• HEDIS Overreader Registered

    Insight Global (Philadelphia, PA)
    …to a patient's health plans to make sure it meets a patient's care needs. The HEDIS nurse focuses solely on using HEDIS measuring criteria to review health ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Previous HEDIS review experience Active RN License or… more
    Insight Global (04/01/25)
    - Related Jobs
  • HEDIS Registered Nurse

    Insight Global (Philadelphia, PA)
    Job Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract position in PA and NJ. PARTIALLY remote position as it ... abstraction & entry of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer equipment, encrypted zip drives… more
    Insight Global (04/01/25)
    - Related Jobs
  • Utilization Review Registered Nurse

    Community Health Systems (Naples, FL)
    …meet deadlines. + Effective written and verbal communication skills. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... **Job Summary** Under the direction of the UR Director/Manager the UR Nurse reviews all admissions for medical necessity, correct orders based on medical condition… more
    Community Health Systems (04/25/25)
    - Related Jobs
  • Lead Overreader, HEDIS Abstraction…

    Molina Healthcare (Everett, WA)
    …of HEDIS and NCQA. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Active RN license for the State(s) of employment **PHYSICAL DEMANDS:** Working environment ... of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The Lead Overreader meets… more
    Molina Healthcare (04/20/25)
    - Related Jobs
  • Registered Nurse

    MyFlorida (Bonifay, FL)
    REGISTERED NURSE - 64084676 Date: Apr 23, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 846448 Agency: Department of Health Working Title: REGISTERED NURSE - 64084676 Pay Plan: Career Service Position… more
    MyFlorida (05/01/25)
    - Related Jobs
  • Advanced Practice Registered Nurse

    Defense Health Agency (Oklahoma City, OK)
    **Overview** **Advanced Practice Registered Nurse , Tinker AFB, Oklahoma** Tinker AFB is located in Oklahoma City, Oklahoma. Oklahoma City offers all of the ... is permitted. Apply for this Job Online (https://careers-civilianmedicaljobs.icims.com/jobs/8586/advanced-practice- registered - nurse -%28family%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336268516) **Location** _US-OK-Oklahoma City_ **Job… more
    Defense Health Agency (02/21/25)
    - Related Jobs
  • Clinical Quality Liaison RN

    CommonSpirit Health Mountain Region (Centennial, CO)
    Nurse ( RN ) licensure required + Registered Nurse ( RN ) licensure required + Supports quality improvement HEDIS measures and clinical quality ... on how to improve clinical and patient outcomes, provides information on HEDIS measures, and ensure feedback is relayed on documenting appropriate medical record… more
    CommonSpirit Health Mountain Region (04/26/25)
    - Related Jobs
  • Quality RN Professional - Cutler Bay

    CenterWell (Miami, FL)
    …operational excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5+ ... us put health first** The Stars Improvement, Clinical Professional ( RN ) is responsible for the development, implementation and management...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
    CenterWell (05/02/25)
    - Related Jobs
  • Quality RN Professional

    CenterWell (Houston, TX)
    …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... community and help us put health first** The Quality RN Professional is responsible for the development, implementation and...clinical nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare… more
    CenterWell (04/08/25)
    - Related Jobs
  • 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...in staff meetings and huddles as appropriate. Participates in Hedis , GPRO, and other quality programs as needed Enters… more
    Catholic Health Services (03/19/25)
    - Related Jobs