Hedis Nurse
Suvidahealthcare
Suvida Healthcare in Dallas, Texas, is looking for a Specialist, Quality to enhance care quality for Medicare-eligible Hispanic seniors. In this role, you'll collaborate with clinic staff to address care gaps, conduct audits, and educate on HEDIS specifications. The ideal candidate will hold a relevant Bachelor's degree and have extensive experience in value-based care settings. Enjoy competitive pay and unique benefits in a meaningful work environment. #J-18808-Ljbffr
- ...facilities improve patient outcomes and achieve their goals by connecting them with highly skilled and qualified professionals. HEDIS Course We are offering a HEDIS course to individuals looking to start working as a HEDIS Abstractor. Once the course is completed...HEDISRemote work
- ...Description Summary: The HEDIS Program Manager Health Plan Quality Improvement will work in collaboration with the HEDIS Manager... ...Education/Skills ~ Bachelor's or associate degree – Registered Nurse or Vocational/technical school graduate - Licensed Vocational...HEDISFull timeMonday to Friday
- ...that will start right away and end on April 30th 2024 Review Nurse Summary Description The review nurse is responsible for medical... ...the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and...HEDISContract workImmediate startRemote work
- A healthcare staffing agency is seeking a Review Nurse for a contract assignment starting immediately. The role involves medical record abstractions and overreads during the HEDIS survey, requiring a Registered Nurse or Licensed Practical Nurse with experience in HEDIS...HEDISContract workImmediate start
$48.9k - $66.2k
...Join Our Caring Community The Licensed Vocational Nurse (LVN) provides professional nursing care to patients within an assigned unit... ...Experience with Electronic Medical Records Experience with HEDIS Knowledge of primary care medicine requirements (state specific...HEDIS- ...providers and place referrals to appropriate care team members, i.e., Nurse Navigation, CHW, etc. Develop professional working relationships... ...programs (CMS), accountable care organizations (ACOs), HEDIS, and experience with payor cost sharing initiatives preferred....HEDISFull timeWork at officeMonday to Friday
$150k - $200k
...delivering high‑quality, proactive care directly to residents in skilled nursing and long‑term care facilities. Our partnership with MedElite... ...and their families Apply knowledge of CMS regulations and NCQA HEDIS guidelines Document accurate medical records to ensure...HEDISFull timeTemporary workRelocation package- ...providers and place referrals to appropriate care team members, i.e., Nurse Navigation, CHW, etc. Develop professional working relationships... ...value-based care programs, accountable care organizations, or HEDIS • Knowledge of government programs (CMS), accountable care...HEDISFull timeWork at officeMonday to Friday
- ...ensuring accuracy and proper reimbursement. Required: AHIMA/AAPC credentials and at least two years of acute care coding experience, with strong knowledge of ICD-10-CM/PCS, CPT/HCPCS, E/M and HEDIS CAT II. Virtual position, must reside in allowed states. #J-18808-Ljbffr...HEDIS
- Suvida Healthcare is seeking a Quality Analyst to work closely with clinic staff to enhance healthcare quality for seniors. This role involves auditing, educating, and ensuring compliance for care gaps in a Medicare-focused environment. Candidates must possess a Bachelor...HEDIS
- ...seeking a mission-driven PRN Pediatric Provider (Pediatric or Family Nurse Practitioner, or Physician Assistant) to provide comprehensive... .... Support quality improvement initiatives, including UDS, HEDIS, PCMH, and value-based care programs, while adhering to organizational...HEDISReliefLocal areaAfternoon shiftWeekday work
- ...both adults and pediatrics Assign appropriate E/M, ICD-10-CM and/or CPT codes based on documentation and/or payer requirements HEDIS measures CAT II code reporting for HTN, diabetes, obesity, and cervical cancer Review NCCI and nosology edits for accurate code...HEDISShift work
- ...delivering high-quality, proactive care directly to residents in skilled nursing and long-term care facilities. Our partnership with MedElite... ...to reduce fall incidents. Knowledge of CMS Regulations and NCQA HEDIS Guidelines Document accurate medical records to ensure...HEDISContract workPart timeFor contractorsFor subcontractorWork at office
