Unfortunately, this job posting is expired.
Don't worry, we can still help! Below, please find related information to help you with your job search.
Don't worry, we can still help! Below, please find related information to help you with your job search.
Related keywords
Some similar recruitments
Rn (Nucor Clinic) Jobs
Recruited by DCH Health System 8 months ago
Address Tuscaloosa, AL, United States
A320 Quality Documentation Specialist
Recruited by Airbus 9 months ago
Address , Mobile, 36615, Al
Clinical Coach, Rn - Pulmonary
Recruited by DCH Health System 9 months ago
Address Northport, AL, United States
Clinic Rn Jobs
Recruited by USA Health 10 months ago
Address Mobile, AL, United States
Quality Assurance Representative Jobs
Recruited by The Remedy Corporation 11 months ago
Address Tuscaloosa, AL, United States
Cln Rn Practice Administrator (Ft) Ohg Huntsville
Recruited by Huntsville Hospital 11 months ago
Address Huntsville, AL, United States
Rn Clinical Manager Jobs
Recruited by Amedisys, Inc. 11 months ago
Address , Fort Payne, 35967, Al
$55,600 - $105,000 a year
Quality Review Consultant Jobs
Recruited by Sandhills Center 11 months ago
Address , Greensboro, 27410, Nc
$61,500 - $67,656 a year
Rn - Mcc Clinic
Recruited by Baptist Health 11 months ago
Address , Montgomery, 36106, Al
Clinical Nursing Rn / Relocate To The Usa
Recruited by KYND International 1 year ago
Address Alberta, AL, United States
Supervisor Quality Assurance Jobs
Recruited by Charles River Laboratories 1 year ago
Address , , Ma
Quality Practice Advisor Jobs
Recruited by Medicare 1 year ago
Address , , Al
Care Management Specialist / Rn
Recruited by DCH Health System 1 year ago
Address Tuscaloosa, AL, United States
Rn Quality Practice Advisor - Greensboro, Nc
Company | WellCare of North Carolina |
Address | , Greensboro, Nc |
Employment type | FULL_TIME |
Salary | |
Expires | 2023-06-07 |
Posted at | 1 year ago |
You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.
There is some local travel so candidate must be located in or around the Greensboro, NC area.
Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.
Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.
Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).
Identifies specific practice needs where Centene can provide support.
Develops, enhances and maintains provider clinical relationship across product lines.
Education/Experience:
Bachelor’s degree or equivalent required. 3+ years of experience in HEDIS record collection and risk adjustment (coding)
License/Certification:
One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ.
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Position Purpose: Establishes and fosters a healthy working relationship between large physician practices, IPAs and Centene. Educates providers and supports provider practice sites regarding the National Committee for Quality Assurance (NCQA) HEDIS measures and risk adjustment. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies impacting plan compliance to meet State and Federal standards for HEDIS and documentation standards. Acts as a resource for the health plan peers on HEDIS measures, appropriate medical record documentation and appropriate coding. Supports the development and implementation of quality improvement interventions and audits in relation to plan providers.
There is some local travel so candidate must be located in or around the Greensboro, NC area.
Delivers, advises and educates provider practices and IPAs in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance with state, federal, and NCQA requirements.
Collects, summarizes, trends, and delivers provider quality and risk adjustment performance data to identify and strategize/coach on opportunities for provider improvement and gap closure.
Collaborates with Provider Relations and other provider facing teams to improve provider performance in areas of Quality, Risk Adjustment and Operations (claims and encounters).
Identifies specific practice needs where Centene can provide support.
Develops, enhances and maintains provider clinical relationship across product lines.
Education/Experience:
Bachelor’s degree or equivalent required. 3+ years of experience in HEDIS record collection and risk adjustment (coding)
License/Certification:
One of the following required: CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ.
Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
-
Systems Analyst - Excel, Xml, Sql, Scripting
By CyberCoders At Salt Lake City, UT, United States 8 months ago
-
(Senior) Finance & Shared Services Manager
By Catholics For Choice At Washington, DC, United States 8 months ago
-
Paralegal - Probate Administration
By CyberCoders At Miami, FL, United States 8 months ago
-
Account Executive - Automotive Software
By ECW Search At United States 8 months ago
-
Construction Project Coordinator Jobs
By CyberCoders At River Falls, WI, United States 8 months ago