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...
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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...
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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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1,987 reviews
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