Senior STARS Improvement Clinician - Remote (FL RN)
Humana Inc
Florida, NY
- Remote job
Humana Inc. is seeking a Senior STARS Improvement, Clinical Professional for a remote Florida role focused on quality improvement for providers and member care. You will engage during virtual visits, drive education, and influence departmental strategy to enhance HEDIS outcomes and CAHPS scores. The position requires an active Florida RN license, residency in Florida, and a Bachelor's in nursing, with experience in Medicare/Medicaid and cross-functional teamwork. #J-18808-Ljbffr Humana Inc
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Senior STARS Improvement Clinician - Remote (FL RN) in Florida, NY vacancy
- ...Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina Healthcare 100% remote- candidates can work from anywhere... ...to focus on parts of the process where a clinician's perspective would be valuable to uncover process...Remote workSenior
Saviance
United States4 days ago $38 - $40 per hour
Description The RN-After Hours is primarily responsible... ...: After Hours RN for Senior Living Hourly: $38... ...Service Area: Remote . Requires 2 half-... ...concerns for residents and clinicians, escalating when... ...winning workplace - earning Star Tribune Top Workplace 1...Remote workSeniorHourly payFull timeTemporary workPart timeLocal areaWork from homeShift workWeekend workAfternoon shiftLife-Spark LLC
Saint Louis, MO5 days ago- ...Humana Inc. is seeking a Senior STARS Improvement Professional to develop and oversee regional Medicare/Medicaid Stars quality improvement programs... ...measures, CMS Star rating systems, and interoperability. Remote work with occasional travel to Humana offices may be...Remote workSenior
Humana
New York, NY2 days ago - ...Health is seeking a Medical Management Clinician Senior to ensure consistent administration of... ...review experience and an active LPN/LVN or RN license. Responsibilities include... ...complex cases, and assisting in process improvements. Benefits include competitive rewards,...Remote jobSenior
$55 - $90 per unit
A behavioral health company is hiring Remote Licensed Clinicians (Psychologist, LCSW, LMFT, LPC, LMHC) in California... ...to provide goal-oriented therapy to seniors. The position emphasizes a flexible work schedule, focusing on improving the emotional and functional...Remote jobSeniorFlexible hours- Molina Healthcare of Ohio is searching for a Sr Quality Improvement/HEDIS Specialist focused on improving quality within Medicare Stars Measures. This remote position requires residency in Ohio. Candidates will implement data-informed strategies, monitor interventions,...Remote jobSenior
- ...Health is seeking a Medical Management Clinician Senior to manage complex cases, evaluate multiple... ...a resource to junior clinicians. This remote, full-time role includes in-person... ..., and collaborating with leadership to improve utilization reviews. #J-18808-Ljbffr Elevance...Remote jobSeniorFull timeWork at office
- Molina Healthcare is looking for a Sr Quality Improvement/HEDIS Specialist to join our Health Plan Community Interventions team. This remote role requires candidates to reside in Ohio and focuses on improving Medicare Stars measures through quality interventions. The ideal...Remote jobSenior
- Elevance Health is seeking a Medical Management Clinician Senior for a remote role with required in-person training sessions within a commuting distance... ...mentoring junior staff, and applying medical policies to improve health outcomes for members. Multistate licensure is...Remote jobSeniorWork at officeMonday to Friday
- CEMEX in West Palm Beach, FL is looking for a Sr. Sales & Use Tax Audits Accountant. This role involves managing audits and maintaining... ...and local tax laws while working collaboratively with teams to improve processes. The ideal candidate will have over 5 years of tax...Remote jobSeniorLocal area
- Elevance Health is seeking a Medical Management Clinician Senior to advance utilization review decisions, collaborate with physicians and... ...policy application, pre-certification and concurrent reviews, and contributing to process improvements. #J-18808-Ljbffr Elevance HealthRemote jobSeniorFull time
- ...care team to achieve positive patient outcomes. Qualifications include a BSN or RN license, two years clinical experience, and strong interpersonal skills. This position is essential in improving patient care quality and fostering a collaborative team environment. #J-18808...Remote workSenior
ArchWell Health
Phoenix, AZ1 day ago - ...inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to prioritize and manage multiple deadlines. Excellent...Remote workWork at office
Molina Healthcare
United States2 days ago $92.72 - $146.37 per hour
...your expertise. The Role The Senior Director, Women and Children Services provides... ...Quality & Safety Lead quality improvement initiatives and ensure sustained... ...consists of three days onsite, two days remote and live within a reasonable commuting distance...Remote workSeniorMinimum wageFull timeLive inLocal areaShift work$26.41 - $43 per hour
...inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Ability to prioritize and manage multiple deadlines. •...Remote workHourly payWork experience placementWork at officeMolina Healthcare
United States3 days ago$92.72 - $146.37 per hour
...paramount? If so, we invite you to consider the Senior Director of Surgical and Interventional... ...to promote coordinated patient care and improved interdisciplinary communication.... ...consists of three days onsite, two days remote and live within a reasonable commuting distance...Remote workSeniorMinimum wageFull timeLive inLocal areaShift work- Senior QA Manager - Star Trek Fleet Command in Barcelona or Remote Scopely is looking for a Senior QA Manager to join our Star Trek Fleet Command team within our... ...and execute department strategy for continuous improvement. Drive and educate the business on a Culture of...Remote workSeniorLocal areaFlexible hours
- ArchWell Health is looking for a dedicated RN Care Manager in Las Vegas, NV, to... ...involves collaborating with care teams to improve patient outcomes, assessing needs, and developing... ...with our mission-driven approach to caring for seniors. #J-18808-Ljbffr ArchWell HealthRemote jobSenior
- ...managing claims, supporting clients, or improving processes, you’ll play a vital role in helping... ...Jurisdictional Experience: FL, GA Active Adjusters' licenses : FL,... ...Location: This role is eligible for fully remote work How you'll make an impact...Remote workSeniorLocal area
Gallagher Bassett
Orlando, FL6 hours ago - ...-based model. You will work with hospital case managers, home health professionals, and families to ensure safe transitions of care, patient education, and effective referrals, while leveraging your nursing experience to improve outcomes #J-18808-Ljbffr ArchWell HealthRemote jobSenior
- ...Group is looking for a Nurse Case Management Senior Analyst to join their team. This remote position requires active RN licensure, and two years of clinical care experience... ...collaboratively with various stakeholders to improve health outcomes. The successful candidate will...Remote jobSeniorFull timeMonday to Friday
- ...Suffolk, VA, is seeking an experienced Senior Inpatient Case Manager RN to focus on complex cases!... ...In support of our mission “to improve health every day,” this is a tobacco-... ...For positions that are available as remote work, Sentara Health employs associates...Remote workSeniorFull timeTemporary workShift workDay shift
Sentara Health
Suffolk, VA1 hour ago $50 - $58 per hour
Job Title: Senior IT Analyst - Telecom Expense Management Location... ...on Tuesdays and Wednesdays, remote on Monday, Thursday, and Friday... ...compliance and identify improvement opportunities. Process Improvement... ...is a plus. #J-18808-Ljbffr Blue Star Partners LLCRemote workSeniorContract workVisa sponsorshipMonday to Friday- ...is seeking a Lead Appeals and Grievances RN to help develop and lead a cohesive A&G clinical... ..., ensuring regulatory compliance, and improving customer service for L.A. Care members.... ...of healthcare regulations. A hybrid remote schedule is supported along with after-hours...Remote jobSenior
- ...to guide clinical strategy for Medicare Stars, Risk Adjustment (MRA), and Interoperability... ...coding expert, drive provider practice improvements, and act as a consultant across the... ...and Cost Strategy organization. This is a remote, high-impact leadership position within...Remote work
$140k - $200k
Senior Software Engineer, Core Experiences - West Palm Beach, FL, USA West Palm Beach, FL, USA Mission Speechify is the easiest... ...efficient abstractions and improving our algorithms. Ship cloud functions... ...-growth startup with a busy, remote team. You know how and when to...Remote workSenior- Inovalon is seeking a Senior Clinical Quality Assurance Analyst to... ..., and enterprise-wide quality improvements. The role focuses on coding accuracy... .... The position can be remote, with a hybrid option for those... ...near office locations in Tampa, FL; Canonsburg, PA; or Bowie, MD....Remote jobSeniorWork at office
- ...lead a team of 8-10 sales closers in Florida. The role focuses on improving sales performance and driving revenue while coaching team... ...experience in home services or consumer sales. This is a fully remote position, offering a competitive salary and performance-based commissions...Remote jobSenior
- ...standards across the organization to improve operational performance.... ...one of our offices in Tampa, FL, Tucker, GA, Greensboro, NC and... ...and sustainment. Engage with senior leadership and teams to adopt... ...office, laboratory, and virtual remote. Occasional 2nd & 3rd Shift...Remote workSeniorWork experience placementCasual workWork at officeLocal areaShift workNight shiftAfternoon shift
- ...Process Improvement Specialist • Baltimore, MD Responsible for achieving safety, quality, and productivity goals in the Molding Department... ...with company standards. Process Improvement / SOPs Evaluator (Remote) Evaluate AI‑generated work products (documents, spreadsheets,...Remote workSenior
Avid Technology Professionals
Baltimore, MD3 hours ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior STARS Improvement Clinician - Remote (FL RN). Be the first to apply!
Related searches