- ...patient care. This role assists physicians, mid level providers, nurses, and other medical staff by performing administrative and... ...patient safety and quality health outcomes, and contributes to HEDIS and designated quality measures. The individual displays responsible...HEDISWork at office
- ...abilities with cross-functional teamsRequired Skill and ExperienceSenior Business AnalystPayerHealthcarePreferred Skill and ExperienceFHIR/HEDIS/Enrollment/SalesforceAdditional Required Qualifications• Bachelor’s degree or foreign equivalent required from an accredited...HEDISFull timeTemporary workRelocation
- ...HEDIS Specialist I Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has...HEDISWork at office
- ...Healthcare in Garland, Texas, is seeking a Specialist, Quality to work closely with clinic staff to identify gaps in care, capture HEDIS documentation, and perform chart audits. You will collaborate with the Director of Quality to enhance patient engagement and address...HEDIS
$44.9k - $60.2k
...in PCO center Value Based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience Bilingual... ...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent...HEDISTemporary workFlexible hours$44.9k - $60.2k
...in PCO center Value Based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience Bilingual... ...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent...HEDISTemporary workApprenticeshipFlexible hours$44.9k - $60.2k
...PCO center ~ Value Based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience ~ Bilingual... ...-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent...HEDISTemporary workFlexible hours$44.9k - $60.2k
...in PCO center Value Based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience Bilingual... ...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent...HEDISTemporary workFlexible hours$97.3k - $176.9k
...knowledge of Snowflake interfaceWorking knowledge of innovation, ThoughtSpotKnowledge of Health Care Industry and/or experience in HEDIS, CAHPS/HOS, Medicare Advantage Part D (MAPD) operations and STARSKnowledge and or experience with reading and interpreting contracts...HEDISWork experience placementLocal areaRemote work$44.9k - $60.2k
...PCO center ~ Value Based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience ~ Bilingual... ...-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent...HEDISFull timeTemporary workApprenticeshipFlexible hours$46.99k - $102k
...analysis and predictive modeling. Provide clinical insights through analyzing data including HCCs, Claims (ICD10, CPT, POS, etc), and HEDIS measures. Define, track, report out, and explain metrics representing the value of the product. Develop ad hoc analysis, dashboards,...HEDISHourly payFull timeTemporary workLocal area- ...proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS, HCC, HEDIS CAT II, E/M and modifier codes. Demonstrates the ability to... ...Facilitate a positive working relationship with physicians, nurses, and medical staff and hospital employees to ensure that all work...HEDISContract workLive inLocal areaRemote work
- ...and claims, and support quality reporting for commercial and governmental payers. The role emphasizes proactive outreach, accuracy in NCQA/HEDIS specifications, and collaboration with customers, payers, and teams in a flexible, fast-moving environment. #J-18808-Ljbffr...HEDISRemote workFlexible hours
- ...proficient in the proper assignment of ICD-10 CM, PCS, CPT, HCPCS. HCC, HEDIS CAT II and modifier codes for both professional and hospital... ...department and Parkland. Collaborates with physicians and nurses by telephone or in writing to clarify or complete records by...HEDISContract workLocal areaRemote work
- ...of doctors, advanced practice professionals, Pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality... ...in a value based relationship environment Knowledge of Medicare guidelines and coverage Knowledge of HEDIS quality indicator...HEDISLocal area
- ...health needs. About the Role Longevity Health is looking for a Nurse Practitioner or Physicians Assistant with a passion for working... ...prior authorization, Part A and B services, medication reviews, HEDIS and STARs quality gap closure, and promotes membership growth Serves...HEDIS
$44.9k - $60.2k
...PCO center ~ Value Based Care experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS Patient Experience ~ Bilingual... ...-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent...HEDISTemporary workFlexible hours
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