Hedis Review Nurse jobs

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MANAGER OPERATIONS HEALTHCARE MANAGEMENT

Health Partners, Inc. - Philadelphia, PA
Working knowledge of case management and quality review. Oversee and participate in all HEDIS audit related activities....

Quality Management Nurse I - CFHP

University Health System - 63 reviews - San Antonio, TX
Conducts focused reviews. Reviews and analyzes member medical records and other data sources for adherence to standards of care....

Full Time – Clinic Manager – Miami – 1669 Collins Ave Miami...

Take Care Health Systems - 115 reviews - Miami Beach, FL
O Completion of mid-year and year-end reviews,. Valid accreditation from the AANP or ANCC as a Family Nurse Practitioner....

Clinical Analyst

Independence Blue Cross - 264 reviews - Philadelphia, PA
Qualifications Registered Nurse Minimum 5 years experience in medical record review Three to five years experience with HEDIS medical record review Expert level...

Licensed Practical/Vocational Nurse (LPN/LVN)

Loyal Source - Norfolk, VA
Licensed Practical/Vocational Nurse – Branch Medical Clinic (BMC) Sewells Point, Norfolk. Ensure review of emergency treatment records (ETR) and follows up with...

HEDIS Review RN- CareConnect

North Shore-LIJ - 132 reviews - Greenvale, NY 11548
HEDIS Review RN- CareConnect Requisition ID:. Conducts medical record reviews. Schedules and coordinates on-site medical record reviews....

Case Manager, RN

Unite Here Health - Chicago, IL
Basic knowledge of HEDIS and NCQA. At least 1 year within utilization review or case management. Others duties as assigned by the Nurse Manager of Case...

RN Quality Mgmt Nurse Specialist | Health Plan

Banner Health - 451 reviews - Tucson, AZ
Prepares Quality of Care cases for Peer Review as necessary and presents cases to Medical Director for review....

RN Quality Assurance (Healthcare)

TAMMINA SOLUTIONS LLC(Requesting to read JD) - Syracuse, NY
Conducts retrospective multiple medical record reviews to retrieve data for internal and external quality measures for HEDIS and QARR reporting....
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Utilization Review Nurse

AlohaCare - 7 reviews - Honolulu, HI 96814 (Makiki area)
URAC/NCQA and HEDIS exposure an asset. The nurse will work directly with the QI Medical Director and UM Medical Director to implement approved AC Quest, ACA,...
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HEDIS Nurse (RN)
Execu | Search - 45 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....
Sponsored by Execu | Search
Manager QI Interventions (HEDIS EXP REQUIRED- RN REQUIRED)
Molina Healthcare - 159 reviews - West Allis, WI
2-3 years working with HEDIS - MUST HAVE HEDIS EXPERIENCE!!! Experience working with Measures to improve our HEDIS scores....
Sponsored by Molina Healthcare
HEDIS Nurse (RN/LPN)
Execu | Search - 45 reviews - Garden City, NY
$60,000 - $75,000 a year
The HEDIS Nurse will be responsible for scheduling and performing on-site medical record reviews at physician offices....
Sponsored by Execu | Search

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