Hedis Review Nurse jobs

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Clinical Auditor

Mountain Vista Medical Ctr - Tampa, FL
The clinical auditor will support maintenance of quality databases, gap reports, and HEDIS measurement tracking tools....

Manager, Quality Improvement

Conifer Value Based Care - Phoenix, AZ
Respond to Health Plan HEDIS Audit Corrective Action Plan (CAP).Participate in the selection of HEDIS Intervention Measures....

Medical Dir (MIA)

Molina Healthcare 129 reviews - Miami, FL
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

HEDIS Abstractor

Synectics 15 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...

RN Nurse Case Manager - Nashville,TN

Cigna 865 reviews - Nashville, TN
At least five years HEDIS related experience and/or solid working knowledge of HEDIS measures. Current licensure as a Registered Nurse (RN), Nurse Practitioner,...

Practice Coordinator / Nurse Case Manager (Baltimore, MD)

Cigna 865 reviews - Baltimore, MD
At least five years HEDIS related experience and/or solid working knowledge of HEDIS measures. Registered Nurse in applicable state....

Clinical Quality RN - Salina-Hays, KS

UnitedHealth Group 1,921 reviews - Salina, KS
If required, supports state specific medical record collection and abstraction processes to drive optimum measurement and quality metric reporting during...

Nurse Case Manager - Huntsville, AL (Partnership for Quality...

Cigna 865 reviews - Huntsville, AL - +1 location
Nurse Case Manager - Huntsville, AL (Partnership for Quality). Current licensure as a Registered Nurse (RN) in applicable state....

Care Management Manager

Central California Alliance for Health 5 reviews - Scotts Valley, CA
Assists in Quality Improvement activities, including annual HEDIS studies; Registered Nurse with current unrestricted CA licensure or BSN preferred....

Registered Nurse ED Case Manager

Medical Staffing Network Care Management - North Bergen, NJ - +3 locations
Please be advised that we are only considering nurses with the following:. A premiere Northern New Jersey Health System has an immediate need for a Registered...
HEDIS NURSE
Healthcare Scouts - Cypress, CA
The HEDIS Registered Nurse RN will need to be extremely detailed oriented with exceptional medical record review skills....
Easily apply
Sponsored by Healthcare Scouts - 30+ days ago
Special Projects Nurse Job - HEDIS
Adecco 4,319 reviews - Honolulu, HI
Medical record review / prefer HEDIS experience / prefer online medical record review experience. Access and review medical records via online systems against...
Sponsored by Adecco - 30+ days ago
Registered Nurse Hedis Auditor
Adecco 4,319 reviews - Buffalo, NY
Registered Nurse Hedis Auditor job responsibilities include:. Provide quarterly quality reviews of UM nurse determinations in the UM tracking system;...
Sponsored by Adecco - 30+ days ago

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