Quality Outreach Specialist: HEDIS & Care Gaps Champion
$39.96k - $70.2kEmblemHealth
A leading healthcare provider in New York is seeking a candidate to perform outreach for quality improvement initiatives, primarily focusing on HEDIS and STAR measures. The role involves significant telephonic communication to coordinate care, engaging with both members and providers to close gaps in healthcare services. Candidates should have at least one year of customer service experience within healthcare, a high school diploma, and possess strong analytical skills. The position offers a competitive hiring range of $39,960-$70,200. #J-18808-Ljbffr EmblemHealth
$39.96k - $70.2k
...Perform provider and member outreach to reconcile member records and... ...entry to support continuous quality improvement in Healthcare Effectiveness... ...Data and Information Set (HEDIS) rates and STAR measures for... ...and/or vendors to close gaps in care. Support efficient medical...HEDISOutreach- Tenavi Staffing is seeking an experienced Quality Outreach RN for a fully remote contract... ...conducting member outreach to support HEDIS gap closure and improve quality performance... ...have 3-5 years of experience in managed care or quality programs, strong communication...HEDISOutreachRemote jobContract work
- Senior Specialist, Quality Improvement (Registered Nurse) 100% remote... ...members- telephonic outreach to community partners,... ....- some transition of care outreach after ED or... ...Compliance, HEDIS, and/or Quality Reporting... ...Manager and Director any gaps in processes that may...HEDISOutreachRemote work
- ...uniting communities through care. We believe that Health... ...you do every day. The Quality Health Pharmacy... ...pharmacy and provider outreach to coordinate care and... ...to effectively bridge gaps resulting in medication... ...Knowledge of CMS Stars, HEDIS, CAHPS, Drug Adherence...HEDISOutreachContract workShift work
- ...comprehensive health, pension, and quality of life benefits to... ...and outcomes using HEDIS specifications for... ...Providers on quality-of-care concerns (HEDIS and other... ...Monitor gaps in care for a variety of... ...assurance projects, such as outreach to members with the gaps...HEDISOutreachSeasonal workFlexible hoursAfternoon shift
$85k - $110k
...RN Care Manager, Population Health Programs... ...primary care, specialists, hospitals, post-acute... ...Close care gaps related to preventive... ..., screenings, and quality measures Program... ...caseload models, outreach triggers, and performance... ...goals (HEDIS, STARs, TCM, etc.)...HEDISOutreach- The Ambulatory Quality and Patient Safety Specialist for Ambulatory Care is responsible for the execution, coordination, and... ...care quality performance, including HEDIS, Medicaid STAR ratings, Medicare... ...indicators. Identify gaps in performance that impact quality...HEDIS
- ...Overview Essen Health Care is the largest... ...New York, providing high-quality, compassionate care to... ...initiatives aligned with HEDIS (Healthcare Effectiveness... ...identify and close care gaps for HEDIS measures such... ...findings. 2. Patient Outreach & Education a....HEDISOutreachInternshipWork at office
- Overview Registered Nurse Care Coordinator, Quality Management Full Time, 80 Hours... ...related to patient outreach, quality reporting, performance... ...optimizing care and closing gaps. Facilitates patient understanding... ...Demonstrates knowledge of HEDIS, HCC’s and Medicare Risk Adjustment...HEDISOutreachFull timeWork at officeDay shift
$25.44 - $45.76 per hour
...members and providers to close care gaps, ensure barriers to care are... ...provider experience through outreach and face-to-face interaction... ...providers in the field, to improve HEDIS measures and provides... ...Supports the implementation of quality improvement interventions and...HEDISOutreachHourly payWork experience placementWork at officeRemote workFlexible hours$19 - $25 per hour
...integral members of the care team, supporting... ...efficient, high-quality care and an excellent... ..., lab results, and specialist consults. Ensure open care gaps and outstanding... ...initiatives through outreach, data tracking, and... ...quality programs (e.g., HEDIS, Medicare Wellness,...HEDISOutreachHourly payWork at office$114k - $143k
RN Clinical Care Manager/Case Manager - New York Position... ...interventions and HEDIS/STAR measures for... ...Navigation support, conduct outreach, and engage members in... ..., clinical operations, quality, or care management 3... ...of experience in care gap closure or care coordination...HEDISOutreachTemporary workWork at officeLocal area- ...an AI-native platform that revolutionizes care delivery at scale. Our platform enables... ...automate compliance, and provide tailored outreach, resulting in improved patient outcomes.... ...improved screening adherence, superior STAR/HEDIS performance, reduced staff workload, and...HEDISOutreachPart timeRemote work
$38.55k
...Medicare and Medicaid managed care health plans, are... ...members' needs. These high-quality healthcare plans are designed... ...Responsibilities The Wellness Outreach Specialist plays an integral role in improving... ...also supports the Senior HEDIS Coordinator during Hedis...HEDISOutreachFull timePart timeFlexible hours- ...end owner of the RN-led Complex Care Management program—responsible... ...across Clinical, Product, IT, Quality/Accreditation, Analytics,... ...ensure compliant and equitable outreach Provide clinical and operational... ...Experience in regulated environments (NCQA, URAC, CMS/Stars, HEDIS)...HEDISOutreachContract work
