- MVP Health Care (Rochester, NY)
- …improvement. To achieve this, we're looking for a **Temporary Quality Performance & Initiatives HEDIS Nurse ** to join #TeamMVP. This is the opportunity for you ... New York State license as an LPN or Registered Nurse preferred + Experience in review of...Assessment and Counseling for Children and Adolescents (WCC) + Review training materials and measure criteria for HEDIS… more
- Providence (CA)
- …using objective specifications for the Healthcare Effectiveness and Data Information Set ( HEDIS ) program + Conduct Audits inclusive of review of outpatient ... medical knowledge/terminology in a medical record. + 2 years - HEDIS , Quality management/quality improvement/utilization review auditing experience, including… more
- UPMC (Pittsburgh, PA)
- …chart abstraction and/or assistance with the over-read/auditing process. + Assist with review of new HEDIS Specifications to identify measure criteria changes ... Management Application and/or Biometric Application. + Assist with updating/maintaining the HEDIS Measure Spreadsheet, to document review determinations for… more
- Ventura County (Ventura, CA)
- …and patient-centered care. Under general direction, the Senior Medical Management Nurse is responsible for performing utilization review , case management, ... years of full-time experience in Case Management, Disease Management, Quality Assurance, HEDIS and/or Utilization Review . NECESSARY SPECIAL REQUIREMENTS + Must… more
- UCLA Health (Los Angeles, CA)
- Description The Quality Management Nurse is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards and ... facilitate appropriate Health Education opportunities. Additionally, you will performs HEDIS related activities, Pay for Performance activities, Provider Access and… more
- Banner Health (AZ)
- …employment settings by including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will be an integral part ... Management Team** . This assignment-based role focuses on independent chart review and clinical assessment. **Key Responsibilities** : + Independently review… more
- CenterWell (Seneca, SC)
- …part of our caring community and help us put health first** The Nurse Practitioner, Paneled applies advanced education and clinical competencies to achieve optimal ... patient panel outcomes. The Nurse Practitioner works on problems of diverse scope and...Leadership. + Meets with AMD about quality of care, review of outcome data, policy, procedure and records issues.… 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...deployment status in a private setting. + Conduct pre-deployment review of health record for any conditions that may… more
- CenterWell (Las Vegas, NV)
- …focused on teamwork and providing a positive and welcoming environment for all. The Nurse Practitioner (NP) works in our team-based care environment. We are a value ... team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral Coordinator and… more
- CenterWell (Houston, TX)
- …of our caring community and help us put health first** The Nurse Practitioner, Cardiology applies advanced education and clinical competencies within the cardiology ... specialty to achieve optimal patient outcomes. The Nurse , Cardiology Practitioner works on problems of diverse scope...Medical Director and Lead Cardiologist about quality of care, review of outcome data, policy, procedure and records issues.… more