HEDIS & Care Coordination Specialist (Bilingual)
Borinquen Medical Centers, Inc.
Borinquen Medical Centers, Inc. in Miami, FL is seeking a full-time HEDIS Specialist to join our Care team. The role focuses on communicating provider participation information to internal and external customers to enable patient scheduling and reimbursement for services, while meeting HEDIS & P4P measures. Qualified candidates will be bilingual (Spanish and/or Creole), proficient in Microsoft Office, and possess at least 1 year of customer service experience. #J-18808-Ljbffr Borinquen Medical Centers, Inc.
- ...Our multi-disciplinary primary care program is built to address... ...Do Position Summary The Care Coordinator will play a pivotal role in delivering... ...and attainment of Medicare HEDIS metrics Other tasks as... ...and time management abilities Bilingual/Bicultural (English and...BilingualHEDISLocal area
- ...The State University of New Jersey, is seeking a Senior Care Coordination Specialist in the Department of Infectious Disease Practice within the... ...experience in the care of people with HIV / AIDS . Bilingual (Spanish) a plus. Excellent organizational skills. Knowledge...BilingualFull timeTemporary workSeasonal workWork at officeFlexible hoursShift work
$18 - $32 per hour
...invent the future of health care, here's your opportunity. We'... ...care for millions. The Clinic Coordinator is responsible for the... ...Open quality care gaps and HEDIS measures Recent hospital discharge... ...Experience with medical insurance Bilingual Excellent verbal and written...BilingualHEDISHourly payMinimum wageFull timeWork experience placementWork at officeLocal area$71.1k - $97.8k
## Onsite Care Coordination NurseApplylocations: Remote Oklahomatime type: Full timeposted on: Posted... ...* Previous health plan experience* Bilingual (English/Spanish) preferred*... ...Management or related specialty* Knowledge of HEDIS and Stars measures**Work Schedule*** Monday...BilingualHEDISWeekly payFull timeWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work- ...POSITION SUMMARY: The HR Coordinator plays a vital role in managing the human resources functions to ensure the agency operates smoothly... ...ensuring compliance Assist with HR event planning for the care givers Assist with HHA/PCA classes **IN PERSON-MUST BE ABLE...BilingualFull timeWork at officeLocal area
- ...Primary Care ProviderThe Primary Care Provider delivers high-quality... ...telehealth as needed.Care Coordination & Team CollaborationWork... ...such as PCMH, meaningful use, HEDIS/UDS measures, and population... ...health, and trauma-informed care.Bilingual skills (e.g., Spanish) highly...BilingualHEDIS
- ...and the interdisciplinary care team at JPAFHC. In this role... ...and care team. • Coordinate referrals to specialists and ensure appropriate follow... ...such as PCMH recognition, HEDIS/UDS measures, and chronic... ...population health initiatives. • Bilingual skills (e.g., Spanish)...BilingualHEDISLocal areaAfternoon shift
- Springhill Medical Center is seeking a Clinical Quality Coordinator to support primary care performance under health plan and value-based care programs. You will monitor, audit, and improve quality measures to support patient outcomes and maximize payer incentive opportunities...HEDIS
- Ascend Health in Overland Park, KS is seeking a Staffing Coordinator to manage scheduling for nurses aides and home health aides. Hours are... ...with CHHAs, RNs, managers, and team members to keep patient care flowing smoothly. Join a compassionate team committed to quality...
- Arkansas Regional Organ Recovery Agency Inc is seeking a Hospital Clinical Coordinator to maximize donor gifts and support organ allocation. The role emphasizes education and collaboration with hospital staff, transplant teams, and family communication. Proficiency in computer...
- Consumer Direct Care Network seeks a dedicated program specialist to coordinate Medicaid-based services for clients with disabilities. The role emphasizes client-centered planning, collaboration with providers, and ensuring program compliance with state requirements. You...
