Hedis Review Nurse jobs

Sort by: relevance - date
Salary Estimate
Job Type
Jobs 1 to 10 of 498
Upload your resume - Let employers find you


Health Partners, Inc. - Philadelphia, PA
Working knowledge of case management and quality review. Oversee and participate in all HEDIS audit related activities....

Quality Management Nurse I - CFHP

University Health System - 63 reviews - San Antonio, TX
Conducts focused reviews. Reviews and analyzes member medical records and other data sources for adherence to standards of care....

Full Time – Clinic Manager – Miami – 1669 Collins Ave Miami...

Take Care Health Systems - 115 reviews - Miami Beach, FL
O Completion of mid-year and year-end reviews,. Valid accreditation from the AANP or ANCC as a Family Nurse Practitioner....

Clinical Analyst

Independence Blue Cross - 264 reviews - Philadelphia, PA
Qualifications Registered Nurse Minimum 5 years experience in medical record review Three to five years experience with HEDIS medical record review Expert level...

Licensed Practical/Vocational Nurse (LPN/LVN)

Loyal Source - Norfolk, VA
Licensed Practical/Vocational Nurse – Branch Medical Clinic (BMC) Sewells Point, Norfolk. Ensure review of emergency treatment records (ETR) and follows up with...

HEDIS Review RN- CareConnect

North Shore-LIJ - 132 reviews - Greenvale, NY 11548
HEDIS Review RN- CareConnect Requisition ID:. Conducts medical record reviews. Schedules and coordinates on-site medical record reviews....

Case Manager, RN

Unite Here Health - Chicago, IL
Basic knowledge of HEDIS and NCQA. At least 1 year within utilization review or case management. Others duties as assigned by the Nurse Manager of Case...

RN Quality Mgmt Nurse Specialist | Health Plan

Banner Health - 451 reviews - Tucson, AZ
Prepares Quality of Care cases for Peer Review as necessary and presents cases to Medical Director for review....

RN Quality Assurance (Healthcare)

TAMMINA SOLUTIONS LLC(Requesting to read JD) - Syracuse, NY
Conducts retrospective multiple medical record reviews to retrieve data for internal and external quality measures for HEDIS and QARR reporting....
Easily apply

Utilization Review Nurse

AlohaCare - 7 reviews - Honolulu, HI 96814 (Makiki area)
URAC/NCQA and HEDIS exposure an asset. The nurse will work directly with the QI Medical Director and UM Medical Director to implement approved AC Quest, ACA,...
Easily apply
HEDIS Nurse (RN)
Execu | Search - 45 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
Molina Healthcare - 159 reviews - West Allis, WI
2-3 years working with HEDIS - MUST HAVE HEDIS EXPERIENCE!!! Experience working with Measures to improve our HEDIS scores....
Sponsored by Molina Healthcare
Execu | Search - 45 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

Never miss a job. Get new jobs emailed to you daily.

Get email updates for the latest Hedis Review Nurse jobs
You can cancel email alerts at any time.
Get new jobs for this search by email
You can cancel email alerts at any time.