• HEDIS Coordinator

    Centene Corporation (Dover, DE)
    …the continental United States.** **Position Purpose:** Perform duties to ensure HEDIS data accuracy and reporting, including investigation, auditing, and improvement ... complete, and update management on clinical quality metrics and HEDIS processes and results + Establish and maintain an...+ Establish and maintain an action plan to improve HEDIS scores + Implement process to request and evaluate… more
    Centene Corporation (10/08/25)
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  • Certified Medical Assistant Care…

    HCA Healthcare (Salt Lake City, UT)
    **Description** **Introduction** Do you have the PRN career opportunities as a(an) Care Coordinator PRN you want with your current employer? We have an exciting ... committed, caring group of colleagues. Do you want to work as a(an) Care Coordinator PRN where your passion for creating positive patient interactions is valued? If… more
    HCA Healthcare (10/13/25)
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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 About Us Covenant Medical Group employs or manages ... member of Covenant Health! Position Summary: The RN Care Coordinator II is responsible for integrating evidenced based clinical...abreast of most recent changes in quality related to HEDIS measures, CMS Conditions of Participation, MIPS and other… more
    Covenant Health Inc. (10/10/25)
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  • Health Plan Nurse Coordinator

    Actalent (Santa Barbara, CA)
    Job Title: Health Plan Nurse Coordinator Job Description The Health Plan Nurse Coordinator (HPNC) is a Registered Nurse assigned to various Health Services ... + Knowledge of quality improvement theories and methods. + Experience with HEDIS medical record abstraction (as assigned). Additional Skills & Qualifications +… more
    Actalent (10/14/25)
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  • Care Coordinator

    Methodist Health System (Dallas, TX)
    …Day (United States of America) **Job Description :** Your Job: The Care Coordinator will support MMG Primary Care Practices, Physicians, and staff ("Patient Care ... Patient Care team to help MMG achieve quality driven goals. The Care Coordinator participates in planning, providing, and evaluating patient care at the appropriate… more
    Methodist Health System (09/25/25)
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  • Quality Program Coordinator

    Kaniksu Community Health (Sandpoint, ID)
    …Year round, affordable on-site childcare at KCH Kid's Club The Quality Program Coordinator plays a key role in advancing quality improvement, population health, and ... cross-functional teams to improve patient outcomes and organizational performance. The coordinator works closely with leadership and is given opportunities to… more
    Kaniksu Community Health (09/23/25)
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  • Quality and Population Health Coordinator

    LA Care Health Plan (Los Angeles, CA)
    Quality and Population Health Coordinator I (ALD) Job Category: Administrative, HR, Business Professionals Department: Health Education Location: Los Angeles, CA, ... required to achieve that purpose. Job Summary The Quality and Population Health Coordinator I (QPHC) is responsible for outreaching to members to close care gaps.… more
    LA Care Health Plan (09/19/25)
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  • Referral Coordinator

    ChenMed (Houston, TX)
    …exam rooms and ensures their comfort and well-bring prior to leaving. + Acts as HEDIS champion for the PCP by providing visibility of HEDIS needs for scheduled ... patients. Reports on hospitalizations including HITS census, ENS Ping, etc. + Presents patients with customer service survey during check out and escalates if needed for immediate service recovery. + Participates in daily and weekly huddles to provide details… more
    ChenMed (09/10/25)
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  • Behavioral Health Resource Coordinator

    AmeriHealth Caritas (Millsboro, DE)
    As part of the care coordination team, the Resource Coordinator supports developing and executing outreach strategies in Sussex County, Delaware, to influence health ... and other organizations. + Informs members of the required actions to fulfill HEDIS , EPSDT, and Plan requirements and other referred outreach through phone calls or… more
    AmeriHealth Caritas (10/07/25)
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  • Grievance & Appeals Coordinator I

    Centene Corporation (Salem, OR)
    …data entry, tracking, organizing, and researching information + Assist with HEDIS production functions including data entry, calls to provider's offices, and ... claims research. + Manage large volumes of documents including copying, faxing and scanning incoming mail + Performs other duties as assigned. + Complies with all policies and standards. **Education/Experience:** High school diploma or equivalent. Associate's… more
    Centene Corporation (10/12/25)
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