Hedis Review Nurse jobs

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RN, Director of HEDIS
HealthCare Support Staffing 54 reviews - City of Sunrise, FL
Registered Nurse, Director of QI/HEDIS. Are you an experienced Registered Nurse with HEDIS experience looking for a new opportunity with a prestigious...
Easily apply
Sponsored by HealthCare Support Staffing  - 30+ days ago
Field Case Manager Nurse RN - Diabetic Educator
UnitedHealth Group 2,059 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  - 6 days ago
Clinical Quality HEDIS RN - Las Vegas, NV
UnitedHealth Group 2,059 reviews - Las Vegas, NV
Previous HEDIS data collection and medical record/chart review experience highly preferred. Perform HEDIS medical record review in physician offices throughout...
Sponsored by UnitedHealth Group  - 14 days ago

Quality, Accreditation and Compliance RN - CarePlus - Mirama...

Humana 955 reviews - Miramar, FL
HEDIS experience a plus. Medical record documentation review and continuity/coordination of care studies. Collection of annual HEDIS data and participation in...

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....
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Clinical Quality HEDIS RN - Las Vegas, NV

UnitedHealth Group 2,059 reviews - Las Vegas, NV
Previous HEDIS data collection and medical record/chart review experience highly preferred. Perform HEDIS medical record review in physician offices throughout...

RN Clinical Quality Analyst - Honolulu, HI

UnitedHealth Group 2,059 reviews - Honolulu, HI
RN, Registered Nurse, Clinical Quality Nurse, Clinical Quality RN, Charge Nurse, Analyst, Health Care, Medicaid, Medicare, HEDIS, NCQA, Managed Care, Clinical,...

Navigator - RN (New Orleans Market)

Peoples Health, Inc. 15 reviews - New Orleans, LA
Reviews and ensures documentation of member encounter is appropriate to satisfy HEDIS/STAR measures, medication measures, referrals, authorizations....

Quality Improvement Specialist - RN

Federal Contract Holder - Timonium, MD
Assists the Quality Management Department with the coordination and preparation of HEDIS medical record reviews, which includes ongoing review of medical...
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Field Case Manager Nurse RN - Pittsburgh Metro and Erie Coun...

UnitedHealth Group 2,059 reviews - Pittsburgh, PA - +5 locations
Experience with HEDIS. Pittsburgh, Pennsylvania, PA, Allegheny, Erie, Star, HEDIS, case manager, care coordinator, RN, registered nurse, EMR, electronic medical...

Grievance and Appeals Manager

Trusted Health Plan - Washington, DC 20003(Capitol Hill area)
We are looking for an experienced Grievance/ Appeals Nurse Manager. Demonstrate an understanding of each case and prepared a review for each case....
Easily apply

Care Coordinator - RN (Northlake Market Team)

Peoples Health, Inc. 15 reviews - Mandeville, LA - +2 locations
Review daily facility census for assigned population. The Care Coordinator RN functions as part of a multidisciplinary team which includes a Navigator, Social...

RN Analyst / Auditors

VisionIT 10 reviews - Detroit, MI
Audit and medical chart review experience preferred. RN with HEDIS experience but will interview qualified RNs....
LVN - Quality Coordinator - Dallas, TX
UnitedHealth Group 2,059 reviews - Dallas, TX
Licensed Vocational/Professional Nurse. Quality coordinator, HEDIS, STAR, RN, data analysis, Dallas, TX, Texas....
Sponsored by UnitedHealth Group  - 10 days ago
Clinical Quality Manager - Honolulu, HI
UnitedHealth Group 2,059 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  - 6 days ago
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