RN (required) or LPN; State or ... Job Title: Clinical Medical Review Nurse Location: Baltimore, MD 21224...Commercial, FEP, and Medicare Advantage Plans, as well as HEDIS -related activities. The role also involves medical underwriting and… more
    System One (01/06/26)
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  • Quality Management Clinical Nurse

    UCLA Health (Los Angeles, CA)
    Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards and ... facilitate appropriate Health Education opportunities. Additionally, you will performs HEDIS related activities, Pay for Performance activities, Provider Access and… more
    UCLA Health (01/11/26)
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  • RN Manager Care Quality

    HCA Healthcare (Salt Lake City, UT)
    …managing high-risk, multi-morbidity patient populations.** **What qualifications you will need:** + Registered Nurse + Graduate of an accredited college of ... Medical Home (PCMH), government programs (CMS), accountable care organizations (ACOs), HEDIS , and experience with payor cost sharing initiatives + Excellent oral… more
    HCA Healthcare (12/30/25)
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  • Health Plans Licensed Practical Nurse LPN…

    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 ... Management Team** . This assignment-based role focuses on independent chart review and clinical assessment. **Key Responsibilities** : + Independently review more
    Banner Health (11/27/25)
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  • Associate Quality Practice Advisor

    Centene Corporation (Topeka, KS)
    …Licensed Marital and Family Therapist (LMFT), Licensed Certified Social Worker (LCSW), Licensed Registered Nurse ( RN ), Acute Care Nurse Practitioner ... field or equivalent work experience within a managed care environment related to HEDIS record review , quality improvement, medical coding or transferable skill… more
    Centene Corporation (01/06/26)
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  • RN Case Manager - Value Based Service…

    University of Southern California (Los Angeles, CA)
    …+ Pref 2 years Experience in an HMO/IPA/Managed care setting Required Licenses/Certifications: + Req Registered Nurse - RN (CA DCA) + Req Basic Life Support ... major duties of the Case Manager overlap into inpatient duties including: Concurrent review of all patients to validate that the appropriate patient status is… more
    University of Southern California (01/09/26)
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  • Nurse Case Manager - Senior Care Options

    Fallon Health (Lakeville, MA)
    …care related field preferred. **License** : Active, unrestricted license as a Registered Nurse in Massachusetts **Certification** : Certification in Case ... and reliable transportation **Experience:** * 1+ years of clinical experience as a Registered Nurse managing chronically ill members or experience in a… more
    Fallon Health (01/07/26)
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  • Nurse Practitioner - Occupational Health

    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...deployment status in a private setting. + Conduct pre-deployment review of health record for any conditions that may… more
    ERP International (10/22/25)
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