Hedis Review Nurse jobs

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Nurse Case Manager - P4Q

Cigna 636 reviews - Chicago, IL
NCQA, HEDIS, CQI and/or TQM. Ability to abstract ICD codes. Current RN with Associate's degree in nursing. At least 3 years of experience in quality review and...
4 days ago - save job - email - more...

Quality Improvement Project Manager, Newark, NJ

WellCare 74 reviews - Newark, NJ - +1 location
care complaint/adverse event review and assessment of medical record review results and recommend actions... through medical record review. Fields annual member...
5 days ago - save job - email - more...

Senior Coordinator, Performance Improvement

Community Health Plan of Washington 9 reviews - Seattle, WA
issue (PQI) resolution or scheduling HEDIS medical record review (MRR). •CHC Site Liaison: Manage meetings... Registered Nurse (RN), Licensed Practical Nurse (LPN...
NWRPCA - 7 days ago - save job - email - more...

Utilization Management (UM) Nurse Associate (LPN /LVN)

Aetna 320 reviews - Dallas, TX 75247 (Northwest Dallas area)
with NCQA, JCAHO, URAC, HEDIS standards/measures... eligibility may vary by position. Click here to review the benefits associated with this position. How to...
3 days ago - save job - email - more...

Licensed Utilization Management (UM) Nurse Associate - LPN /...

Aetna 320 reviews - Dallas, TX 75247 (Northwest Dallas area)
with NCQA, JCAHO, URAC, HEDIS standards/measures... eligibility may vary by position. Click here to review the benefits associated with this position. How to...
3 days ago - save job - email - more...

Senior Coordinator, Performance Improvement

NWRPCA - Seattle, WA
issue (PQI) resolution or scheduling HEDIS medical record review (MRR). •CHC Site Liaison: Manage meetings... Registered Nurse (RN), Licensed Practical Nurse (LPN...
8 days ago - save job - email - more...

Utilization Manager

Centene Corporation 136 reviews - Lenexa, KS - +4 locations
review timeliness, Outpatient Treatment Report review... of care and adherence to HEDIS standards. Compile and report daily review activity and facility...
18 days ago - save job - email - more...

HEDIS Nurse (RN/LPN)

Execu | Search 32 reviews - Garden City, NY
seeking a HEDIS Nurse to join its team of dedicated medical professionals. The HEDIS Nurse will be... Job Description The HEDIS Nurse will be responsible... $60,000 - $75,000 a year
5 days ago - save job - email - more...

Network Performance Improvement Consultant

Provider Contracting, West & Mid - Grand Rapids, MI
Demonstrated ability to review and understand patient... Excellent communication skills in order to discuss HEDIS scores with Provider offices. Experience in...
Blue Cross Blue Shield of Michigan - 24 days ago - save job - email - more...

HEDIS Specialist

Molina Healthcare 96 reviews - Troy, MI
of the HEDIS medical record review which includes ongoing review of records submitted by providers and the annual HEDIS medical record review. • Participates...
16 days ago - save job - email - more...
Seattle Supervisor of Medical Record & Coding Review - Manag...
CareNational Healthcare Services, LLC - Seattle, WA
for clinical review of medical documentation. They will supervise the medical record review abstraction... Practical Nurse (L.P.N), Registered Nurse (R.N.), or... $64,000 - $82,000 a year
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Sponsored by CareNational Healthcare Services, LLC - 30+ days ago
Utilization Manager (Sign-On Bonus)
Centene Corporation 136 reviews - Bedford, NH
review timeliness, Outpatient Treatment Report review... of care and adherence to HEDIS standards. Compile and report daily review activity and facility...
Sponsored by Centene Corporation - 26 days ago
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