Hedis Review Nurse jobs

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Assoc VP Quality Programs
Interfaces with HEDIS Operations for QI improvement activities. Participate in Nurse Advice Quality Committee and provide support for meeting URAC Accreditation...
Quality Management Nurse
MedProVidex - 661 reviews - Redlands, CA
Greivances and complaints) to appropriate forum for review (i.e., IPA Peer Review, QM Committee, Department/Groups)....

QI Outreach Field Coordinator

Care1st Health Plan - 16 reviews - San Diego, CA
HEDIS knowledge or experience preferred. Attend annual HEDIS and Coding training. Assist QI Outreach nurse with extensive education, validation, and...

Quality Performance Specialist Clinical

AmeriHealth Caritas - 91 reviews - Baton Rouge, LA  +1 location
In addition, responsibilities also include supporting the annual medical record review activities including HEDIS, and Clinical Practice Guidelines by working...

Project Coordinator

Partnership HealthPlan of CA - 3 reviews - Redding, CA
The Nurses to complete their reviews; Schedule onsite and remote HEDIS reviews at provider offices for medical record....

Quality Improvement/Assurance Coordinator

Kalihi Palama Health Center - 2 reviews - Honolulu, HI 96817 (Liliha-Kapalama area)
LPN, RN, Nurse, Health Care, Health Center, Quality. Enters data and maintains databases for various quality improvement audits and reviews....
Easily apply

Chief Medical Officer

Operation Samahan - 7 reviews - National City, CA
Analyzes and interprets data from program summaries, audit reports, HEDIS, UDS and other sources to determine counseling, training, education or other...
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Quality Improvement Specialist II

Peach State Health Plan - 17 reviews - Smyrna, GA
Access and availability studies, HEDIS abstraction forms, medical records/site reviews, member and physician satisfaction studies....

Utilization Review RN

Allstaff Technical Solutions - Indianapolis, IN
2 years minimum acute care experience and utilization review or HEDIS experience , a plus. Previous discharge planning, chart review experience....
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Coord Quality Mgmt - MediGold

Mount Carmel Health - Columbus, OH 43222 (Franklinton area)
Accountable for the review, preparation and presentation of medical cases for Medical Directors, Peer Review Panel and/or external review process....

RN Quality Improvement / Community Health / HEDIS

Northwell Health - 181 reviews - Manhasset, NY
Reviews data on measure performance and helps implement the clinical quality program. Current license to practice as a Registered Professional Nurse in New York...

RN Quality Improvement / Community Health

Northwell Health - 181 reviews - Manhasset, NY
Reviews data on measure performance and helps implement the clinical quality program. Current license to practice as a Registered Professional Nurse in New York...
Hedis Specialist
AmeriHealth Caritas - 91 reviews - Philadelphia, PA
HEDIS experience Knowledge of the NCQA and HEDIS submission process. Minimum 4-5 years working with HEDIS data including:....
Quality Perform Specialist Clinical
In addition, responsibilities also include supporting the annual medical record review activities including HEDIS and, Clinical Practice Guidelines....
HEDIS Nurse
MJ Morgan Group - 7 reviews - Lutherville-Timonium, MD
$80,000 a year
Currently seeking an Registered Nurse to fill a HEDIS Nurse position working within a managed care organization just outside of Baltimore....
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Company with Hedis Review Nurse jobs
AmeriHealth Caritas is the nation's leader in health care solutions for the underserved and chronically ill for over 30 years.