HEDIS Utilization Review Nurse: Quality Care Gaps Lead
Central Florida Health Care
Central Florida Health Care, Inc. is seeking a HEDIS Utilization Review Nurse in Winter Haven, Florida. This position involves comprehensive review of medical records for HEDIS reporting and supports quality improvement initiatives. The ideal candidate will have an RN, LPN, or LVN qualification and at least 2 years of clinical experience, particularly in HEDIS abstraction. Additional benefits include excellent medical coverage, long-term disability insurance, and a 401k plan with matching contributions. #J-18808-Ljbffr
- ...Title: HEDIS Utilization Review Nurse Reports to: Director of Managed Care FLSA Status: Exempt Personnel Supervised: None Position Summary The... ...HEDIS reporting. This role supports quality improvement initiatives by identifying gaps in care, validating clinical documentation...HEDISQualityContract workTemporary workWork at officeImmediate startShift work
- ...over the phone. Your passion for caring for others will have a... ...routine lab tests and complete HEDIS measures. Coordinate patient... ...maintain records. Participate in quality improvement and continuing... ...friendly application so that we can review your information. We look...HEDISQualityTemporary workWork at office
- ...over the phone. Your passion for caring for others will have a... ...routine lab tests and complete HEDIS measures. Coordinate patient... ...maintain records. Participate in quality improvement, and continuing... ...friendly application so that we can review your information. We look...HEDISQualityFull timeTemporary workWork at officeLocal area
$43k - $56.2k
...the first contact for patient care. Responsible for administrative... ...including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS... ...Humana company: CenterWell is a leading healthcare services business focused... ...we do. The result is high-quality healthcare that is accessible,...HEDISQualityTemporary workRelocation packageMonday to Friday$31.53 - $50.4 per hour
...of Medicine in Winter Haven is hiring a Registered Nurse to conduct patient assessments, implement care plans, and supervise nursing staff. Candidates must... ...compliance with healthcare regulations and providing quality patient care. The position offers a competitive pay...QualityHourly pay$19 - $21 per hour
...role in supporting providers and the care team in delivering high-quality, patient-centered healthcare within... ...information is complete prior to provider review. Conduct pre-charting and ensure all... ...protocols and quality indicators (HEDIS, Stars, etc.). Maintain a...HEDISQualityHourly payApprenticeshipWork experience placementWork at officeLocal areaMonday to FridayFlexible hoursShift workDay shift$43k - $56.2k
...Become a part of our caring community The Medical Assistant is... ...experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS... ...company: CenterWell is a leading healthcare services business focused... ...we do. The result is high-quality healthcare that is accessible,...HEDISQualityFull timeTemporary workApprenticeshipRelocation packageMonday to Friday$43k - $56.2k
Become a part of our caring community The Medical Assistant is the... ...experience including knowledge of HEDIS, CPT/ICD coding, and CAHPS/HOS... ...company: CenterWell is a leading healthcare services business focused... ...we do. The result is high-quality healthcare that is accessible,...HEDISQualityWeekly payFull timeTemporary workApprenticeshipRelocation packageMonday to Friday$18.22 - $20.96 per hour
...assisting providers with patient care, which also includes clerical... .... The medical assistant utilizes technology set in place for scheduling... ...and commitment to quality work. Participates actively in... ...electronic health records Knowledge of HEDIS/Star measures Knowledge of...HEDISQualityMonday to FridayShift work- ...career opportunities as a(an) Lead Patient Care Tech you want with your... ...be an integral part of the nursing team, delivering compassionate... ...sharing updates on policies and quality improvement initiatives that... ...Tech opening. We promptly review all applications. Highly qualified...QualityTemporary workFlexible hours
$18.22 - $20.96 per hour
...Lakeland Regional Health is a leading medical center located in... ...committed to providing high-quality care to our diverse patient population... ...necessary. The medical assistant utilizes technology set in place for... ...records Knowledge of HEDIS/Star measures Knowledge of...HEDISQualityMonday to FridayShift work- A healthcare company in Winter Haven, Florida is seeking an RN Infection Preventionist. In this role, you will evaluate and monitor infection control practices, ensure compliance with health regulations, and provide education to staff and families. The ideal candidate ...Quality
- ...Holding, LLC (Physician Care Centers) is a dynamic and... ...taught by example. In leading, teaching, and coaching... ...other licensed provider (nurse practitioner, physician... ...adherence. Knowledge of HEDIS. Education and... ...Medical, dental, vision, GAP, short-term disability,...HEDISFull timeTemporary workWork at office
