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Kelsey-SeyBold Clinic Logo
Kelsey-SeyBold Clinic

Pearland, Texas

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Lifespan

Providence, Rhode Island

Lifespan

Providence, Rhode Island

Lifespan

Providence, Rhode Island

Encompass Health Rehabilitation Hospital of Clermont

Clermont, Florida

University of Illinois Hospital & Health Sciences System (UI Health)

Chicago, Illinois

American Academy of Pediatrics

Itasca, Illinois

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Amberwell Health

Atchison, Kansas

Montefiore Medical Center

Bronx, New York

B. Braun Medical

Allentown, Pennsylvania

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Humboldt Park Health

Chicago, Illinois

Confidential

Phoenix, Arizona

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St. Luke's Health System

Twin Falls, Idaho

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CHRISTUS Health

Santa Fe, New Mexico

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The Brooklyn Hospital Center

Brooklyn, New York

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Veterans Affairs, Veterans Health Administration

Salem, Virginia

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Massachusetts Dept of Public Health

Marlborough, Massachusetts

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Veterans Affairs, Veterans Health Administration

Wilkes Barre, Pennsylvania

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Geisinger

Danville, Pennsylvania

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Quality Improvement Specialist Licensed Practical Nurse (LPN)
Job SummaryResponsible for managing annual and proactive HEDIS (PAH) for compliant/ non-compliant population, Health Choices/Commercial prenatal-postpartum (PNPP) population as assigned. Responsible for and evaluated against success with outreach to assigned HEDIS/PNPP member case load. Responsible for retrospective medical record review to obtain clinical quality data per the HEDIS/PNPP specifications set forth by the National Committee for Quality Assurance (NCQA). Collaborates with the Health Plan members and primary care providers in multiple practice sites to facilitate clinical guideline adherence and coordinates services as needed. Contributes to the design and implementation of interventions developed by quality improvement workgroups to achieve the goals and objectives de


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