Hedis Review Nurse jobs

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Clinical Quality Manager - Honolulu, HI
UnitedHealth Group 2,053 reviews - Honolulu, HI
Oversight of external contractors such as HEDIS contractor or HEDIS RN. Solid knowledge of NCQA and HEDIS guidelines....
Sponsored by UnitedHealth Group  - 1 day ago
HEDIS Clinical Practice Consultant RN - Telecommute from Tra...
UnitedHealth Group 2,053 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  - 8 days ago
Field Case Manager Nurse RN - Diabetic Educator
UnitedHealth Group 2,053 reviews - Atlanta, GA
Case manager, nurse, RN, registered nurse, GA, Georgia, Atlanta, MCO, managed care, chart review, wellness, provider, CDE, Certified Diabetic Educator, diabetes...
Sponsored by UnitedHealth Group  - 27 days ago

Quality Improvement Coordinator

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

Utilization Manager (Sign-On Bonus)

Centene Corporation 213 reviews - Lenexa, KS
Master's degree in Behavioral Health or Registered Nurse required. Ensure compliance with all performance measures in regards to appeals, denials, higher level...

Quality Assurance Nurse

APS Healthcare 68 reviews - Syracuse, NY
MEDMGMT – Quality Assurance Nurse. Conducts retrospective multiple medical record reviews to retrieve data for internal and external quality measures for HEDIS...

Quality Nurse Management I

University Health System 57 reviews - San Antonio, TX
Current licensure as a Registered Nurse in the State of Texas is required. Coordinates and collaborates with CFHP's various departments to assure that...

Field Case Manager Nurse RN - Dayton, Ohio

UnitedHealth Group 2,053 reviews - Dayton, OH - +5 locations
Experience with HEDIS. Rn, care manager, case manager, Dayton, Ohio, OH, registered nurse, provider, chart review, emr, electronic medical record, educator,...

Independent Contractor (Medical Data Absraction)

WVMI and Quality Insights - Roanoke, VA
Must be a licensed Registered Nurse *OR*. Data abstraction experience and knowledge of HEDIS and Joint Commission hospital quality measures a plus....
Easily apply

Community Care Coordination Team Lead – Calhoun, Branch, & B...

Meridian Health Plan 42 reviews - Battle Creek, MI
Reviews each members plan of care. Review predictive model report of each member assigned to their team. Review with community care coordinators on all cases...

Field RN Case Manager - Tucson AZ

UnitedHealth Group 2,053 reviews - Tucson, AZ - +8 locations
Case manager, nurse, RN, registered nurse, Tucson, AZ, Arizona, MCO, managed care, chart review, wellness, provider....

Clinical Quality Manager - Honolulu, HI

UnitedHealth Group 2,053 reviews - Honolulu, HI
Oversight of external contractors such as HEDIS contractor or HEDIS RN. Solid knowledge of NCQA and HEDIS guidelines....

Utilization Management Pre-Service Review Nurse - MI

Meridian Health Plan 42 reviews - Detroit, MI - +1 location
Current license (without restriction) to practice as a Licensed Practical Nurse or Registered Nurse in the designated State is required....
Quality Management Nurse
Dignity Health Med Grp Inland Empire 535 reviews - Redlands, CA
Greivances and complaints) to appropriate forum for review (i.e., IPA Peer Review, QM Committee, Department/Groups)....
Sponsored by Dignity Health  - 30+ days ago
RN Clinical Quality Analyst - Honolulu, HI
UnitedHealth Group 2,053 reviews - Honolulu, HI
RN, Registered Nurse, Clinical Quality Nurse, Clinical Quality RN, Charge Nurse, Analyst, Health Care, Medicaid, Medicare, HEDIS, NCQA, Managed Care, Clinical,...
Sponsored by UnitedHealth Group  - 4 days ago
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Company with Hedis Review Nurse jobs
Dignity Health is one of the nation’s leading hospital networks with opportunities available at 40 hospitals in AZ, CA, and NV.