RN Quality Navigator: Elevate HEDIS & Stars
EmblemHealth
AdvantageCare Physicians (ACPNY) is seeking a Quality Navigator to serve as an embedded clinical quality resource within assigned PCP practices across the New York metropolitan area. You will work with providers, office leadership, care management, and interdisciplinary teams to identify and close care gaps, optimize chronic disease management, and drive practice-level quality improvement initiatives. Using analytics and performance data, you will improve Medicare Stars, HEDIS, QARR, and CAHPS #J-18808-Ljbffr EmblemHealth
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the RN Quality Navigator: Elevate HEDIS & Stars in New York, NY vacancy
- ...specialty care network delivering patient-centered care across multiple offices. The Quality Navigator serves as an embedded clinical quality resource to improve Medicare Stars, HEDIS, QARR, and value-based outcomes by collaborating with providers, care teams, and leadership...HEDISQuality
- AdvantageCare Physicians (ACPNY) seeks a Quality Navigator to work as an embedded clinical... .... Ideal candidates have a BSN and NY RN licensure, with at least 2 years of clinical... ...experience, plus familiarity with HEDIS, QARR, and Stars programs. #J-18808-Ljbffr...HEDISQuality
- ...care practice serving half a million patients across the New York metropolitan area. This Quality Navigator role embeds within provider practices to improve Medicare Stars, HEDIS, QARR, and value-based care outcomes. You will work with providers, care management teams,...HEDISQuality
- AdvantageCare Physicians is hiring a Quality Navigator (RN) to serve as an embedded clinical quality resource in NYC practices, focusing on improving Medicare Stars, HEDIS, QARR, and value-based outcomes. The RN will partner with providers and care teams to close care...HEDISQuality
- AdvantageCare Physicians (ACPNY) is seeking a Quality Navigator (RN) to embed within practices and drive Medicare Stars, HEDIS, QARR, and value-based care performance improvements. You will partner with providers, office leadership and care teams to close care gaps, enhance...HEDISQualityWork at office
$81k - $96.9k
...grow with us. Summary Of Position The Quality Navigator serves as an embedded clinical quality... ...provider practices to improve Medicare Stars, HEDIS, QARR, and value-based care performance... ...BSN required Current Licensure as an RN in NYS Relevant Work Experience, Knowledge...HEDISQualityWork experience placementWork at office$114k - $143k
RN Clinical Care Manager/Case Manager - New York Position Summary... ...Management interventions and HEDIS/STAR measures for identified areas... ...that would benefit from Care Navigation support, conduct outreach,... ..., clinical operations, quality, or care management 3 years...HEDISQualityTemporary workWork at officeLocal area- Village Center for Care, Inc. is seeking an RN Clinical Quality Manager for a hybrid role based in New York. This position is essential in... ...of relevant quality improvement experience, especially with HEDIS/Stars metrics. Strong proficiency in MS Office and campaign...HEDISQuality
- ...Job Description Job Description Position: RN Clinical Quality ManagerLocation: Hybrid (Must Reside in NY/NJ/CT)Work Schedule: Monday... ...performance improvement work for MLTC or Medicare products; drive HEDIS/Stars gap closure- Analyze claims and quality reports to identify...HEDISQualityMonday to Friday
Village Care
New York, NY8 days ago - EmblemHealth seeks a data analytics professional to support Quality Management by developing and maintaining monitoring and reporting structures for HEDIS-QARR, Medicare Stars, Medicaid QIA, and related initiatives. You will generate meaningful insights and actionable analytics...HEDISQuality
$85k - $110k
RN Care Manager, Population Health Programs at Duet About Duet: Duet is on a mission... ...related to preventive care, screenings, and quality measures Program Building & Operational... ...ACO quality and utilization goals (HEDIS, STARs, TCM, etc.) Document care management activities...HEDISQuality$90 - $155 per hour
...physical, mental and social needs - helping patients access and navigate care anytime and anywhere. As a team member of our Senior... ...and medical record documentation, increased closure of STAR/HEDIS quality measures, improved completion rates of Advanced Care Planning...HEDISQualityHourly payDaily paidMinimum wageWork experience placementLocal area- Weareseeking Registered Nurse RN to deliver patient centered care throughin home visits for Medicare patients. Thisrole primarily... ...palliative care interventions, and the closure of preventive care and HEDIS quality gaps, includingscreenings and medication adherence initiatives....HEDISQualityFull time
- Visa Hunt seeks a detail-oriented Registered Nurse for a fully remote HEDIS abstraction role supporting Pennsylvania healthcare quality initiatives. The RN will review and abstract clinical data from medical records to ensure NCQA measure compliance and accurate reporting...HEDISQualityRemote job
