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RN Manager - Care Management - Healthcare
Edge Group - Houston, TX 77025
Registered Nurse (RN). Registered Nurse, BSN preferred; Additional tasks include review and analysis of clinical data related to Quality Metrics and HEDIS...
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RN Manager - Care Management - Healthcare

Edge Group - Houston, TX 77025 (Medical area)
Registered Nurse (RN). Registered Nurse, BSN preferred; Additional tasks include review and analysis of clinical data related to Quality Metrics and HEDIS...
Easily apply

HEDIS LVN

The CSI Companies - 122 reviews - San Antonio, TX
HEDIS LVN (#157930-MH2479). Licensed Vocational / Professional Nurse Prior HEDIS / STAR experience or participation with similar regulatory reporting 3 or more...
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Patient Care Advocate

WellCare - 677 reviews - Chicago, IL 60606 (Loop area)  +2 locations
Preferred Licensed Practical Nurse (LPN). Advises and educates Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with...

Quality Improvement Manager

WellCare - 677 reviews - Tampa, FL 33634  +1 location
Maintains a knowledge base of HEDIS requirements and implementing clinical performance methods to improve HEDIS performance....

SOCIAL WORK SERVICES PROGRAM CONSULTANT

The State of Florida - 17 reviews - Miami, FL 33128 (Little Havana area)
$37,400 a year
Review and maintain a copy of the CMS Social Worker Operational Plan as well as participate in reviews of the CMS draft material and provide suggestions....

Managed Care Coordinator II Nurse

Managed Care Staffers - 2 reviews - Madison, WI 53713
$32 an hour
You will be performing chart medical reviews to make sure that they comply with the Quality Standards and HEDIS requirements for the organization....

Utilization Review Nurse – Health Plan

CareNational Healthcare Services, LLC - Indianapolis, IN 46204
The Utilization Review Nurse is responsible for utilization management in the form of prospective, concurrent, or retrospective reviews....

OPS SOCIAL WORK SERVICES PROGRAM CONSULT

The State of Florida - 17 reviews - Miami, FL 33128 (Little Havana area)
$21 an hour
Review and maintain a copy of the CMS Social Worker Operational Plan as well as participate in reviews of the CMS draft material and provide suggestions....

Quality Review Nurse - RN

Professional Services Network, Inc - Washington, DC
We provide a Nurse to Nurse connection! RN Nurse Recruiters. HEDIS or EPSDT a plus. At least 1 year of quality review experience in any setting....

Quality Nurse Liaison

BlueCross BlueShield of Kansas City - 4,225 reviews - Kansas City, MO 64108 (Crown Center area)
HEDIS abstraction experience. Responsible for Quality of Care review processes with development of timelines for Peer Review Committee, and review visits to...
Director of Quality Review - Nurse
MJ Morgan Group - 10 reviews - New York, NY
Looking for a Director of Quality Review to direct and coordinate the daily operations of all Retrospective accounts, Cost Outlier unit and the QARR/ HEDIS...
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Utilization Management Review Nurse
AlohaCare - 11 reviews - Honolulu, HI 96814
URAC/NCQA and HEDIS exposure an asset. Screen and review internal and external referrals for Medicaid/MQD’s carved out Disability Program through the Aid to...
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HEDIS - Registered Nurse - RN
Other Registered Nurse (RN) HEDIS Program Manager duties as assigned. At least four years Registered Nurse (RN) HEDIS Program experience preferred....
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