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Online Resumes with "Hedis "
Licensed Nurse/HEDIS - 14 Years of Experience - Near 75154
Summary: LVN in Texas with 12 years of professional nursing experience. Experienced performing HEDIS abstraction and performing quality audits. Comfortable and experienced traveling as a HEDIS nurse and is open to overnight travel. Round out my experience by being a subject matter with experience in CMS Star Measure Programs. HEDIS Nurse (Contract) Cigna/Kaztronix, McLean, VA 03/2016 - present * Provided quality site review...
Tags for this Online Resume: Documentation, Medicare, Nursing, Medical, Medical Records, Audit, Home Health, Quality Assurance, Cms, Management
Registered Nurse
Profile: * Dedicated, experienced and versatile RN with experience in hospital, ambulatory care, flu clinic, and specialized settings such as infusion centers * Patient-focused Registered Nurse with experience in critical cardiac care, ambulatory medicine and office practice settings * Skilled in administrative and patient-oriented tasks in fast-paced hospital and office settings. * Experience with quality measures such as ...
Tags for this Online Resume: Computer Aided Software Engineering, Documentation, Email, Staffing, Staffing & Recruitment, Patient Care, Compliance, Health Insurance Portability And Accountability Act, HIPAA compliance, Nursing, quality, care coordinator
Solution Architect - 10 Years of Experience - Near 90505
Summary: Currently working as a Senior Solution Architect, Anuj has 12 years of experience in software industry with strong experience in design and development of Health IT systems. Anuj is HL7 & CDA certified control specialist with experience in designing and developing various healthcare and clinical systems including Chart Management, Patient Portals, Interoperability Standards, Population Health, Meaningful Use, Elect...
Tags for this Online Resume: Microsoft Windows, Javascript, jQuery, Microsoft SQL Server, Structured Query Language, Management, Radiology, AJAX, Cascading Style Sheets, CSS, sql, c#, html, software, agile
Billing/Coding Specialist - 8 Years of Experience - Near 08071
Qualifications Profile Diversified and dedicated Registered Nurse, Certified Professional Coder with a broad range of experience in the healthcare industry. Over 8 years of coding experience with application towards chart reviews and audits. Proficient with ICD 9/10 CMS Risk Adjustment coding guidelines, as well as HEDIS/STARS, seeking a leadership position that will expand my professional knowledge base and utilize it to s...
Tags for this Online Resume: Quality, Quality Assurance, Documentation, ICU, Medicare, PEDIATRIC, Patient Care, Reviews, Nursing, Applications
Quality Coordinator - 3 Years of Experience - Near 64056
Desire to expand my experience with NCQA HEDIS quality measure analysis, with expansion into CAHPS and Medicare measure review and analysis.
Tags for this Online Resume: HEDIS, QUALITY MEASURES, NCQA, AUDIT, MEDICAL RECORD ABSTRACTION, TRAINING, SUPPLEMENTAL DATA SOURCE, LIAISON, Quality, Quality Assurance
Director of Quality for Medicare Advantage and and Accountable Care Organization - 4+ years; Acute Care experience - 30+ years
Would like to find a position in Quality, measuring effectiveness of care and working to improve outcomes.
Tags for this Online Resume: Medical, Cardiopulmonary resuscitation (CPR), Critical Care, Cms, Management, Medicare, registered nurse, Managed Care, HEDIS, Stars Improvement, Risk Adjustment
Registered Nurse - 20 Years of Experience - Near 48174
My Career goal is to continue using my skills in Case Management, Hedis , Quality Management in a Remote setting.
Tags for this Online Resume: Nurse Case Manager, Utilization Review, Hedis, Medicare, Coding, ICD-9, Audit, Data Entry, Health Care Industry, Home Health, Managed Care, Management, physical therapist, physical therapy, outpatient physical therapy, rn, care, outpatient rehabilitation, registered nurse, healthcare, utilization review
Quality Assurance Director - 15 Years of Experience - Near 94585
SUMMARY OF QUALIFICATIONS: * 15 years of Operations Management experience in ambulatory, behavioral health, inpatient FQHC and Indian Health * 15 years of Management/Supervision of FTE experience (union/non-union) * 12 years of Quality (CQI)/Performance Improvement experience * 10 years of Compliance, Accreditation and Risk Management experience: (JCAHO, CMS, DHCS, Title 22, URAC, NCQA, AAAHC) * 8 years of Chronic Disease T...
Tags for this Online Resume: Compliance, Management, Medication Administration, Audit, Medical, Medical Records, Microsoft Access, Program Management, DSS, health services system, population based health administration
Registered Nurse - 20 Years of Experience - Near 78251
September 11, 2017 Dear Recruiters, Dedicated, knowledgeable, Registered Nurse of 27 years with a demonstrated history of working in the hospital and healthcare industry. I am actively seeking new opportunities in the areas of HEDIS Nursing/Quality Improvement or Case Management. Soul searching -seeking that moral compass of honest perspective and feedback to enable me to be meticulous with my performance and enjoy all t...
Tags for this Online Resume: Computer Aided Software Engineering, Quality, Quality Assurance, Quality Management, Documentation, HEDIS RN, Abstractor
Managing Director - 12 Years of Experience - Near 76028
Professional Summary I have 20+ years' experience working in Managed Care. The last 17 years of my career have been focused on managing Clinical Quality Management and enhancing organizational performance. I have experience managing HEDIS, NCQA accreditations and URAC accreditations.
Tags for this Online Resume: management, Networking, Complaints, Quality, Quality Assurance, Quality of Service, Utilization Management, Negotiation Skills, Project Management, Quality Management
Registered Nurse-HEDIS-
Tags for this Online Resume: Management, Computer Aided Software Engineering, Home Health, Nursing, PEDIATRIC, Surgical, Telemetry, Long Term Care, rn, registered nurse
Manged Care Network Management - 20 Years of Experience - Near 29036
Summary of Experience More than 16 years of leadership experience in the Managed Care industry including 10 years in healthcare facilities. Extensive experience in developing, expanding, and maintaining provider networks as well as in: Health Care Delivery Systems Network Development Provider Relations Budget Administration Problem Resolution Team Development Trend Analysis/Valued-Based Purchasing Salesforce Data Regulation...
Tags for this Online Resume: Leadership, Management, Program Manager, Services, Shared Services, Managed Care, healthcare, care, quality improvement, provider relations, network management, medicare, Medicaid, motivation, quality
