Hedis Review Nurse jobs

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Utilization Management Review Nurse
AlohaCare - 11 reviews - Honolulu, HI 96814
URAC/NCQA and HEDIS exposure an asset. Screen and review internal and external referrals for Medicaid/MQD’s carved out Disability Program through the Aid to...
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Clinical Qual Imprv Spc RN-SFL
Florida Blue - 248 reviews - Miami, FL 33101
HEDIS Quality Improvement experience. Support retrospective HEDIS by being a subject matter expert in HEDIS clinical measures to include retrieval, abstraction,...
RN / Nurse Navigator / Quality Improvement Nurse
Kelly Services - 8,785 reviews - Columbia, SC 29229
Coordinates HEDIS data collection. RN / Nurse Navigator / Quality Improvement Coordinator. Conducts quality medical record reviews to monitor quality of care...

Quality Practice Advisor

WellCare - 681 reviews - Springfield, IL 62704  +8 locations
Required 2 years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide...

Practice Performance Nurse (RN or LPN)

UnitedHealth Group - 5,566 reviews - Charleston, SC
1+ year experience working with HEDIS measures. Develop comprehensive, provider-specific plans to increase their HEDIS performance and improve their outcomes....

Patient Care Advocate

WellCare - 681 reviews - Chicago, IL 60606 (Loop area)  +2 locations
Preferred Licensed Practical Nurse (LPN). Advises and educates Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with...

Registered Nurse – Primary Care

Kaiser Permanente - 4,975 reviews - Seattle, WA  +1 location
Document in EPIC– review and complete work in EPIC In-baskets. Act as clinical resource for team members – review patient needs, anticipate needs and plan with...

HEDIS Manager

Aetna - 2,290 reviews - Arlington, TX 76011 (East area)
Experienced HEDIS Manager needed to successfully manage HEDIS and the HEDIS Medical Record Review (MRR) process for a large health plan....

Quality Practice Advisor - License Required

WellCare - 681 reviews - New Haven, CT 06510 (Downtown area)  +1 location
Required 2 years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide...

Quality Improvement Specialist II

Peach State Health Plan - 459 reviews - Smyrna, GA
Access and availability studies, HEDIS abstraction forms, medical records/site reviews, member and physician satisfaction studies....

LVN Quality Coordinator HEDIS

UnitedHealth Group - 5,566 reviews - Dallas, TX 75215 (South Boulevard-Park Row area)
Licensed Vocational / Professional Nurse. Maintains education/knowledge base of HEDIS / STARs standards and guidelines....

RN - Clinical Quality Consultant

UnitedHealth Group - 5,566 reviews - Harlingen, TX 78552  +2 locations
3 years of HEDIS / Stars experience. Registered Nurse with Undergraduate degree or equivalent experience....

Clinical Quality Nurse

Medix - 68 reviews - Shavano Park, TX
Lead weekly, monthly, bi-monthly, quarterly, and annual business review meetings related to STAR activities in order to summarize provider performance in the...
HEDIS - Registered Nurse - RN
Other Registered Nurse (RN) HEDIS Program Manager duties as assigned. At least four years Registered Nurse (RN) HEDIS Program experience preferred....
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Director of Quality Review - Nurse
MJ Morgan Group - 10 reviews - New York, NY
Looking for a Director of Quality Review to direct and coordinate the daily operations of all Retrospective accounts, Cost Outlier unit and the QARR/ HEDIS...
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