• HEDIS Nurse - REMOTE

    Actalent (Austin, TX)
    …* Lead data collection and abstraction for company quality measures, including HEDIS , CMS, and CHIPRA * Assess vendor-delegated abstraction activities and compare ... results to HEDIS standards and/or custom * Review medical records and...LPN license Work Environment This position will be fully remote . Candidate must have strong internet connection. Hours are… more
    Actalent (11/09/24)
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  • Hedis Nurse - RN Required- 100%…

    Actalent (Dallas, TX)
    Description: We are seeking a dedicated and meticulous HEDIS Nurse to assist with the collection, analysis, and presentation of healthcare data. The HEDIS ... skills, and a deep understanding of healthcare systems and regulations. Ultimately, the HEDIS Nurse ensures that our healthcare services maintain a high level… more
    Actalent (11/02/24)
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  • Clinical Nurse Auditor, HEDIS

    Providence (WA)
    …best people, we must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:** + Be responsible for conducting clinical ... + This posting is for multiple openings of a Nurse Auditor, HEDIS + This position is...fill in for staff vacancies. **_Providence Health Plan welcomes remote work for applicants who reside in:_** + Washington… more
    Providence (10/30/24)
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  • HEDIS Overreader Registered Nurse

    Insight Global (Philadelphia, PA)
    …to a patient's health plans to make sure it meets a patient's care needs. The HEDIS nurse focuses solely on using HEDIS measuring criteria to review health ... contract position in PA or NJ. This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for Quality Check… more
    Insight Global (10/01/24)
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  • HEDIS Registered Nurse or LPNs…

    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 ... of medical records assigned by a Clinical Quality Lead nurse . Miles will be reimbursed for any travel. Computer...Medical record abstraction into database from onsite visit, assigned remote charts Highlighting member demographics & HEDIS more
    Insight Global (10/01/24)
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  • HEDIS Quality Program Strategist II

    Centene Corporation (Jefferson City, MO)
    …market trends and oversee functions of quality improvement programs for HEDIS , CAHPS, and/or HOS strategy and related quality improvement activities. Assists ... conclusions to determine appropriate solutions. + Conduct evaluations to assist with HEDIS gap closure, CAHPS and/or HOS performance and assess for potential pilot… more
    Centene Corporation (11/10/24)
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  • Clinical Medical Review Nurse

    System One (Baltimore, MD)
    ALTA IT Services is staffing a contract opportunity for a Clinical HEDIS Specialist support a leading health insurance customer. The main duties include conducting ... thorough HEDIS overreads in line with NCQA guidelines. Additional tasks...other needs within the Quality Department. Pay: $37/HR 90% Remote May need to go onsite in Baltimore, MD… more
    System One (11/14/24)
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  • LPN - Patient Care Advocate - Mostly Remote

    Actalent (Detroit, MI)
    …up to 2.5 hours within the Saginaw/Genesee County Area. The role is remote with significant travel to provider offices for face-to-face interactions. The work ... interaction. This role involves collaborating with providers in the field to improve HEDIS measures, providing education on HEDIS measures and coding, and… more
    Actalent (11/06/24)
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  • Sr Specialist, Quality Improvement (RN)…

    Molina Healthcare (MI)
    **_JOB TITLE: Sr. Specialist, Quality Improvement RN (REGISTERED NURSE )_** **_For this position we prefer someone with 5 - 7 years hospital clinical experience and ... zones. Some holidays and weekends may be required._** **_This is a remote based position, work from home._** **JOB DESCRIPTION** **Job Summary** Molina's Quality… more
    Molina Healthcare (11/10/24)
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  • Registered Nurse - Outpatient Clinics

    Veterans Affairs, Veterans Health Administration (Augusta, GA)
    Summary The Registered Nurse is assigned to a designated unit and is accountable to the Nurse Manager for the area. The Registered Nurse understands ... tracks, devises strategies to improve Healthcare Effective Data Information Sets ( HEDIS ) metrics, clinical reminders, panel access, timely encounter closures, other… more
    Veterans Affairs, Veterans Health Administration (10/26/24)
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