• 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 (07/01/25)
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  • SR Quality Data Analyst (Healthcare / HEDIS

    Commonwealth Care Alliance (Boston, MA)
    …The Advisor may also assist in the development and delivery of successful HEDIS submissions and reporting to meet other state and federal quality reporting ... other Quality Programs data needed as requested + Provides assistance for HEDIS implementation and reporting, as needed **Working Conditions:** + Standard office… more
    Commonwealth Care Alliance (06/04/25)
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  • Manager, Quality Program Management & Performance…

    Molina Healthcare (Las Vegas, NV)
    …Advanced degree in Nursing, Public Health, Health Administration, Social Work, or related field + HEDIS reporting or collection + CAHPS improvement experience + ... Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified... may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees:… more
    Molina Healthcare (06/22/25)
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  • Registered Nurse (Associate Chief…

    Veterans Affairs, Veterans Health Administration (Honolulu, HI)
    …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... improvement initiatives to address national programs such as SAIL, HEDIS . Plans, coordinates and ensure high quality, timely, patient...Nurse IV; OR Master's degree in a *related field with a BSN and 4 years of professional… more
    Veterans Affairs, Veterans Health Administration (07/10/25)
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  • Patient Care Advocate

    Centene Corporation (Augusta, ME)
    …Master Social Work (LMSW); Certified Social Worker (C-SW); Licensed Social Worker (LSW); Licensed Registered Nurse ( RN ) preferred. Pay Range: $26.50 - $47.59 ... IPA and/or group practices. Serves to collaborate with providers in the field , to improve HEDIS measures and provides education for HEDIS measures and… more
    Centene Corporation (07/12/25)
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  • RN Care Coordinator II

    Covenant Health Inc. (Knoxville, TN)
    Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours Per Pay Period, Day Shift Occasional travel as needed About Us Covenant ... coordination services within the scope of practice as a registered nurse meeting all required standards both...or CPHQ OR Bachelors degree in Nursing or related field . Apply/Share Job Title RN CARE COORDINATOR… more
    Covenant Health Inc. (04/24/25)
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  • Case Manager - RN , LCSW, LMSW, LPC, LMFT…

    Molina Healthcare (Fort Worth, TX)
    …and/or interpretation + Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified HEDIS Compliance ... Auditor (CHCA) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing Molina Healthcare offers a competitive benefits and compensation package Molina Healthcare is an Equal… more
    Molina Healthcare (06/19/25)
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  • Case Manager, RN or Licensed Behavioral…

    Excellus BlueCross BlueShield (Rochester, NY)
    …varied clinical expertise (ex. Social Work, Behavioral Health, Respiratory Therapy, Registered Dietitian, Registered Nurse , Medical Director, Pharmacist, ... All Levels + Associates degree required. Bachelor's degree preferred. + Active NYS RN or Registered Dietician or Physical Therapist licensure required. + Minimum… more
    Excellus BlueCross BlueShield (06/27/25)
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  • Specialist, Member & Community Interventions…

    Molina Healthcare (Dallas, TX)
    …problem-solving skills **PREFERRED QUALIFICATIONS:** + Bachelor's Degree in preferred field : Nursing, Social Work, Clinical Quality, Public Health, or Healthcare ... Certified Professional in Health Quality (CPHQ) + Nursing License ( RN may be preferred for specific roles) + Certified... may be preferred for specific roles) + Certified HEDIS Compliance Auditor (CHCA) To all current Molina employees:… more
    Molina Healthcare (06/19/25)
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  • Quality Practice Advisor

    Centene Corporation (Springfield, IL)
    …provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, ... plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...following required:** CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN , APRN, HCQM, CHP, CPHQ, CPC, CBCS required **For… more
    Centene Corporation (07/11/25)
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