Hedis Review Nurse jobs

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Medical Review Nurse RN

Incepture 19 reviews - Jacksonville, FL 32246 (Sandalwood area)
Florida RN license; recent experience in medical record data collection for HEDIS preferred; computer skills are critical...must have advance level skill set in...
3 hours ago - save job - email - more...

LCSW Hospital Case Manager

Pathway Medical Staffing - North Bergen, NJ
Please be advised that we are only considering nurses with the following: Engage in timely, efficient... care management and HEDIS healthcare professionals...
3 hours ago - save job - email - more...

Registered Nurse Case Manager

Pathway Medical Staffing - Greenville, SC - +7 locations
we are only considering nurses with the following... an acute setting Must have 2+ years utilization review using Interqual or Milliman guidelines Experience...
3 hours ago - save job - email - more...

Nurse Case Manager - P4Q

Cigna 636 reviews - Chicago, IL
NCQA, HEDIS, CQI and/or TQM. Ability to abstract ICD codes. Current RN with Associate's degree in nursing. At least 3 years of experience in quality review and...
5 hours ago - save job - email - more...

President - Medicaid Health Pllan

Reap Healthcare Agents - Waukesha, WI
hospital census review, medical staffing, seasonality issues, constant and detailed communications with the medical director and nurse leader and monthly...
GetaMedJob.com - 6 hours ago - save job - email - more...

Medical Records Reviewer Manhattan Region

Visiting Nurse Service of New York 93 reviews - Manhattan, NY
retrieval and review. Minimum of one year quality improvement experience in Medicare, Medicaid or Commercial Health Plan Knowledge of HEDIS/QARR standards...
9 hours ago - save job - email - more...

Full time – Clinic Manager – 3300 Center Street Deer Park TX...

Take Care Health Systems 76 reviews - Deer Park, TX
AANP or ANCC as a Family Nurse Practitioner. · Valid... experience preferred (Charge Nurse in Hospital setting, Charge Nurse in Outpatient setting, ER/Urgent Care...
Take Care Health - 9 hours ago - save job - email - more...

Registered Nurse/Practice Manager

Mount Auburn Hospital 24 reviews - Cambridge, MA 02138 (West Cambridge area)
of telephone inquiries, review of lab results and 12... Maintains stock of patient education materials. Reviews new material available. 17. Manages ordering of...
Massachusetts Hospital Association - 9 hours ago - save job - email - more...

Quality Improvement Specialist II

OptiCare Managed Vision 2 reviews - Rocky Mount, NC 27804
the HEDIS project to include assignment of nurses... and availability studies, HEDIS abstraction forms, medical records/site reviews, member and physician...
CareerBuilder - 11 hours ago - save job - email - more...

President Medicaid Health Plan (PERM)

WPA Staffing Solutions, LLC - Waukesha, WI
hospital census review, medical staffing, seasonality issues, constant and detailed communications with the medical director and nurse leader and monthly...
Easily apply
TalentDesk.com - 17 hours ago - save job - email - more...
Clinical Nurse Manager
General Physician, PC - Elma, NY
NCQA, DRP and incentive programs • Understanding of HEDIS measures • Providing suggestions and input to... test reports, etc. • Review current pricing of...
Easily apply
Sponsored by General Physician, PC - 30+ days ago

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