Hedis Review Nurse jobs

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Medical Record Review Nurse

Garretson Resolution Group 10 reviews - Charlotte, NC 28211(Sherwood Forest area)
Medical-legal review, data extraction, HEDIS, Utilization Review). The Medical Record Review Nurse will perform medical record review for the Company’s Mass...

Clinical Resource Specialist

Centene Corporation 213 reviews - Bedford, NH
Review medications to ensure compliance, efficiency, appropriateness, and side effects Review with Case Managers on members physician visits, adherence to...

Quality Assessment Manager

Chinese Community Health Plan - San Francisco, CA 94133(Russian Hill area)
Q Registered Nurse with current CA California license. Monitors member access to provider network through HEDIS practitioner turnover measures;...
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Registered Nurse Case Manager

Medical Staffing Network Care Management - Bronx, NY - +6 locations
Please be advised that we are only considering nurses with the following:. A New York based MLTC is searching for a temp-to-perm Registered Nurse Case Manager....

Field RN Case Manager - Asheville & Hendersonville, NC

UnitedHealth Group 2,049 reviews - Asheville, NC - +9 locations
Case Manager, nurse, RN, registered nurse, MCO, managed care, chart review, wellness, provider, CCM, HEDIS, Stars, Medicare, Asheville, Hendersonville, NC,...

Medical Director

MDwise, Inc 2 reviews - Indianapolis, IN
Review potential quality of care issues; Oversee and monitor Medical Affairs vendors and subcontractors, including the 24-hour nurse line....

Director, Quality Improvement

Kentucky Health Cooperative 2 reviews - Anchorage, KY
Registered Nurse required. Reviews medical records and established practice guidelines for the provider population....

Medical Record Field Reviewer

Altegra Health 80 reviews - Kentwood, MI - +48 locations
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

RN Clinical Quality Analyst - Honolulu, HI

UnitedHealth Group 2,049 reviews - Honolulu, HI
RN, Registered Nurse, Clinical Quality Nurse, Clinical Quality RN, Charge Nurse, Analyst, Health Care, Medicaid, Medicare, HEDIS, NCQA, Managed Care, Clinical,...

Clinical Practice Consultant RN- Green Bay, WI

UnitedHealth Group 2,049 reviews - Green Bay, WI - +2 locations
RN, Quality, Compliance, HEDIS, Green Bay, Wisconsin, WI. If required, supports state specific medical record collection and abstraction processes to drive...
Execu | Search 44 reviews - Garden City, NY
The HEDIS Nurse will be responsible for scheduling and performing on-site medical record reviews at physician offices....
Sponsored by Execu | Search
Registered Nurse (RN) - HEDIS / QARR Project
Execu | Search 44 reviews - Manhattan, NY
Managed Care, Quality Improvement, Performance Improvement, Case Management, Chart Review, Utilization Review, and/or Pre-certification/Authorization....
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HEDIS Nurse (RN)
Execu | Search 44 reviews - Meriden, CT
The HEDIS Nurse (RN):. Reviews and abstracts paper and electronic medical records utilizing NCQA HEDIS Technical specifications to optimize Plan HEDIS scores....
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