$152k - $190k
...*No**Department:**Transitional Care Excellence**Work Shift:**Day**Work... ...centers* ## Contributes to quality improvement initiatives aligned with CMS Star Ratings, HEDIS measures, and value-based care... ...telehealth optimization, AI-enabled outreach, RPM workflows), and scaling of...HEDISOutreachRemote workShift work$61.56 - $92.34 per hour
...Virtual Health Assessment (VHA) program that outreaches and virtually engages Oscar Health... ...Medical Group, including Virtual Primary Care and Virtual Urgent Care when needed. You... ...Documentation Improvement and/or managing HEDIS quality measures Licensed in Georgia and one of...HEDISOutreachHourly payFull timeFor contractorsRemote workWork from homeHome office$56.16k - $99.36k
...but are not limited to Claims, Care Management, EDI, Grievance and... ...arrangements, including outreach, contract execution, contract... ...for DOH, IPRO and DOI notices, HEDIS medical record retrieval and other... ...access issues, delivery systems, quality controls, and legislation (...HEDISOutreachContract workWork at office- ...by uniting communities through care. We believe that Health care... ...via community and facilities outreach. Work Shifts 9:... ...30-day appointment as part of HEDIS measures Responsible for... ...and delivery of comprehensive, quality healthcare and services for all...HEDISOutreachWork at officeWork from homeShift work
$56.16k - $99.36k
...Effectiveness Data and Information Set (HEDIS) and Quality Assurance Reporting Requirements (QARR)... ...safeguard a high quality of clinical care for patients. Responsibilities Support... ...data and results. Conduct telephonic outreach calls to EmblemHealth Members in support...HEDISOutreachWork experience placement$10k
HARP Care Manager (with up to $10,000 additional field differential... ...via community and facilities outreach. Work Shifts 9:00 AM - 5:00 PM... ...30-day appointment as part of HEDIS measures. Mail discharge... ...and delivery of comprehensive, quality healthcare and services for all...HEDISOutreachWork at officeWork from homeShift work- Empower. Unite. Care. MetroPlusHealth is committed... ...MetroPlusHealth provides the highest quality healthcare services to... ...care providers, specialists and participating... ...community and facilities outreach. Work Shifts 9:00 am -... ...appointment as part of HEDIS measures. Responsible...HEDISOutreachWork at officeWork from homeShift work
$95k
Health and Recovery Plan Care Manager MetroPlusHealth... ...provides the highest quality healthcare services to... ...primary care providers, specialists and participating clinics... ...and facilities outreach. Work Shifts 9:00am-5:... ...appointment as part of HEDIS measures. Responsible...HEDISOutreachFull timeWork at officeWork from homeShift work- ...for a Senior Director, Quality Ratings and Network Performance... ...quality health care to Washington families... ...improvements in official HEDIS, HOS, STAR and CAHPS... ...Aim Towards Justice: We champion inclusive behaviors to... ...to identify performance gaps and drive improvement....HEDISContract workRemote workHome office
- ...been committed to improving the quality-of-life and wellbeing of... ...operational needs of Primary Care (La Casa de Salud a Federally... ...organizational requirements (such as UDS, HEDIS, HRSA, FTCA, HIPAA, open notes... ...to travel between clinic and outreach locations across New York...HEDISOutreach
$110k - $140k
Position Summary The Registered Nurse Quality Practice Advisor is responsible... ...will closely partner with the Care Navigation team to improve the quality... ...Solutions Interventions, Care Gaps, and Chronic Conditions Educate providers on HEDIS measures and open Care Gaps...HEDISTemporary workWork at office- ...Rendr is the leading primary care focused, multi-specialty... ...Job Overview: The Patient Outreach Coordinator plays a key role... ...and advancing organizational quality initiatives. This position is... ...but also helping close care gaps related to HEDIS and other population health...HEDISOutreachWork at officeFlexible hours
$58 - $60 per hour
...QA Nurse Manager (RN) to lead quality improvement initiatives, support... ...leader who understands HEDIS, quality metrics, population health... ...remaining hands-on in improving care delivery. Responsibilities... ...data to identify trends and gaps in care Collaborating with...HEDISWeekly payFull timeContract workImmediate start$93.4k - $116.8k
...Overview Are you an experienced RN with a strong background in Quality including quality of care reviews, incident investigation, and regulatory... ...these trends. Performs onsite medical record reviews for HEDIS or other related compliance or quality improvement initiatives...HEDISWork experience placementFlexible hours$93.4k - $116.8k
Overview Are you an experienced RN with a strong background in Quality including quality of care reviews, incident investigation, and regulatory... ...these trends. Perform onsite medical record reviews for HEDIS or other related compliance or quality improvement initiatives...HEDISWork experience placementFlexible hours
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