- Actalent (Des Moines, IA)
- …Title: HEDIS Nurse ConsultantJob Description We are seeking a dedicated HEDIS Nurse Consultant to support our annual Healthcare Effectiveness Data ... and Information Set ( HEDIS ) reporting. This role involves abstracting medical record data,...data, conducting medical record reviews, and ensuring compliance with HEDIS audit standards. The successful candidate will work remotely… more
- Actalent (Des Moines, IA)
- Remote HEDIS Nurse Consultant Description HEDIS work typically includes requesting records, abstracting/overreading medical records, performing claims ... research, preparing medical records for the NCQA HEDIS Auditor, etc. Abstracts medical record data from practitioner's files to support annual Healthcare… more
- Humana (Gainesville, FL)
- …of programs. + Provider non-standard supplemental data trending + Provider level HEDIS in service + Develop and implement measure specific strategies + Provider ... establish working relationships + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …Shield of Minnesota Position Title: Quality & Risk Adjustment Provider Consultant Location: Hybrid | Eagan, Minnesota Career Area: Customer Service/Operations About ... on coding accuracy and Quality programs such as including HEDIS and Stars. Your Responsibilities As part of a...in Health Care Quality and Manager (CHQM) * Registered Nurse * Solid knowledge of Medicare Advantage Business Compensation… more
- ERP International (Barksdale AFB, LA)
- **Overview** ERP International is seeking a ** Nurse Practitioner,** for a Full-Time position supporting **Occupational Health** at Barksdale AFB, LA. Apply online ... including a one hour lunch **Core Duties:** The Family Nurse Practitioner (FNP) works as an independent health care...most cases a referral to the Internal Behavioral Health Consultant (IBHC) in Primary Care is appropriate for an… more
- University of Southern California (Los Angeles, CA)
- …individual's health care needs to promote cost-effective, quality outcomes. Serves as a consultant to members of the health care team in the management of specific ... the status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning needs and documents is computer system… more
- CenterWell (Anderson, SC)
- …intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: + Maintaining ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation… more
- CenterWell (Savannah, GA)
- …intent Overseeing other clinicians which includes Physicians, Advanced Registered Nurse Practitioners (ARNP), and Physicians Assistants (PA) in: + Maintaining ... environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding and documentation… more