| Resume alert | Resumes 81 - 90 of 1816 |
Practical Nurse Licensed
Pahrump, NV
... Identified gaps in care to meet HEDIS measures. Ensured cost effective and efficient utilization of health benefits. Referred cases to reviewing physician when treatment request did not meet necessity per guidelines, or when guidelines were not ... - Jul 11
... Identified gaps in care to meet HEDIS measures. Ensured cost effective and efficient utilization of health benefits. Referred cases to reviewing physician when treatment request did not meet necessity per guidelines, or when guidelines were not ... - Jul 11
Office Manager Front Desk
Clarksville, TN
... • Customer service • Staff mentoring • Daily staffing • Morning huddle • FTE Daily Monitoring • Employee evaluation • Payroll • HEDIS work flow • Internal Medicine Resident schedule My major accomplishment was working with a team of coworkers that ... - Jul 10
... • Customer service • Staff mentoring • Daily staffing • Morning huddle • FTE Daily Monitoring • Employee evaluation • Payroll • HEDIS work flow • Internal Medicine Resident schedule My major accomplishment was working with a team of coworkers that ... - Jul 10
Medical Assistant Front Office
Jacksonville, FL
... as answering phones, scheduling patient appointments • Sending and receiving faxes from outside facilities • Completing HEDIS and ADAPS measures for quality scoring • Assessing medication adherence on patients taking chronic medications • Assist ... - Jul 10
... as answering phones, scheduling patient appointments • Sending and receiving faxes from outside facilities • Completing HEDIS and ADAPS measures for quality scoring • Assessing medication adherence on patients taking chronic medications • Assist ... - Jul 10
Business Development Health Plan
Palm Beach Gardens, FL, 33418
... Hedis 2015 Project Measure Guidelines and checklist. Analyzed data to guarantee key performance measures are met. Prior experience with CCP2, CI.HOD. Verisk Health. Receive, document, and resolve customer inquiries by using established best ... - Jul 08
... Hedis 2015 Project Measure Guidelines and checklist. Analyzed data to guarantee key performance measures are met. Prior experience with CCP2, CI.HOD. Verisk Health. Receive, document, and resolve customer inquiries by using established best ... - Jul 08
Medical Center Public Health
Lakewood, NJ
... Conducted National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS)/Quality Assurance Reporting Requirements (QARR) Auditor for Managed Care Plans Medicaid Compliance audit activities, including final ... - Jul 08
... Conducted National Committee for Quality Assurance (NCQA) Healthcare Effectiveness Data and Information Set (HEDIS)/Quality Assurance Reporting Requirements (QARR) Auditor for Managed Care Plans Medicaid Compliance audit activities, including final ... - Jul 08
RN-UM CCR Supervisor
Greenfield, IN
... Assisted in managing the 2017 - 2019 P4P/HEDIS project by interviewing, hiring, training and supervising of temporary nursing staff. Acting liaison between corporate/staff and vendor/staff. Clinical subject matter expert. Review and presentation of ... - Jul 08
... Assisted in managing the 2017 - 2019 P4P/HEDIS project by interviewing, hiring, training and supervising of temporary nursing staff. Acting liaison between corporate/staff and vendor/staff. Clinical subject matter expert. Review and presentation of ... - Jul 08
Registered Nurse Practical
Buffalo, NY, 14215
... (HEDIS) traveled from clinic to clinic extracting information from patients charts. LPN (Licensed Practical Nurse) WNYDDSO Office of Mental Health-Buffalo, NY February 2017 to April 2017 · Nursing work in a trial clinical group home setting with ... - Jul 07
... (HEDIS) traveled from clinic to clinic extracting information from patients charts. LPN (Licensed Practical Nurse) WNYDDSO Office of Mental Health-Buffalo, NY February 2017 to April 2017 · Nursing work in a trial clinical group home setting with ... - Jul 07
Medical Records Health Plan
Tampa, FL
Miriam Fontanez Quality Performance Measurement and Analysis ***** **** ***** ** Lutz, FL., 33558 813-***-**** ad6z2s@r.postjobfree.com EXPERIENCE Independent Health, Remote NY — HEDIS Medical Record Reviewer January 2024 - May 2024 (Temp) Review ... - Jul 04
Miriam Fontanez Quality Performance Measurement and Analysis ***** **** ***** ** Lutz, FL., 33558 813-***-**** ad6z2s@r.postjobfree.com EXPERIENCE Independent Health, Remote NY — HEDIS Medical Record Reviewer January 2024 - May 2024 (Temp) Review ... - Jul 04
Program Manager
Albuquerque, NM
... Strategize yearly planning and develop policies to operationalize initiatives of the annual HEDIS audit for Managed Care Organizations (MCOs). Resolve complex problems to control costs and improve the quality of care provided to members. Maintain ... - Jul 02
... Strategize yearly planning and develop policies to operationalize initiatives of the annual HEDIS audit for Managed Care Organizations (MCOs). Resolve complex problems to control costs and improve the quality of care provided to members. Maintain ... - Jul 02
Health System Patient Care
Buffalo, NY
... * Monitor utilization and service quality through diagnosis-related group (DRG) review, HEDIS quality measures, payer/provider/patient satisfaction surveys, and complaints. Follows through on complaints including identification of corrective actions ... - Jul 01
... * Monitor utilization and service quality through diagnosis-related group (DRG) review, HEDIS quality measures, payer/provider/patient satisfaction surveys, and complaints. Follows through on complaints including identification of corrective actions ... - Jul 01