Hedis Review Nurse jobs

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Quality & Compliance Manager

Arizona Priority Care 4 reviews - Chandler, AZ
Current, unrestricted AZ Registered Nurse license required. Annually review corporate Quality, Credentialing and Compliance Programs as well as corporate P&Ps...

Registered Nurse Utilization Review

Medical Staffing Network Care Management - Baltimore, MD  +9 locations
Performs care management including hospital admission certification, continued stay review, discharge planning, out-patient and ancillary services review....

Registered Nurse - Clinical Quality Analyst

Community Health Network of CT 4 reviews - Wallingford, CT 06492
Analyzes and tabulates data gathered from chart review studies. Conducts chart reviews as part of CHNCT’s Quality Management & Improvement programs....

RN Clinical Documentation Specialist

Medical Staffing Network Care Management - Paterson, NJ
Initiate chart review after admission to meet criteria. Please be advised that we are only considering nurses with the following:....

Registered Nurse Care Management Coordinator

Medical Staffing Network Care Management - Fort Washington, PA
Active NJ or PA Licensed Registered Nurse required. Please be advised that we are only considering nurses with the following:....

Quality Improvement Nurse - Tampa, FL

Humana 982 reviews - Tampa, FL
Review medical records to identify needed improvements that impact HEDIS measures or coding (i.e. The Quality Improvement Nurse/Clinical Advisor will facilitate...

Care Coordinator

Freedom Health 24 reviews - Tampa, FL
Reviews requested services and assists nurse in processing requests following Plan approved criteria. Supports nurses on HEDIS® efforts and cases....

Clinical Data Analyst

Valence Health 8 reviews - Chicago, IL
Experience with national healthcare performance measures including HEDIS and PQRS a plus. Work closely with our clinical staff – physicians, nurses – and top...

Clinical Nurse Reviewer (RN) - Centralized Utilization Revie...

Health First, Inc. 2 reviews - Rockledge, FL
Clinical Nurse Reviewer (RN). Review challenges to hospital payments by Review Audit Contactors and other third parties as assigned....

Medical Record Field Reviewer

Altegra Health 87 reviews - Bakersfield, CA  +47 locations
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...
HEDIS Nurse (RN)
Execu | Search 44 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
Registered Nurse (RN) - HEDIS / QARR Project
Execu | Search 44 reviews - Manhattan, NY
Managed Care, Quality Improvement, Performance Improvement, Case Management, Chart Review, Utilization Review, and/or Pre-certification/Authorization....
Sponsored by Execu | Search
Execu | Search 44 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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