Hedis Review Nurse jobs

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Registered Nurse (RN) - Quality Management Nurse Consultant

Aetna - Omaha, NE 68118
BACKGROUND/EXPERIENCE. 3+ years of clinical experience required. They will independently coordinate the clinical resolution with internal/external clinician...
16 days ago - save job - email - more...

Registered Nurse - Coder Analyst CPC

Genpact, Jawood Healthcare Solutions - Detroit, MI 48226 (Downtown area)
Required to travel 3-5 days a week. Verify and help providers close treatment opportunities (HEDIS/Stars measures)....
Monster - 2 days ago - save job - email - more...

Analyst Quality Management Nurse Healthcare Clinics

Walgreens - Deerfield, IL
CMA, CPHQ or CPHRM training and licensure preferred If not certified must be willing to sit for the CPHQ and/or CPHRM exam and obtain certification....
6 days ago - save job - email - more...

UM/QM Nurse Coordinator

Access Community Health Network - Blue Island, IL
Assist with discharge planning. Provides technical support to the Primary Care Providers. Assists PCP with transfer of out of plan to in plan facilities....
6 days ago - save job - email - more...

HEDIS RN Clinical Coder - Malvern, PA

UnitedHealth Group - Malvern, PA
3+ years of clinical experience. Experience with clinical information systems Careers with Optum. Here's the idea....
30+ days ago - save job - email - more...

Quality Improvement Outreach Coordinator, RN

Managed Care Staffers - Westmont, IL 60559
Responsible for the development, implementation, and collection of QI related projects in order to meet the requirements of Managed Care Organizations as...
Monster - 1 day ago - save job - email - more...

Clinical Consultant/ Quality Educator - NM

Humana - Albuquerque, NM
Review medical records and identify needed improvements that impact HEDIS measures or coding (i.e. identify deficiencies in data capture, use SQR to identify...
9 days ago - save job - email - more...


- Tarrytown, NY 10591
The Integrated Care Manager will communicate and maintain positive working relationships through the continuum of care with patients, families and the... $70,000 - $80,000 a year
CareerBuilder - 9 days ago - save job - email - more...

Cost Containment Specialist, RN or LPN

PMA Companies - Schaumburg, IL - +2 locations
Basic working knowledge of Microsoft office applications required, mainframe experience helpful. Working knowledge of state workers’ compensation fee schedules,...
14 days ago - save job - email - more...

Utilization Manager (Sign-On Bonus)

Centene Corporation - Bedford, NH - +2 locations
License/Certificates:. Unrestricted license as a LCSW, LMFT, PhD, PsyD or RN. provide member assistance and participate in special utilization projects....
9 days ago - save job - email - more...
Nurse Practitioners - Full time - C & S - Assessments - Grea...
UnitedHealth Group - Boston, MA
is cared for contracted Nurse Practitioner/Physician... medication review, attestation and reconciliation, functional status, laboratory and diagnostic review and...
Sponsored by UnitedHealth Group - 8 days ago
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