- Molina Healthcare (Phoenix, AZ)
- …objectives. + Preferred License, Certification, Association + Certified Professional in Health Quality (CPHQ) + Certified HEDIS Compliance Auditor (CHCA) ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager, Health Plan Quality … more
- CommonSpirit Health Mountain Region (Centennial, CO)
- … Nurse ( RN ) licensure required + Registered Nurse ( RN ) licensure required + Supports quality improvement HEDIS measures and clinical ... compliance to meet State and Federal standards for HEDIS . Supports the development and implementation of quality... HEDIS . Supports the development and implementation of quality improvement interventions and audits. * Advises and educates… more
- CenterWell (Prairieville, LA)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... caring community and help us put health first** The Quality RN Professional responsible for the development,...+ Proven work experience as a HEDIS Nurse or similar role in healthcare quality … more
- CenterWell (Miami, FL)
- …operational excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in Florida + 5+ ... evaluation of variable factors. The Stars Improvement Clinical Professional ( RN ): + Collaborates with market leadership, and quality...+ Proven work experience as a HEDIS Nurse or similar role in healthcare quality … more
- Peak Vista (Colorado Springs, CO)
- …Job Summary: The Population Health & Quality Assurance Registered Nurse ( RN ) is responsible for organizational ... functions and responsibilities of the Quality Assurance RN . + Knowledge of Regulatory Compliance to...to include governing bodies such as AAAHC, HRSA & HEDIS . Compliance with HIPAA and all applicable… more
- Elevance Health (Seven Fields, PA)
- …annual and ad hoc medical record reviews such as HEDIS and CPG compliance . + Conducts quality of care investigations and using criteria closes case ... **JR150201 Behavioral Health Clinical Quality Auditor Analyst Sr** The Behavioral Health Clinical...Skills, Capabilities, and Experiences:** + Active PA, LCSW, LBS, RN , LPC, LMFT, or LSW licensure is needed per… more
- 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 Covenant Medical ... development of practice guidelines and clinical pathways that support quality improvement activities. The RN Care Coordinator...coordination services within the scope of practice as a registered nurse meeting all required standards both… more
- Molina Healthcare (Idaho Falls, ID)
- …. Clinical experience is needed for positions that are focused on Accreditation, Compliance , HEDIS Interventions, Potential Quality of Care issues, and ... + Possesses a strong knowledge in data acquisition processes, HEDIS and quality performance management across all...Degree in a related field **Preferred License, Certification, Association** RN with Quality Background is preferred To… more
- Centene Corporation (Harrisburg, PA)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... with chronic condition management, helping to reduce complications and cost, and increase quality outcomes with care gap closures and HEDIS measures. After… more
- Centene Corporation (Houston, TX)
- …providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides ... compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for...maintains provider clinical relationship across product lines. + Maintains Quality KPI and maintains good standing with HEDIS… more