Quality Improvement RN for CMS & HEDIS (Hybrid)
Inland Empire Health Plan
Inland-Empire-Health-Plan- is seeking a Quality Improvement RN in Rancho Cucamonga, CA. This role involves facilitating quality initiatives to enhance health care delivery and improve performance metrics. Candidates should possess a Bachelor's in health-related fields and a minimum of four years of healthcare experience. The position offers a hybrid schedule with remote work on certain days. Key perks include competitive salary, medical insurance with vision and dental, career development opportunities, and a state-of-the-art fitness center. Join us in making a difference in our members' lives! #J-18808-Ljbffr
$91.25k - $120.91k
...Director of Hospital Relations, the Quality Improvement RN facilitates quality improvement initiatives... ...to improve performance related to CMS Star Ratings, HEDIS, CAHPS, HOS, P4P, and other... ...groups. Benefits Competitive salary Hybrid schedule State‑of‑the‑art fitness center...CmsHEDISQualityTemporary workWork at officeLocal areaFlexible hours$91.25k - $120.91k
...Director of Hospital Relations, the Quality Improvement, RN will facilitate quality improvement... ...for Medicare & Medicaid Services (CMS) Star Ratings, HEDIS, CAHPS, HOS, P4P and other identified... ...and more. Competitive salary Hybrid schedule State of the art fitness...CmsHEDISQualityTemporary workWork at officeLocal areaRemote workFlexible hours$91.25k - $120.91k
...effectively to provide high quality, effective care... ...including, but not limited to, HEDIS, CAHPS, and NCQA... ...Initiate and oversee quality improvement initiatives and... ...unencumbered Registered Nurse (RN) license issued by the... ...Work Model Location: Hybrid work schedule, Mon &...HEDISQualityTemporary workRemote workFlexible hoursShift work$63.9k - $83.08k
...Medicare and Medicaid Services (CMS) regulations and NCQA.... ...Members to provide continuous quality care and assist in the development... ...including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...apply TODAY! Work Model Location Hybrid Work Model Pay Range USD $63,8...CmsHEDISQualityTemporary workImmediate startFlexible hours- ...Hedis Improvement Registered Nurse Position HEDIS Improvement Registered Nurse Description Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and company departments...HEDISQuality
- ...interventions as necessary to improve the Member's ability to manage... ...according to the scope of the RN license Assimilate assessment... ...commitment to continuous quality improvement by engaging in quality... ...by identifying and addressing HEDIS gaps, and by identifying,...HEDISQualityFull timeWork experience placement
$135.2k - $179.13k
...objectives. Commitment to Quality: The IEHP Team is committed to... ...including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...initiatives Understanding of CMS and DHCS protocols and... ...Location This position is on a hybrid work schedule. (Monday & Friday...CmsHEDISQualityTemporary workWork experience placementRemote workMonday to FridayFlexible hours$250k - $325k
...including familiarity with DMHC , CMS , and delegated oversight... ...ensure efficiency and service quality. Collaborate with shared service... ...initiatives, including HEDIS, CAHPS, and STARs programs, to... ...performance. Identify opportunities to improve administrative efficiency and...CmsHEDISQualityFull time$80.06k - $106.06k
...as necessary. Commitment to Quality: The IEHP Team is committed to... ...including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...guidelines required Knowledge of CMS, DHCS, DMHC, NCQA rules and... ...positions approved for telecommute or hybrid work locations may...CmsHEDISQualityFull timeTemporary workWork experience placementInternshipSeasonal workRemote workWork from homeFlexible hours- ...Hedis Clinical Review Nurse, Lvn Under the direction of the Clinical Quality Improvement (CQI) Supervisor, the HEDIS Clinical Review, LVN provides support to the CQI Supervisor, HEDIS Nurse RN, and other departments on HEDIS and quality improvement-related activities...HEDISQuality
$118.6k - $157.14k
...data governance framework, ensuring data quality, integrity, and compliance across all business... ...goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks Competitive... ...) and regulatory frameworks (e.g., HIPAA, CMS) Strong analysis and critical thinking...CmsHEDISQualityTemporary workWork experience placementFlexible hours- ...’s direction. This position ensures high-quality, patient-centered care consistent with California... ...(EHR) in accordance with organizational, CMS, and California regulatory standards.... ...for daily clinic. Participate in quality improvement, peer review, and performance initiatives...CmsQualityWork at office
- ...The Registered Nurse Manager (RN Manager) is responsible for the... ...ensures the delivery of high-quality, safe, efficient, and compliant... ...and implement quality improvement initiatives. Maintain compliance... ...applicable regulatory bodies including CMS, AAAHC, and state licensing...CmsQualityLocal area
$30.72 per hour
...Position Type: Full-time Schedule: (Hybrid) M-F, 8:00 am - 5 pm; Mon-Fri WFH, Tue-Thur... ...Center for Medicare and Medicaid Services (CMS) regulations and NCQA. Coordinate care of... .../ or Team Members to provide continuous quality care and assist in the development of...CmsQualityFull timeImmediate startWork from home$80k - $140k
