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Registered Nurse Program Manager

Hanford, CA
... Dec 2021) Naval Air Station North Island/NASNI Clinic: Ambulatory RN/Aviation RN (January 2022- July 2022) Safety Officer HEDIS Coordinator Daisy Award Co-Chair MWR Representative Unit Training Officer October 2015- July 2019 Registered Nurse / US ... - Mar 08

Social Worker Care Coordinator

Detroit, MI
... Additional responsibilities include: Face-to-face in-home visits Documentation of HEDIS Alerts and outcomes; including measurement of success and barriers Ensures Medicaid guidelines are adhered to, especially regarding meeting specifications for ... - Mar 07

Ability to delegate tasks. R programming and Linux Capacity to l

New York, NY
... · Managed 40-100 MMR patients during Hedis Federal Audit at Inovalon. · Google Project Management Professional Certificate · Google IT Support Professional Certificate: Information Technology · Google Data Analytics Professional Certificate: Data ... - Mar 07

Quality Assurance Health Plan

Macedonia, OH, 44056
MANDI DURAN **** ***** ***** *********, ** ***** Mobile: 330-***-**** Email: ad35yj@r.postjobfree.com CAREER SUMMARY With over a decade of experience in optometric and managed care, I have a diverse skill set ranging from HEDIS direction for the ... - Mar 06

Registered Nurse looking for career change and location flexibility

New York, NY
... director and providers to design and implement workflow systems pertaining to federal contracts (Medicaid and Medicare, HEDIS review, FQHC and PCMH compliance) Lead Registered Nurse (Plastic Surgery Clinic) Sono Bello Body Contouring Centers- ... - Mar 05

Executive Director Med Surg

Kansas City, MO
... Receive outbound and incoming calls for Clients with MS taking Copaxone Hedis Review RN Blue Cross - 2013-03 - 2013-05 and Blue Shield-Contract 2. Sacred heart Home Health- Contract Clinical Director Care Alternatives Hospice Clinical Services and ... - Mar 05

Special Projects Computer Systems

Miami, FL
... Collection and abstraction of annual HEDIS data: includes researching member/provider data in internal computer systems. Interact with commercial and Medicare Market leaders, other departments, and the community to promote Humana programs and ... - Mar 04

Medical Assistant Customer Service

McDonough, GA
... *Maintaining quality assurance scores no less than 85%and call count no less than 80 calls per day outgoing *Contacting various providers and copy service centers to request chart copies for the Hedis and PIA reviews *Verifying the invoice is within ... - Mar 04

Patient Care Family Medicine

Kissimmee, FL
... Maintain quality performance as measured by HEDIS. Regional Supervisor: J. Escandón, MD. 407-***-**** SAN CARLOS APACHE HEALTHCARE CORPORATION 2018-2021 Family Medicine Outpatient Clinic Physician and Clinic Director. Direct care, diagnosis and ... - Mar 04

Services Representative Service

Philadelphia, PA
... Member Services Representative 1/2015 to 1/2016 Primary responsibility is assisting members and providers in resolution of issues concerning enrollment, benefits, claims and pharmacy via telephone through the QNXT, HEDIS, VOS and Peoplesafe systems. ... - Mar 03
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