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Working knowledge of NCQA HEDIS technical specifications, medical terminology, and health plan processes preferred. Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as a resource for internal and external customers.
$79,809.6 - $101,774.4 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Experience with NCQA, HEDIS, Medicaid, Medicare and Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management, and evidence-based guidelines.
Starting at $161,914.25 - $315,732.79 a year depends on education, experienceFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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The nurse SME will attend training provided by Mercy Care/Aetna on required data needed to meet compliance for specific Hybrid HEDIS measures. This role will involve attending training provided by Mercy Care/Aetna to gather necessary data for compliance with specific Hybrid HEDIS measures.
ExpandApply NowActive JobUpdated 3 months ago - UpvoteDownvoteShare Job
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Ensure all HEDIS (Healthcare Effectiveness Data and Information Set), HCC (Hierarchical Condition Categories) and PCMH (Patient-Centered Medical Home) measures are completed in the required time frame.
$90,000 - $110,000 a yearFull-timeExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
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Ensure accurate documentation in the electronic health record (EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures. Experience with HEDIS and ICD/CPT coding.
Full-timeExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Familiarity with BCBS and health care industry concepts (e.g. HEDIS, Claims, Enrollment, Care Mgmt, Disease Mgmt)(Preferred) Experience with one or more of the following: DB2, SQL, AbInitio, ETL, Cognos, Tableau, JIRA, XML, Erwin, Advantage Suite, FHIR.
Full-timeExpandApply NowActive JobUpdated 3 days ago - UpvoteDownvoteShare Job
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Health Monitoring Technician, ULAR Diagnostics Services. You can also enjoy substantial savings on other goods and services such as new cars from Ford and General Motors, cellular phone service plans, movie tickets, and admission to theme parks.
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The Health Services Director (RN, LVN, or LPN) works closely with the Executive Director and Resident Care Coordinator to ensure the quality care of all residents. Frontier Senior Living is now seeking an outstanding Health Services Director (RN, LVN, or LPN) to manage and oversee the Health Services Department for Where The Heart Is community located in Burlington, Washington.
$90,000 a yearExpandApply NowActive JobUpdated 2 days ago - UpvoteDownvoteShare Job
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Completes strength assessments and crisis/safety plans with families according to RBHA and the Arizona Department of Health Services (ADHS) guidelines. Submits appropriate referrals to clinical outpatient services within agency and other behavioral health providers identified by the CFT.
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Position Title Licensed Mental Health Clinician for Student Health Services. Provides crisis intervention, evaluation and referral to community services; collaborates with community psychological evaluation teams and mental health providers as needed.
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The Virginia Beach Field House is currently looking for a custodial services team member. Proven working experience in custodial services. With over 175,000 square feet, we offer leagues, camps, clinics, and tournaments for youth and adults in soccer, flag football, volleyball, basketball, arena (indoor) baseball and softball, field hockey, lacrosse, dodge ball, sand volleyball, sand flag football, sand soccer and other social sports.
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This position is responsible for planning, directing, implementing, and monitoring Countywide Intensive Case Management Services supportive housing projects and homeless initiatives for clients who have complex health and/or behavioral health conditions, high utilizers of public services, and other vulnerable populations.
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This position will be subject to, and have center oversight for, the following metrics/competencies that are regularly assessed to help our clinicians become successful and reach Partnership status: panel size, patient outcomes (admissions and hospital sick days), CG CAHPS and net promoter score (patient experience), HEDIS and clinical gaps closures, and medical cost effectiveness measures.
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This position reports to the PRO Services Manager and supports the execution of Floor and Decor's PRO priorities. Essential Job Functions: Execute the PRO Services Blueprint to the highest levels to create a world class experience for our PRO Customers.
$16.5 - $20.22 an hourExpandApply NowActive JobUpdated 1 month ago - UpvoteDownvoteShare Job
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Helps with client reminders for annual health assessments, parasite checks, dentistry, senior care, etc. Completes client check-ins and check-outs, preparing all required forms such as in-house patient and client forms, health certificates, euthanasia forms, vaccination certificates, handouts, rabies tags and certificates, consent and release forms, pre-surgery instruction sheets, etc.
Full-timeExpandApply NowActive JobUpdated 2 months ago
hedis job Title: health services Company: Association For Community Affiliated Plans
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