RN Clinical Quality Navigator — HEDIS & Stars
EmblemHealth
AdvantageCare Physicians is seeking a Quality Navigator to serve as a clinical quality resource within our provider practices across New York. The role aims to improve Medicare Stars, HEDIS, QARR, and value-based care outcomes by partnering with providers, leadership, and care teams to close gaps and optimize chronic disease management. Responsibilities include data-driven outreach, documentation in Epic, and efforts to enhance patient engagement and CAHPS performance, while coordinating #J-18808-Ljbffr EmblemHealth
$114k - $143k
RN Clinical Care Manager/Case Manager - New York Position Summary: The... ...interventions and HEDIS/STAR measures for identified areas... ...that would benefit from Care Navigation support, conduct outreach, and... ...services, clinical operations, quality, or care management 3 years...HEDISQualityTemporary workWork at officeLocal area- ...Description Job Posting: HEDIS RN / LPN - Chart Review & Quality Position Type:... ...Department: Quality Operations / Clinical Quality Schedule:... ...Demonstrated experience reviewing, navigating, and interpreting medical... ...Working knowledge of CMS Stars ratings, Medicaid quality...HEDISQualityRemote jobFull timeContract workTemporary workSeasonal workLocal areaMonday to FridayFlexible hours
$68.9k - $99.62k
...The Clinical Quality Specialist is responsible for performing Healthcare Effectiveness Data and Information Set (HEDIS) medical record review, supplemental data validation, data abstraction... ...Knowledge of NCQA HEDIS specifications, STAR, and QARR quality programs. Prior...HEDISQualityTemporary workWork experience placementRemote work- VP of Clinical Services - Lead, Scale, and Innovate in Healthcare Join a rapidly growing... ...Lead initiatives around risk adjustment, HEDIS, STAR measures, and value-based care models. Collaborate... ...in risk adjustment, HEDIS, STAR quality measures, and value-based care delivery...HEDISQualityRemote work
- ...management platform for U.S. health systems, clinics, and ACOs. Our product has two faces:... ...readiness and ongoing model monitoring. Quality measures & evidence. Ensure the platform captures the data needed for HRRP, HEDIS, eCQMs, and UDS reporting, and structure clinical...HEDISQualityFull timeRemote work
- To support quality initiatives in a remote environment, the full-time Clinical Administrative Coordinator will manage market-specific... ...medical record reviews for HEDIS measures, and provide administrative... ...records to support HEDIS and Star quality measures Respond to...HEDISQualityFull timeWork at officeRemote work
- ...Incidents as presented to the Safety Committee. Quality Improvement : • Participate with developing and... .... • ER follow-up workflow and QI reporting. HEDIS: Work with billing, registration and clinical teams on maximizing insurance incentives Meet...HEDISQuality
- Senior Quality Improvement Specialist (RN) Location: NYCLAY (100% remote) Duration: 45 W, 3 D Client: Molina... ..., Quality Improvement Compliance, HEDIS, and / or Quality Reporting. Quality... ...require a component of near real-time clinical decision-making. These activities...HEDISQualityRemote work
- ...families in the center. The Registered Nurse (RN) Navigator practices professional nursing as... ...decision making and timely access to quality health and psychosocial care throughout... ...referring physicians to assist with accessing clinical and supportive care services offered...QualityWork at officeLocal area
- ...moment of care. As the only clinical AI copilot built specifically... ...to deliver on-time, high-quality go-lives across health plans... ...adjustment, and quality management (HEDIS, Stars, RAF) to guide... ...stakeholder conversations. Navigate the operational and regulatory...HEDISQuality
- ...effects. Adjust treatment plans based on clinical progress. Collaborative & Integrated Care... ..., patient-centered care. Documentation & Quality Maintain accurate and timely documentation... ...Support quality measures and screenings (HEDIS, depression remission/follow-up). Comply...HEDISQualityWork at office
- ...pathways that matter most for Thrive — HEDIS and Stars gap closure, condition-specific clinical pathways, redetermination and... .... You will get deep in our quality strategy: which measures our clients... ...community health worker, health navigator, care coordinator, outreach...HEDISQualityFor contractors
$62.7k - $100.4k
...and faith-based organizations to improve quality and meet the needs of the individual, natural... ...effective interventions based on clinical standards and best practices* Assist with... ...Skills:*** Strong understanding of Quality, HEDIS, disease management, supportive medication...HEDISQualityHourly payWork at officeLocal areaWork from homeHome officeFlexible hoursWeekend workAfternoon shift- ...Longevity Healths purpose: To optimize the quality of life of people in long-term care by... .... You'll be supported by a dedicated clinical leadership team that provides education... ...A and B services, medication reviews, HEDIS and STARs quality gap closure, and promotes membership...HEDISQuality