- Float Health Inc. is seeking an Intake Specialist to manage new patient referrals and coordinate timely start-of-care visits. You will serve as a liaison between specialty pharmacies, nurses, and patients, using Zendesk, Google Suite, and Slack to ensure smooth coordination...Remote workWeekend work
- SCAN Health Plan in the United States is hiring a Care Management Coordinator - ICD to coordinate care services, review medical records for ICD coding accuracy, and guide internal staff on coding guidelines. You’ll work with providers to develop care plans and ensure timely...Remote job
- ...alternative application process. HEDIS Specialist Full Time Miami, FL, US 7... ...Policy & Procedures and the Care team. This member of the... ...TASKS AND RESPONSIBILITIES Coordinating and completing HEDIS quality... ...REQUIREMENTS Well organized and Bilingual (Spanish and/or Creole)....BilingualHEDISFull timeTemporary workWork at office
- PATIENT CARE MANAGER# PATIENT CARE MANAGERChicago, IL 60608## OverviewSalary... ...Manager is responsible for coordinating, screening and providing the... ...-for-performance’ services (HEDIS), medication review and... ...written communication skills Bilingual (English/Spanish) | #J-18808-...BilingualHEDISFull time
- Finney's Institutional Pharmacy is seeking a Patient Enrollment & Care Coordination Specialist to join our team in a fast-paced healthcare setting. This role focuses on onboarding new patients, coordinating enrollment activities, and guiding patients through the pharmacy...
- ...is seeking a Certified Nursing Assistant to provide basic patient care under supervision on the Day Shift. The role supports patient needs, maintains privacy, and collaborates with leadership to coordinate priorities and deliver quality care. The position requires...ReliefDay shift
- Wellstar Cobb Hospital in Georgia is seeking an RN Complex Care Coordinator to assess complex patient needs, coordinate discharge planning, and collaborate with patients, families and the care team. This role emphasizes interdisciplinary rounds, resource navigation, and...Full time
- Innovista Medical Center is seeking a Care Coordinator to manage patient flow, scheduling, and inquiries across multiple sites in Texas. The role emphasizes patient-centered service, data analysis, and collaboration with care teams and insurers. The ideal candidate will...
- NeueHealth is seeking a Referral Coordinator to promote care coordination and consistent information sharing across practices. You will manage referrals for behavioral and non-behavioral care, coordinate appointments, and ensure timely status updates to physicians. Required...
- Prestige SUD Clinical Care Coordinator in Washington, DC, is a full-time professional role coordinating care between the behavioral health clinician and external providers. The CCC ensures appropriate consumer referrals, authorizations, and transitions to new levels of...Full time
$25k
Become a part of our caring community Humana Gold Plus Integrated... ...will lead teams of nurses, care coordinators and behavioral health... ...healthcare quality measures STARS, HEDIS, etc. and/or clinical program... ...community resources. Bilingual or Multilingual: English/Spanish...BilingualHEDISFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office- ...Scheduling CoordinatorA growing Licensed Home Care Services Agency (LHCSA) in Brooklyn is... ...-motivated and enthusiastic Scheduling Coordinator to its growing staff. We are currently... ...fast pace.*Customer service skills.*Bilingual (Spanish/English or Creole/English)Job Type...BilingualFull timeWork at office
- ...responsible for the daily management of rental properties. You will coordinate maintenance, handle rent payments, and communicate with... ...skills, and basic computer proficiency. 3+ years of experience and bilingual skills in Japanese and English are preferred. #J-18808-Ljbffr...Bilingual
$19.43 - $32.98 per hour
## Grievance and Appeals Coordinator IApplylocations: Remote-AZtime type: Full timeposted on:... ...and researching information* Assist with HEDIS production functions including data entry... ...grievance or appeals, claims, related managed care experience, or relevant experience. **...HEDISFull timePart timeLive inWork at officeRemote workFlexible hours- ...Washington, DC is seeking a Fertility RN Coordinator to join Shady Grove Fertility in... ...The role requires coordinating patient care, educating on procedures, and scheduling... ...plus, and strong patient service mindset. Bilingual Spanish is a plus. Competitive benefits...Bilingual
- ...DO & CO in Boston, MA is seeking a Training & Engagement Coordinator (Bilingual Spanish) to join our on-site HR team. This role focuses on designing and delivering training while driving employee engagement across our hospitality operations. The position is fully onsite...BilingualWork at office
- ...Home Care Coordinator Summary Title: Home Care Coordinator ID: 1012 Location: Brooklyn , NY Department: HHA Coordination... ...about this job Description Home Care Coordinator – Bilingual Preferred Home Care of New York, a rapidly growing Licensed...BilingualWork at officeFlexible hours
- Humana, Inc. is seeking an Onsite Care Coordination Nurse to support members during critical moments in their care journey, leading care coordination for newly admitted patients and ensuring smooth transitions from hospital to home. Daily responsibilities include face-to...
$58.3 - $77.72 per hour
...cost measures and standards of care. Manages service delivery of... ...the collaborating physician, specialist, or emergency care is... ...use of medical record data, HEDIS and QARR quality of care measurements... ...reimbursement of services required Bilingual skills, as determined by...BilingualHEDISDaily paidTemporary workWork experience placement
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