Hedis Review Nurse jobs

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RN or LPN - Practice Coordinator (Nurse Case Manager) DC/Bal...

Cigna 688 reviews - Baltimore, MD
Consistently monitors participating provider performance on the identified P4Q and/or HEDIS STAR measures and regularly communicates status of those measures to...
5 hours ago - save job - email - more...

Quality Manager- Government Programs (Cigna Medical Group)

Cigna 688 reviews - Phoenix, AZ
Oversees the CMS Quality Program audit process, HEDIS reporting and ensures that SNP quality and performance measures are being met....
5 hours ago - save job - email - more...

Home Chronic Care Physician - Alegis Care - Mobile AL

Cigna 688 reviews - Mobile, AL
The Physician is responsible for quality medical care for all assigned patients, meeting or exceeding generally accepted standards of medical care, along with...
8 hours ago - save job - email - more...

Registered Nurse

Integrated Resources, Inc - Newark, NJ
Experience performing medical record reviews and data extraction for the HEDIS audit. Must be a RN or a LPN....
Miracle Workers - 14 hours ago - save job - email - more...

SENIOR MEDICAL DIRECTOR - Health Services

Presbyterian Healthcare Services 38 reviews - Albuquerque, NM
Requires detailed knowledge of utilization management principles, including case management, retrospective and concurrent review, and prior authorization, in...
16 hours ago - save job - email - more...

On Site Quality Audit Spec

Health Care Service Corporation 29 reviews - Beaumont, TX
is responsible for conducting providerpractitioner on-site office audits reviewing and analyzing medical record keeping, medical records and HEDIS...
Dice - 17 hours ago - save job - email - more...

Case Manager II

Molina Healthcare 100 reviews - Remote
Nurse, BSN, MSN, ADN, Field RN, field nurse, telephonic nurse, LPN, LVN, ACSW, AACN, SIU, LSW, LBSW, LCSW, LMSW, MSW, CCM, ANNC, MDS, CPHQ, CHPN, PHN, CHES,...
22 hours ago - save job - email - more...

Medicare Enrollment Manager

Pathway Medical Staffing - New York, NY
Review, process, and reconcile Medicare enrollment and disenrollment data. Ensure compliance with CMS regulations, guidelines, and timeframes....
1 day ago - save job - email - more...

Case Manager (RN)

Randstad Healthcare 2 reviews - Chicago, IL
Case Manager (RN),HEDIS Abstractor,Medical Records Review Nurse (RN)....
1 day ago - save job - email - more...

HEDIS RN’s / LPN’s

N.J.S.A. - Newark, NJ
The new contract nurses will be onsite 100% migrating to working from home 4 days a week. How long that takes is dependent on how quickly they come up to speed....
1 day ago - save job - email - more...
LVN Chart Review Nurse
IntegraNet Physician Resource - Houston, TX
for HEDIS / Quality or Core Measures chart review... REVIEW EXPERIENCE * MUST HAVE HEDIS / QUALITY OR CORE MEASURE CHART REVIEW EXPERIENCE * MUST HAVE HEDIS... $30 - $45 an hour
Easily apply
Sponsored by IntegraNet Physician Resource - 10 days ago
Medical Record Field Reviewer
Outcomes Health Information Solutions 35 reviews - Multnomah County, OR
2. HEDIS 3. Medical Record Reviews (Accreditation) 4... record review services 2. Scan relevant components of the medical record to support reviews performed 3...
Easily apply
Sponsored by Outcomes Health Information Solutions - 30+ days ago
HEDIS Nurse
The Execu|Search Group 35 reviews - Newark, NJ
HEDIS Nurse HEDIS Nurse Location: Newark, NJ... record reviews and data extraction for the HEDIS audit in the organization's Newark location. Prior HEDIS... $30 - $35 an hour
Sponsored by ADVANCE for Healthcare Careers - 12 hours ago

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