- ...HEDIS NURSE A Special Project Nurse/Medical Professional will be responsible for... ...data collection and reports to the Quality Management Manager. Coordinates and... ...identified database Qualifications RN/LPN 5+ years clinical experience, or other relevant...HEDISQuality
- ...affiliates have been committed to improving the quality-of-life and wellbeing of underserved... ...of Population Health, the Director of Clinical Applications (DCA) leads and actively executes... ...requirements (such as UDS, HEDIS, HRSA, FTCA, HIPAA, open notes, etc.) Support...HEDISQuality
$150k - $180k
Director of Quality & Provider EngagementNew York, NY (Hybrid) | Full-time Salary... ...for the IPA/ACO, including HEDIS, QARR, patient satisfaction, and Star Ratings.Develop and drive the quality... ...with EMR configuration or clinical-implementation workflows.Deliverables...HEDISQualityFull time- ...acting as a patient advocate and navigator. Responsible and accountable... ..., health outcomes reporting, clinical audits, and programmatic evaluation... ...of practice. Participates in Quality Improvement activities related... ...: Current NY State RN License required. Basic Life...QualityHourly payContract workWork at officeLocal areaImmediate startFlexible hours
- ...patient education . Key Responsibilities Clinical Care Diagnose, treat, and manage Type 1... ...-making and goal setting Care Coordination & Quality Participate in quality improvement initiatives (HEDIS, value-based care) Ensure compliance with evidence...HEDISQuality
- ...complex initiatives, the full-time Senior Quality Improvement Specialist will coordinate regulatory, accreditation, and clinical quality improvement programs remotely,... ...to enhance performance measures such as Star Ratings and HEDIS Required qualifications Bachelor's Degree...HEDISQualityFull timeRemote work
- ...Longevity Health's purpose: To optimize the quality of life of people in long-term care by... .... You'll be supported by a dedicated clinical leadership team that provides education... ...A and B services, medication reviews, HEDIS and STARs quality gap closure, and promotes...HEDISQualityWork from home
$86.93k - $107.38k
...to Work" since 2015. Position Summary The Clinical Trainer designs, develops, and delivers... ...benchmarks for compliance, while improving quality, optimizing cost, and improving patient... ...accreditation standards, audit preparations, and HEDIS quality metrics required. Proficiency in...HEDISQualityRemote jobFull time- ...Job Description WCS Healthcare is currently seeking a Clinical Assessment Manager (RN UAS) to work with a large social services agency serving... ...significant changes in condition, and assessment issues to quality review and care delivery teams for timely intervention....Quality
- Join to apply for the Clinical Transformation Consultant role at Innovaccer The Clinical Transformation... ...clinical requirements—care management, quality improvement, chronic disease management,... ...and compliance requirements (e.g., HEDIS, CMS, value‑based care models)....HEDISQualityTemporary workLocal areaImmediate startRemote work
- ...Job Description Job Description Clinical Assessment Manager (UAS Required) Location:... ...Active New York State Registered Nurse (RN) license Hands-on UAS-NY experience (required... ...care Maintain productivity and quality standards while providing exceptional participant...QualityPermanent employmentFull timeTemporary workMonday to Friday
$1,794 per week
...Registered Nurse (RN) | Outpatient Clinic Location: Atlantic City, NJ Agency: AHS Staffing Pay: $1,794 per week Contract Duration... ..., we work quickly and diligently to supply the highest-quality candidates to our clients across the nation, including...QualityHourly payWeekly payDaily paidPermanent employmentFull timeContract workTemporary workImmediate startFlexible hoursShift work$108k
Join to apply for the RN Clinical Manager role at TieTalent 2 days ago Be among the first 25... ...a focused on both home health clinical quality assurance and home health clinical operations... ...As needed Branch Size: 900 Census (4.5 STAR rating) Annual Bonus Eligible: Yes,...QualityFull timeTemporary workApprenticeshipWork at officeImmediate startRelocation packageFlexible hoursNight shiftAfternoon shift- Description: Location: Cherry County Hospital & Clinic – Valentine, NE 69201 Compensation:... ...Specialty Clinic Registered Nurse (RN) to join our team. If you are committed to... ...you! Position Highlights Provide high-quality, patient-centered nursing care in our Specialty...QualityFull timeTemporary workPart timeFlexible hours
- ...Job Description Job Description RN – Clinical Program Coordinator – New York, NY – Job... ...disciplinary rounds. Ongoing assessment of the quality of patient care services provided in... ...across settings and disciplines to navigate them through comprehensive testing and...Quality
$94k - $150k
...Assistant Manager, Patient Care (RN) for the Out-Patient Oncology Navigation Program is responsible for managing... ...patient care activities, ensuring high-quality patient and family-centered care... ...of professional practice (clinical, educational, and leadership). Educate...QualityFull timeShift workDay shift
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