Hedis Review Nurse jobs

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HEDIS Project Manager

FirstHealth of the Carolinas 11 reviews - Pinehurst, NC
Minimum of 3 years of acute care clinical experience required. Experience working with Managed Care and/or Medicare or Medicaid.Background in UM, QA and/or QI...
11 days ago - save job - block - email - more...

Medical Record Field Reviewer

Outcomes Health Information Solutions 34 reviews - Maui County, HI - +6 locations
5. Professional, articulate and able to work independently. 4. Maintain communication lines with Outcomes advocate....
Easily apply
8 days ago - save job - block - email - more...

California WORK FROM HOME Utilization Review Nurse (RN) - Ma...

CareNational Healthcare Services, LLC - California
The Utilization Review Nurse is responsible for utilization management, utilization review, or concurrent review.... $70,000 - $80,000 a year
Easily apply
21 days ago - save job - block - email - more...

Clinical Program Specialist - RN (Alzheimers/Dementia)

Peoples Health, Inc. - Metairie, LA
Certification in Alzheimer's disease/dementia care highly preferred. Monitors the effectiveness of the market model for chronic care management at the health...
8 hours ago - save job - block - email - more...

Outreach Coord, HEDIS

Aetna 312 reviews - Pittsburgh, PA
Managed Care/Managed Healthcare Professional is desired. Nursing/Licensed Practical Nurse (LPN) is desired....
1 day ago - save job - block - email - more...

RN- Care Coordinator - Georgia

Humana Inc. 594 reviews - Atlanta, GA
This area is under the leadership of the SVP & Chief Operating Officer. Consult with Clinical Program Case Mangers and nurses to identify member specific...
CallCenterJobs.com - 2 days ago - save job - block - email - more...

Utilization Manager

Centene 134 reviews - Arlington Heights, IL - +9 locations
Master's Degree in counselling or related field, Associates Degree or higher for RN candidates. Authorize, direct and monitor care for mental health and...
CareerBuilder - 18 hours ago - save job - block - email - more...

Care Manager (Sign-On Bonus)

Centene Corporation 134 reviews - Amarillo, TX - +6 locations
License/Certificates:. Unrestricted license as a LCSW, LMFT, PhD, PsyD or RN. provide member assistance and participate in special utilization projects....
8 days ago - save job - block - email - more...

Complex Case Manager

Meridian Health Plan - Illinois
Case Manager Certification is preferred. Five years clinical management experience in either the inpatient, ambulatory or ancillary care setting is required....
12 days ago - save job - block - email - more...

Registered Nurse Utilization Review

Pathway Medical Staffing - Washington, DC - +1 location
Valid Washington D.C. Must have 3 years of clinical experience. The Registered Nurse Utilization Review provides professional assessment, coordination, and...
1 day ago - save job - block - email - more...
Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
WellCare 74 reviews - Long Beach, CA
HEDIS Practice Advisor, RN (Registered Nurse) Long... HEDIS medical record review and/or Quality Improvement with experience in clinical data/chart reviews and...
Sponsored by WellCare - 30+ days ago
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