...Description Registered Nurse (RN) – Home Health Field Nurse... ...independence, and receive high-quality care in the comfort of their own... ...ensuring compliance with Medicare, CMS, CHAP, and state regulatory... ...-services • Support quality improvement initiatives and best practices...CmsQualityDaily paidFull timePart timeFlexible hours$80.06k - $106.06k
...helps ensure Health Services, Quality Systems, Provider Services,... ...including, but not limited to, HEDIS, CAHPS, and NCQA... ...enhancement, process development, and improvement within Health Services, Quality... ...Location This position is on a hybrid work schedule. (Mon & Fri -...HEDISQualityTemporary workWork at officeLocal areaRemote workFlexible hours$104.04k - $137.84k
...sustainable. Commitment to Quality: The IEHP Team is committed to... ...including, but not limited to, HEDIS, CAHPS, and NCQA... ...workflows. Coach teams in designing hybrid learning experiences (digital... ...Measurement, Optimization & Continuous Improvement: Define success metrics for...HEDISQualityTemporary workRemote workFlexible hours$91.25k - $120.91k
...escalating issues. Commitment to Quality: The IEHP Team is committed... ..., but not limited to, HEDIS, CAHPS, and NCQA Accreditation... ...negotiation personnel and teams. Make improvements to processes, procedures,... ...This position is on a hybrid work schedule. (Mon & Fri - remote...HEDISQualityContract workTemporary workWork experience placementRemote workFlexible hours- ...dedicated care manager in Rancho Cucamonga, CA, to deliver high-quality care management to its members. Candidates should possess an... ...along with an active Registered Nurse license in California. This hybrid position requires collaboration with the Integrated Care Team...Quality
$104.04k - $137.84k
...organizational growth. Commitment to Quality: The IEHP Team is committed to incorporate... ...Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.... ...Model Location This position is on a hybrid work schedule. (Mon & Fri - remote, Tues...HEDISQualityTemporary workRemote workFlexible hours- ...development to produce efficient and high-quality solutions. Commitment to Quality: The... ...Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks... ...prime benefits and more. Competitive salary Hybrid schedule State of the art fitness center...HEDISQualityTemporary workFlexible hours
- ...distinctive, values-driven platform dedicated to improving care for older adults.Our work spans... ...monitor and quickly address clinical quality gaps in care in partnership with other care... ...wound care and management.* Knowledge of CMS guidelines and Medicare Advantage Managed...CmsQualityFor contractorsWeekend work
$118.6k - $157.14k
...confidentiality of team member data. Commitment to Quality: The IEHP Team is committed to... ...Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.... ...Work Model Location This position is on a hybrid work schedule. (Monday & Friday - remote,...HEDISQualityContract workTemporary workWork at officeRemote workMonday to FridayFlexible hours$91.25k - $120.91k
...manage programs/projects. Commitment to Quality: The IEHP Team is committed to... ...Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks... ...designing or supporting member experience improvements tied to transportation within a health plan...HEDISQualityTemporary workLocal areaFlexible hours- ...inpatient records using ICD-CM, PCS and CPT. The role collaborates with Clinical Documentation Improvement Team and physicians to ensure accurate DRG assignments. The hybrid work arrangement may involve both in-office and remote work within the department's discretion....CmsWork at officeRemote work
$30.18 - $42.26 per hour
...Familiarity with operational, financial, quality assurance, and human resource procedures... ...demonstrated knowledge in compliance process improvement and the requirements of Federal... ...Exclusion Check External Credentialing Monitor CMS, FI, MAC, state and local guidelines to determine...CmsQualityFull timeFor contractorsLocal areaFlexible hours$25k
...clinical operations, provider engagement, and quality initiatives across an integrated care... ...annually, with a strong focus on improving healthcare access and outcomes within underserved... ...Quality improvement initiatives tied to HEDIS UDS HRSA Clinical workflows and operational...HEDISQuality2 days per week- ...Position Data Retrieval Specialist (HEDIS) Under the direction of the Manager, Data Quality, the Data Retrieval Specialist is responsible for providing technical, administrative, and clerical support for the year-round efforts to collect medical records for key quality...HEDISQuality
$255k - $367.03k
...distinctive, values-driven platform dedicated to improving care for older adults. Our work spans... ...focus on delivering comprehensive, high quality person-centered care across the health... ...care and management. ~ Knowledge of CMS guidelines and Medicare Advantage Managed...CmsQualityWork from homeWeekend work$240k - $267.37k
...collaborate closely with multidisciplinary care teams, participate in quality improvement initiatives, and support the training and supervision of mid-... ...all clinical and administrative quality measures such as, HEDIS metrics and patient productivity. Consult with Chief Medical...HEDISQualityWork at office
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