Hedis Review Nurse jobs

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HEDIS - Nurse Abstractor

L.A. Care Health Plan 9 reviews - Los Angeles, CA
The HEDIS Abstractor, External Audits and Quality Control conducts validation and production checks on medical records abstracted for the HEDIS Project and...
1 day ago - save job - email - more...

QUALITY REVIEW SPECIALIST

Presence Health 40 reviews - Illinois
Complete ambulatory medical record reviews against internal and external performance measures and accreditation standards to ensure they are complete and meet...
1 day ago - save job - email - more...

Registered Nurse Case Manager

Pathway Medical Staffing - Boston, MA - +9 locations
Must be a licensed Registered Nurse in the state of Massachusetts. Please be advised that we are only considering nurses with the following:....
1 day ago - save job - email - more...

HEDIS Nurse

Pathway Medical Staffing - New York, NY - +11 locations
Previous experience in medical record review, data abstraction, quality management, HEDIS or QARR. Review assigned medical records in order to abstract...
2 days ago - save job - email - more...

Clinical Practice Consultant - Albuquerque, New Mexico

UnitedHealth Group 1,670 reviews - Albuquerque, NM - +1 location
CPC, Clinical, RN, Registered Nurse, Nurse, medical records, HEDIS, NCQA, Albuquerque, New Mexico, NM. €¢ Supports the HEDIS medical record chase to support...
2 days ago - save job - email - more...

Utilization Manager-Jacksonville, FL (Sign-On Bonus)

Centene Corporation 164 reviews - Jacksonville, FL - +1 location
Master’s degree in Behavioral Health or Registered Nurse required. Ensure compliance with all performance measures in regards to appeals, denials, higher level...
3 days ago - save job - email - more...

Coder Analyst

VisionIT 10 reviews - Detroit, MI
Audit and medical chart review experience preferred. The nurses and coders will be expected to participate in provider and hospital visits to educate, train and...
3 days ago - save job - email - more...

RN - Field Case Manager II (LTC; Remote)

Molina Healthcare 113 reviews - Edinburg, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Nurse, BSN, MSN, ADN, Field RN, field nurse, telephonic nurse, LPN, LVN, ACSW, AACN,...
3 days ago - save job - email - more...

RN - Supervisor Case Management (LTC)

Molina Healthcare 113 reviews - El Paso, TX - +1 location
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Functions as hands-on supervisor for daily Case Management activities including...
3 days ago - save job - email - more...

Manager of Medical & Clinical Operations - Greater Baltimore...

UnitedHealth Group 1,670 reviews - Baltimore, MD - +2 locations
RN, nurse, home health, case manager, case management, field, community, geriatric, supervisor, Medicaid, Baltimore, Maryland....
3 days ago - save job - email - more...
HEDIS Nurse
Excellus BlueCross BlueShield - Syracuse, NY
Requirements of HEDIS Nurse*. Essential Responsibilities/Accountabilities of HEDIS Nurse*. Travels from home to provider offices or facilities to complete...
Sponsored by Excellus BlueCross BlueShield - 24 days ago
Visalia CONTRACT HEDIS Nurse (RN or LVN) - Managed Care
CareNational Healthcare Services, LLC - Visalia, CA
$34 - $37 an hour
CONTRACT Quality Management HEDIS Review Nurse (RN or LVN) - Managed Care. The Quality Management HEDIS Review Nurse coordinates and performs onsite data...
Easily apply
Sponsored by CareNational Healthcare Services, LLC - 30+ days ago
Navigator - RN (New Orleans Market)
Peoples Health, Inc. 10 reviews - New Orleans, LA
Reviews and ensures documentation of member encounter is appropriate to satisfy HEDIS/STAR measures, medication measures, referrals, authorizations....
Sponsored by Peoples Health, Inc. - 30+ days ago

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