HEDIS Clinical Review Nurse, LVN 23-00313
Alura Workforce Solutions
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. This position maintains a working knowledge of the organization's current medical management policies and procedures.
Alura Workforce Solutions$91.25k - $120.91k
...resolution of case assignments Reviewing escalated issues Discussing... ...including, but not limited to, HEDIS, CAHPS, and NCQA... ...setting Bachelor's degree in Nursing from an accredited institution... ...Risk Management (CPHRM), or Clinical certification in area specialty...HEDISTemporary workWork experience placementRemote work- ...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...HEDIS
- ...transition planning Review and revise... ...care team members (i.e. LVN Care Manager, Care Coordinator... ...identifying and addressing HEDIS gaps, and by... ...Qualifications: Minimum 2 years clinical experience in an acute care facility, skilled nursing facility, home health...HEDISFull timeWork experience placement
$91.25k - $120.91k
...support, and implement assigned clinical quality and/or service... ...provider training/education, review/develop policy, and interpret... ...related to CMS Star Ratings, HEDIS, CAHPS, HOS, P4P, and other identified... ..., and unencumbered Registered Nurse (RN) license issued by the California...HEDISTemporary workWork at officeLocal areaFlexible hours- ...Position: Clinical Director - Psychiatric Nurse Practitioner Job Type: Part Time 20 hours/week - 5 Hours per day Job Summary The Clinical Director –... ...Quality Assurance and Operations Participate in complex case reviews and provide clinical perspective. Partner with external...SuggestedContract workPart timeReliefWork at officeWork from home
$91.25k - $120.91k
...acute care hospitals, skilled nursing facilities, hospice agencies,... ...supporting, and implementing assigned clinical quality, and/or service... ...provider training/education, policy review/development, and regulatory/... ...Services (CMS) Star Ratings, HEDIS, CAHPS, HOS, P4P and other...HEDISTemporary workWork at officeLocal areaRemote workFlexible hours$31 - $32 per hour
...Wellness Nurse Full Time / Tuesday - Saturday / AM $31 - $32 Ivy Park at Alta Loma is a premier senior living community situated... ...basis according to company policy and state regulations. Review and monitor staff use of the Shift Report daily and participate...Full timeRelocationShift work- ...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...HEDIS
- ...UNIT Nurse Manager (RN/LVN) Department: Nursing Reports To: Director of Nursing Employment... ...Nurse Manager (RN or LVN) to provide clinical leadership and oversight for nursing... ...based on resident condition changes Review MARs/TARs, nursing notes, and admission...Shift work
- ...incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed... ...Experience leading succession planning and executive talent review processes Bachelor’s degree in Organizational Leadership, Human...HEDISTemporary workFlexible hours
$104.04k - $137.84k
...incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks... ...Strategy Build and refine succession planning and talent review protocols for executive and critical roles, including process...HEDISTemporary workRemote workFlexible hours- ...incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed... ...development life cycle (SDLC), including coding standards, code reviews, source control management, build processes, testing, and...HEDISTemporary workFlexible hours
$154.13k - $204.21k
...incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP... ..., while monitoring and evaluating outcomes. Conduct performance reviews of each team Member within IEHP guidelines. Perform any other...HEDISTemporary workWork experience placementWork at officeRemote workMonday to FridayFlexible hours- ...functions including user account provisioning/deprovisioning, access reviews and risk assessments, investigating and resolving IAM related... ...IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed...HEDISTemporary workWork experience placementFlexible hours
$220.04k - $302.54k
...including, but not limited to, HEDIS, CAHPS, and NCQA... ...with executive teams from all clinical and non-clinical areas to execute... ..., assigning, scheduling, and reviewing work, ensuring quality standards... ...required : Registered Nurse (RN) license issued by the California...HEDISTemporary workRemote workFlexible hours- ...operational strategies by completing compliance assessments, regulatory reviews and audit related submissions; managing cross-functional... ...incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks Competitive salary State...HEDISTemporary workWork at officeLocal areaFlexible hours
$118.6k - $157.14k
...incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits... ..., while monitoring and evaluating outcomes. Conduct performance reviews of each team Member within IEHP guidelines. # Perform any other...HEDISContract workTemporary workWork at officeRemote workMonday to FridayFlexible hours- ...Description: The Grievance & Appeals Nurse is responsible for working... ...and client departments/CMS in reviewing grievance issues. Review... ...appeals and is a resource for clinical and non-clinical Team Members... ...Vocational Nurse (LVN) license issued by the CA Board...Immediate start
- ...Temporary Grievance & Appeals Nurse (LVN) The position is 100% remote, and the candidates... ...member outcomes. The nurse also serves as a clinical subject matter expert, providing... ...internal teams to ensure continuity of care Review and investigate member grievances,...Temporary workWork at officeImmediate startRemote work
$104.04k - $137.84k
...incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks... ...and execute unit test cases/scripts, peer and lead code reviews per code review checklist and document test and review results....HEDISTemporary workWork experience placementRemote workMonday to FridayFlexible hours$154.13k - $204.21k
...incorporate IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits... ..., while monitoring and evaluating outcomes. Conduct performance reviews of each team Member within IEHP guidelines. # Perform any other...HEDISTemporary workRemote workMonday to FridayFlexible hours$80.06k - $106.06k
...operational strategies by completing compliance assessments, regulatory reviews, audit‑related submissions, managing cross‑functional regulatory... ...IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits...HEDISTemporary workWork at officeLocal areaRemote workFlexible hours$118.6k - $157.14k
...supervision with wide latitude for independent judgment. # Conduct code reviews. # Direct and mentor some level I and II engineers. # Serve... ...IEHP's Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits IEHP...HEDISTemporary workRemote workMonday to FridayFlexible hours$280.84k - $393.18k
...oversight of IEHP Medical Policies and clinical leadership around member health outcomes... ...Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.... ...Manage medical directors, as well physician reviewers, working in the domains of policy, outcomes...HEDISTemporary workLocal areaRemote workFlexible hours- Ivy Park at Otay Ranch in Rancho Cucamonga, California, is seeking a Wellness Nurse to coordinate resident care and manage medication under medical supervision. This role is crucial in ensuring that residents maintain their independence and receive quality health support...
$80.06k - $106.06k
...incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks Competitive salary... ...of experience in Managed Care required Experience with claims review required Experience in claims analysis/auditing preferred...HEDISTemporary workWork experience placementFlexible hoursAfternoon shift$118.6k - $157.14k
...incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP... ..., while monitoring and evaluating outcomes. Conduct performance reviews of each team Member within IEHP guidelines. Perform any other...HEDISContract workTemporary workWork at officeRemote workMonday to FridayFlexible hours$104.04k - $137.84k
...incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP... ...subject matter expert in key businesses projects. Conduct code reviews and discuss solutions with junior developers. Review and...HEDISTemporary workWork experience placementRemote workMonday to FridayFlexible hours- ...incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only... ...team player with ability to mentor junior developers, perform code reviews, and enforce coding standards Quickly learn new technologies,...HEDISTemporary workWork experience placementFlexible hours
$80.06k - $106.06k
...incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Additional Benefits Perks IEHP... ...Provider Performance and Implement Action Improvement Plans : Review monthly scorecards, initiate and track Performance Improvement...HEDISTemporary workWork experience placementRemote workFlexible hours
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