- Complete Staffing Solutions is seeking a Quality Improvement Registered Nurse in Queens, NY. This full-time on-site role focuses on improving... ...with risk management, ensure regulatory compliance, and support HEDIS initiatives. Strong data/reporting skills and experience with...HEDISQualityFull time
- CVS Health requires a Quality Practice Liaison to work remotely supporting the Arizona Mercy Care Plan. The role involves presenting HEDIS gaps in care data to provider groups, educating on NCQA HEDIS specifications, and performing data abstraction for supplemental HEDIS...HEDISQualityRemote jobWork from home
- CVS Health in the United States seeks a Quality Practice Liaison for the Arizona Mercy Care Plan. This full-time, work-at-home role involves presenting HEDIS gaps in care data to provider groups and collaborating with plan teams to improve member outcomes. You will review...HEDISQualityRemote jobFull timeWork from home
- ...understanding of Population Health, Risk Adjustment, Risk Capture, Quality Measures (HEDIS, Stars), Cost & Utilization Analytics, and Value-Based Care... ...initiatives. Team is looking for a true SME who can elevate the organization's knowledge while helping accelerate...HEDISQualityShift work
1 point system
New York, NY1 day ago - ...physicians, advanced practice providers, nurses, and navigators to design and execute high‑reliability care... ..., and rehabilitation centers. Contributes to quality improvement initiatives aligned with CMS Star Ratings, HEDIS measures, and value‑based care contracts....HEDISQualityRemote work
$85k - $106.3k
Overview Leads interdepartmental Quality Improvement (QI) initiatives focused on promoting high-quality, safe, and equitable member... ...committees, workgroups, and leadership. Analyzes outcomes, HEDIS/CAHPS/Stars performance, and trend data to identify opportunities for improvement...HEDISQualityWork experience placementFlexible hours$25.72 - $28.89 per hour
...deliver innovative solutions that elevate care, control costs, and... ...Honest day’s work. Your Role The Quality Outreach Specialist will be a key part of improving Star Ratings and the ACO REACH quality... ...Data and Information Set (HEDIS) measures and/or Star Rating gaps...HEDISQualityHourly payFull timeTemporary workWork at officeFlexible hours- ...includes patient engagement, virtual physical therapy, and care navigation to high-value imaging and specialty partners. Our Mission... ...Develop robust KPI frameworks to track patient outcomes, quality measures (STARS/HEDIS), and operational performance. Governance & Compliance...HEDISQualityRemote job
- Martin's Point Health Care is hiring a HEDIS Nurse Reviewer to perform clinical data reviews and ensure HEDIS compliance. The role requires nursing expertise and experience in quality improvement, with collaboration across care teams and physicians. Responsibilities include...HEDISQuality
$58.3 - $77.72 per hour
...promote increased compliance with a range of quality and cost measures and standards of care.... ..., meaningful use of medical record data, HEDIS and QARR quality of care measurements.... ...facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities,...HEDISQualityDaily paidTemporary workWork experience placementVNS Health
New York, NY6 hours ago- ...cardiovascular risk reduction Support shared decision-making and goal setting Care Coordination & Quality Participate in quality improvement initiatives (HEDIS, value-based care) Ensure compliance with evidence-based clinical guidelines Document accurately...HEDISQuality
Elnunu Medical Pc
New York, NY26 days ago - ...decision-making Provide trauma-informed, patient-centered care Documentation & Quality Maintain accurate and timely documentation in the EMR Support quality measures and screenings (HEDIS, depression remission/follow-up) Comply with state and federal regulations,...HEDISQualityWork at office
$115.2k - $158.4k
...Qualifications Master's Degree Experience navigating solution implementation to the retail... ...Market teams Experience working with HEDIS or Stars measures and programs Six Sigma (LEAN or... ...These efforts are leading to a better quality of life for people with Medicare and Medicaid...HEDISQualityBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...driven organization at the forefront of value-based care and quality performance. As Director of Quality and Provider Engagement,... ...and execute strategic plans to improve performance in CMS Star Ratings, HEDIS, Quality Rating System metrics, and other value-based programs...HEDISQuality
CAIPA MSO LLC
New York, NYmore than 2 months ago - ...transition summaries to ensure continuity of care across settings. Maintain familiarity with CMS regulations and NCQA HEDIS guidelines. Participate in quality improvement programs aimed at improving chronic disease management in skilled nursing facilities. Qualifications...HEDISQualityWork at office
- ...Article 31 Incidents as presented to the Safety Committee. Quality Improvement : • Participate with developing and revising Policy... ...basis. • ER follow-up workflow and QI reporting. HEDIS: Work with billing, registration and clinical teams on maximizing...HEDISQuality
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Quality Navigator: Elevate HEDIS & Stars. Be the first to apply!
