Hedis Review Nurse jobs

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Columbus Quality Improvement Nurse (RN or LPN) -- Managed Ca...

CareNational Healthcare Services, LLC - Columbus, OH  +1 location
$60,000 a year
HEDIS duties include oversight of medical record review done by chart reviewers, data accuracy and reporting, and interacting with HEDIS auditors for regulatory...

Community Care Coordination Team Lead

Meridian Health Plan - 55 reviews - Saint Joseph, MI
Review predictive model report of each member assigned to their team. Assists with problem and goal identification Reviews each members plan of care....

Case Manager, SC Managed Care Alliance

Swedish Covenant Hospital - 57 reviews - Chicago, IL
Concurrent review and extended length of stay decisions. Responsible for conducting and reporting HEDIS, HMOI and....

Case Manager, SC Managed Care Alliance

Swedish Covenant Hosptial - Chicago, IL
Concurrent review and extended length of stay decisions. Responsible for conducting and reporting HEDIS, HMOI and....

Chief Medical Officer

Operation Samahan - 7 reviews - National City, CA
Analyzes and interprets data from program summaries, audit reports, HEDIS, UDS and other sources to determine counseling, training, education or other...
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Medical Field Reviewer

Altegra Health - 137 reviews - New York State  +58 locations
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

Clinical Quality Measurement Coord I

Univera Healthcare - 5 reviews - Buffalo, NY
Monitors and evaluates data from HEDIS hybrid review results for reporting. Documents all processes and procedures relating to current HEDIS hybrid review plan....

Clinical Quality Measurement Coord I

Excellus BlueCross BlueShield - 20 reviews - Buffalo, NY
Monitors and evaluates data from HEDIS hybrid review results for reporting. Documents all processes and procedures relating to current HEDIS hybrid review plan....

Registered Nurse (RN)

A-Line Staffing Solutions - Pittsburgh, PA
Must be a registered nurse. ICU, CCU, PICU, NICU, IMCU, MICU, SICU, Tele, Med/Surg Tele, Telemetry, Medical/Surgical, Med Surg, L&D, Labor and Delivery,...
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Patient Centered Medical Home (PCMH) Coordinator - Southwest...

BlueCross BlueShield of Tennessee - 3,052 reviews - Nashville, TN
Perform medical chart reviews to confirm adherence to prescribed therapies (e.g. Licensed Practical Nurse with active license in the state of Tennessee or...
HEDIS Nurse
MJ Morgan Group - 7 reviews - Lutherville-Timonium, MD
$80,000 a year
Currently seeking an Registered Nurse to fill a HEDIS Nurse position working within a managed care organization just outside of Baltimore....
Easily apply
RN HEDIS Clinical Quality Consultant for WellMed - Dallas, T...
HEDIS, RN, registered nurse, chart review, quality, Dallas, TX, Texas, quality consultant, STARS, HOS. Registered Nurse with Undergraduate degree or equivalent...
Assoc VP Quality Programs
Interfaces with HEDIS Operations for QI improvement activities. Participate in Nurse Advice Quality Committee and provide support for meeting URAC Accreditation...

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Company with Hedis Review Nurse jobs
MJ Morgan Group is one of the “Largest Professional Search Firms in the Baltimore Area."