- ...Life Care Centers of America is seeking a Registered Nurse in Winter Haven, Florida. As a vital team member, you will deliver quality nursing care, evaluate patient needs, and provide clinical supervision to nursing staff. Candidates must possess a nursing diploma and...Quality
- ...Hospital Care Coordinator - RN Case Management At BayCare, we are proud to be one of... ...understanding of the available resources to promote quality cost effective outcomes. Effectively... ...: Required RN (Registered Nurse) Preferred ACM (Case Management) Preferred...QualityFull timeMonday to FridayWeekend work
- ...the fastest growing private groups in Florida. Current need is in Winter Haven. Qualifications Must have managed care/Medicare experience (exposure to HEDIS, MRA, ICD codes, etc.) Fluency in Spanish is highly preferred Compensation Base salary with incentives and benefits...HEDIS
- ...patient-centric primary care physicians to join... ...team with market leading patient... ...impact on patient quality of life. In this position... ...Strong understanding of HEDIS, STAR ratings, risk... ...care teams including nurse practitioners,... ...seamless patient care Review and address quality...HEDISQualityFull timeApprenticeshipLocal areaRelocation packageMonday to FridayFlexible hoursShift workDay shift
- ...career opportunities as a(an) Lead Patient Care Tech you want with your... ...be an integral part of the nursing team, delivering compassionate... ...sharing updates on policies and quality improvement initiatives that... ...Tech opening. We promptly review all applications. Highly qualified...QualityTemporary workFlexible hours
- ...A healthcare provider is seeking a qualified Licensed Practical Nurse to join their team in Winter Haven, Florida. The LPN will deliver quality nursing care, monitor patient conditions, and supervise CNAs. Candidates must have graduated from an accredited LPN program...Quality
- ...A leading healthcare provider in Winter Haven is seeking an experienced RN – Charge Nurse to lead the Medical/Surgical Neuro unit. This full-time... ..., a passion for oncology care, and a minimum of 2 years of... ...based practices, ensuring high-quality care. The role offers...QualityFull time
- ...Broughton Group is seeking a dedicated Clinical Nurse Coordinator (CNC) for the NVICU, based at HCA Florida Osceola Hospital... ...activities in the absence of the Nursing Director and ensuring high-quality patient care. Ideal candidates will have a Florida RN license and...Quality
- ...Haines-City-Rehabilitation- seeks a dedicated Registered Dietitian to ensure high-quality nutritional services and resident care in Haines City, Florida. The role involves conducting assessments, creating individualized care plans, and delivering nutritional guidance...Quality
- ...Beacon Roofing Supply, Inc is looking for a Quality Assurance Manager responsible for... ...compliance with established standards. You will lead quality initiatives to enhance operational... ...bachelor’s degree. Benefits include health care, 401(k) with employer match, and paid time...Quality
- ...Registered Nurse (RN) – Home Health Field-Based | Clinical Autonomy | Advanced Patient Care Join VitalCaring – Where Your Work Truly... ...You have the opportunity to lead decisions, manage complexity... ...tied to clinical quality, patient outcomes, and documentation...QualityReliefFlexible hours
- ...Haines-City-Rehabilitation- is looking for a part-time RN Weekend Supervisor to oversee nursing activities and ensure quality resident care. This role requires a valid RN license in Florida, strong leadership skills, and a Bachelor of Science in Nursing is preferred. Responsibilities...QualityPart timeWeekend work
- ...system, we're transforming care delivery, advancing... ...outcomes, and empowering our nursing teams in a... ...practice and the provision of quality patient care by providing... ...to address practice gaps for identified target audiences... ...lifelong learning. Utilizes novice-to-expert...QualityTemporary workFlexible hours
- ...practitioners, ensuring efficient patient care and smooth clinic operations.... ...lab tests and complete HEDIS measures. Coordinate... ...maintain records. Participate in quality improvement, continuing... ...friendly application so that we can review your information. We look...HEDISQualityTemporary workLocal area
- ...Florida Inpatient Medicine is looking for a Post-Acute Nurse Practitioner (APRN) to provide comprehensive medical care in skilled nursing facilities. The role involves... ...collaboration with physicians to ensure high-quality post-acute care. The ideal candidate will hold a...Quality
- ...Direct Jobs is seeking a medical assistant in Winter Haven, Florida, to support patient care and clinic operations at AdventHealth. This role involves monitoring physician schedules, organizing patient care, and ensuring compliance with healthcare standards. The ideal...Full time
- ...unique calling in patient care and fits your life? At... ...The Nurse Educator enhances professional... ...practice and the provision of quality patient care by providing... ...activities to address practice gaps for identified target... ...lifelong learning. Utilizes novice-to-expert...QualityTemporary workFlexible hours
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