Hedis Review Nurse jobs

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Clinical Qual Imprv Spc RN-SFL
Florida Blue - 233 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,...
California Work-From-Home CONTRACT Utilization Review RN - M...
CareNational Healthcare Services (CNHS) - Mission Viejo, CA 92691
$37 an hour
Utilization Review Nurse (RN) - Managed Care*. The Utilization Review Nurse is responsible for utilization management and utilization review for prospective,...
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Quality Clinical Coordinator Specialist-Piscataway, NJ!
Cigna - 2,186 reviews - Piscataway, NJ
Policy writing and review. Experience with the HEDIS and CAHPS process preferred. The Quality Nurse Specialist will assist with NCQA and URAC accreditation....

Quality Improvement - Manager

WellCare - 672 reviews - Chicago, IL 60606 (Loop area)  +1 location
Maintains a knowledge base of HEDIS requirements and implementing clinical performance methods to improve HEDIS performance....

Clinical Quality Specialist- RN

Northeast Georgia Health System - 57 reviews - Gainesville, GA
Responsible for reviewing payor HEDIS and pay-for-performance reports; Performs chart abstractions, chart audits, and documentation reviews to comply with...

Quality Practice Advisor RN

TotalMed - Chicago, IL
$80,000 - $87,000 a year
Registered Nurse (RN). 2+ years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart...
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Registered Nurse Primary Care/Diabetes Care Management

Kaiser Permanente - 4,784 reviews - Bellevue, WA
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...

Manager Quality Assurance Audit ERA Job

Blue Cross and Blue Shield of Minnesota - Eagan, MN 55122
Perform quality assurance reviews of audit findings and provide guidance on medical record review issues. HEDIS or Stars experience....

Quality Management Nurse Consultant (RN)-Registered Nurse

Aetna - 2,210 reviews - Chicago, IL
Nursing/Registered Nurse is desired. Accreditation/regulatory standards, CAHPS data, HEDIS). Click here to review the benefits associated with this position....

Clinical Quality Specialist

CareSource - 95 reviews - Atlanta, GA
Completion of an accredited Registered Nurse (RN) degree program is required. Current, unrestricted Registered Nurse (RN) licensure is required in state of...

Sr Specialist, HEDIS/ Quality Reporting(Field;Columbia, SC)

Molina Healthcare - 424 reviews - North Charleston, SC 29405
Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers...

Sr Specialist, HEDIS/ Quality Reporting(Field;Charleston, SC...

Molina Healthcare - 424 reviews - North Charleston, SC 29405
Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers...

Quality Improvement - Director

WellCare - 672 reviews - Oklahoma City, OK 73103  +1 location
All other states, a licensed Registered Nurse (RN) preferred. For FL/IA/IL/MO/NJ/CA/NE, a current unrestricted Registered Nurse (RN) License required....
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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HEDIS - Registered Nurse - RN - Utilization Review
Maxim Healthcare Services - 1,905 reviews - Indianapolis, IN 46250
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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