Hedis Review Nurse jobs

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Clinical Quality RN - New Brunswick, NJ
UnitedHealth Group 1,987 reviews - New Brunswick, NJ
If required, supports state specific medical record collection and abstraction processes to drive optimum measurement and quality metric reporting during...
Sponsored by UnitedHealth Group - 30 days ago
Quality Performance Specialist Clinical- RN
AmeriHealth Caritas 60 reviews - Philadelphia, PA
In addition, responsibilities also include supporting the annual medical record review activities including HEDIS and, Clinical Practice Guidelines....
Sponsored by AmeriHealth Caritas - 30+ days ago
HEDIS Clinical Practice Consultant RN - Telecommute - Harris...
UnitedHealth Group 1,987 reviews - Houston, TX
Supports the HEDIS medical record chase to support optimum HEDIS and quality metric reporting. RN, Registered Nurse, HEDIS, Quality, Compliance, Medicaid,...
Sponsored by UnitedHealth Group - 6 days ago

RN Review Analyst

ICONMA - Detroit, MI
Registered Nurse, Review Analyst, Acute Care, HEDIS:. Audit and medical chart review experience preferred. RN with HEDIS experience but will interview qualified...
Easily apply

Quality Review Analyst (Nurse)

Triple-S Salud - San Juan, PR
Participates actively in the process of compiling data, record review and results analysis of different types of audits, including but not limited to Never...
Easily apply

Clinical Quality Review Nurse

Independent Health 30 reviews - Buffalo, NY
The Clinical Quality Review Nurse shall be responsible for medical record reviews for member quality complaints, HEDIS/QARR, credentialing and other focused...

Quality Improvement Coordinator

JSA Healthcare Corporation 3 reviews - Saint Petersburg, FL - +1 location
The Quality Improvement Coordinator will perform reviews through project assignments and must meet deadlines....

HEDIS Abstractor -External Audits and Quality Control

L.A. Care Health Plan 14 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...

BHMG - Perf Improvement Quality Analyst

Baptist Healthcare System 216 reviews - Louisville, KY
Assist the manager in coordinating and aligning various types of metrics (PQRS/ HEDIS/ BAPTIST Health system/Payor pay for performance/ etc.)....

Orange Inpatient Concurrent Review Nurse (RN or LVN) – Manag...

CareNational Healthcare Services, LLC - Orange, CA
Perform Utilization Review pre-authorization, concurrent and retrospective review as needed for inpatient or outpatient services and predetermination reviews....
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Quality Specialist

Summit Medical Group, P.L.L.C. - Knoxville, TN
Knowledge of NCQA HEDIS abstracting guidelines is a HUGE plus. Licensed Practical Nurse with active license in the state of Tennessee or holding a license in...

RN Nurse Manager Healthcare Services II

Molina Healthcare 142 reviews - Irving, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Registered Nurse, Bachelor’s degree or advanced practice nurse (equivalent...

Nurse Reviewer (Part-time thru August)

Arch Systems - Baltimore, MD
Must be a registered nurse (RN). The successful PQRS Nurse Reviewer can perform the following critical job duties:....
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HEDIS Clinical Practice Consultant RN - Telecommute from Tra...
UnitedHealth Group 1,987 reviews - Austin, TX
2+ years of quality improvement experience (chart review, compliance, HEDIS, investigation, etc.). Supports the HEDIS medical record chase to support optimum...
Sponsored by UnitedHealth Group - 6 days ago
AVP, Organizational Culture and Quality
Brightpoint Health - New York, NY
A clinical background either as a Nurse or Nurse Practitioner preferred, but not required. Knowledge of clinical metrics such as HEDIS measures, NQF, etc....
Sponsored by Brightpoint Health - 30+ days ago
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