Hedis Review Nurse jobs

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Lead Quality Improvement Specialist
EmblemHealth 66 reviews - Melville, NY
Conduct tollgate reviews to ensure continued alignment with Quality Management objectives. Design, implement, and evaluate quality improvement projects...
Sponsored by EmblemHealth - 6 days ago
RN Clinical Quality Consultant- SIGN ON BONUS - San Antonio,...
UnitedHealth Group 1,927 reviews - San Antonio, TX
Registered Nurse with Undergraduate degree or equivalent experience. Clinical Quality RN, HEDIS/ STAR, San Antonio, TX, Texas....
Sponsored by UnitedHealth Group - 13 days ago

Utilization Management Pre-Service Review Nurse - IL

Meridian Health Plan 38 reviews - Chicago, IL - +4 locations
Current license (without restriction) to practice as a Licensed Practical Nurse or Registered Nurse in the designated State is required....

LVN - Quality Coordinator

WellMed Medical Mgmt, Inc - Dallas, TX
Licensed Vocational/Professional Nurse. Three or more years of experience with data analysis/quality chart reviews....

Manager, Care Coordination - Model of Care (RN or LMSW)

Conifer Value Based Care - Phoenix, AZ
Ensures processes for the review of data submitted through referral sources and effective implementation of care coordination activities....

Manager of HEDIS and Quality Interventions - RN

Morgan Stephens - Oak Brook, IL
We're looking for someone that is not only familiar with the HEDIS measures, but working inside the HEDIS program....
Easily apply

Quality Manager

Health Plan of San Joaquin 7 reviews - French Camp, CA
Credentialing Coordinators, HEDIS Coordinator. Participates in the planning and implementation of the annual HEDIS process, HEDIS reporting associated...

Sr Clinical Quality RN

UnitedHealth Group 1,927 reviews - Overland Park, KS
RN, nurse, registered nurse, acute care, project, project management, account management, KS, Kansas. Educate providers on all aspects of plan clinical quality,...

LPN - Quality Coordinator

WellMed Medical Mgmt, Inc - Dallas, TX - +4 locations
Licensed Vocational/Professional Nurse. Quality coordinator, HEDIS, STAR, RN, data analysis, Dallas, TX, Texas....

RN - Supervisor Case Management (MMP)

Molina Healthcare 131 reviews - Irving, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Functions as hands-on supervisor for daily Case Management activities including...


Epic Management 6 reviews - Redlands, CA
The QI Nurse is also responsible for data collection and/or organization of documents for patient concerns/grievances/appeals, audits, studies & HEDIS....
Easily apply

Buffalo Utilization Review RN - Managed Care

CareNational Healthcare Services, LLC - Buffalo, NY
The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review....
Easily apply
Clinical Quality Analyst - Phoenix, AZ
UnitedHealth Group 1,927 reviews - Phoenix, AZ
Must be an Arizona licensed nurse, physician or physician's assistant; Review and analysis of data from survey tools, including but not limited to, provider...
Sponsored by UnitedHealth Group - 5 days ago
Clinical Quality RN - Salina-Hays, KS
UnitedHealth Group 1,927 reviews - Salina, KS
If required, supports state specific medical record collection and abstraction processes to drive optimum measurement and quality metric reporting during...
Sponsored by UnitedHealth Group - 2 days ago
LVN - Quality Coordinator - Dallas, TX
UnitedHealth Group 1,927 reviews - Dallas, TX
Licensed Vocational/Professional Nurse. Three or more years of experience with data analysis/quality chart reviews....
Sponsored by UnitedHealth Group - 5 hours ago
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