Hedis Review Nurse jobs

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UM/QM Nurse Coordinator

Access Community Health Network 16 reviews - 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....
10 days ago - save job - email - more...

Nurse Case Manager - P4Q

Cigna 627 reviews - Chicago, IL
Investigates potential quality issues, patient complaints and local or corporate concerns. Works with providers to ensure STAR and HEDIS measures are completed....
4 days ago - save job - email - more...

HCS Program Specialist

Central Health 3 reviews - United States
Ability to think analytically and problem solve. o Determine provider contracting status and appropriateness,. o Verify member eligibility and benefits,....
11 days ago - save job - email - more...

QI Manager, Louisville, KY Area

CareSource 25 reviews - Louisville, KY
Intermediate computer skills Knowledge & Skills •. Directs the day-to-day prioritization of staff activities in collaboration with the Director Quality...
23 days ago - save job - email - more...

Clinical Data Abstractor

Pathway Medical Staffing - Abington, PA
2 years data abstraction or quality improvement in a healthcare setting exoerience required. Bachelor’s degree or 4 additional years of related work experience...
11 days ago - save job - email - more...

Facility Based Care Advocate, Portland, Oregon

UnitedHealth Group 1,356 reviews - Portland, OR
Focusing on initial concurrent reviews for higher levels of care, ie:. The role of a Care Advocate is to secure appropriate aftercare for all consumers...
10 days ago - save job - email - more...

RN Quality Improvement Nurse Consultant-Anderson, SC

Humana 597 reviews - Lancaster, SC
Effectively develop, enhance and maintain provider clinical relationship across product lines. Deliver provider/member-specific metrics (e.g., SQR reports,...
30+ days ago - save job - email - more...

SWHP Vitality Coordinator LVN

Scott and White Healthcare 15 reviews - Temple, TX
UTILIZES COMPUTER APPLICATIONS PROFICIENTLY TO ENHANCE SERVICES. H.S. License/Certification:....
Scott & White - 25 days ago - save job - email - more...

Vice President, Field Health Services

WellCare 74 reviews - Louisville, KY
Demonstrated time management and priority setting skills. Develops value propositions for clinical programs through quantitative analytics, ROI, and evidence...
3 days ago - save job - email - more...

Quality Improvement Outreach Coordinator, RN QI

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