Hedis Review Nurse jobs

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LPN - Quality Coordinator - Orlando, FL
UnitedHealth Group 2,057 reviews - Orlando, FL
Licensed Vocational/Professional Nurse. Quality coordinator, HEDIS, STAR, RN, data analysis, Orlando, FL. Three or more years of experience with data analysis...
Sponsored by UnitedHealth Group
RN Case Manager
Family Physicians Group of Florida - Orlando, FL
Nurse Practitioner, Case Management:. Hedis/ Quality Measures monitoring/ follow up. Review hospital admissions and discuss with UM....
Easily apply
Sponsored by Family Physicians Group of Florida
Clinical Quality, RN - Greenville-Greenwood-Vicksburg, MS
UnitedHealth Group 2,057 reviews - Greenville, MS
HEDIS, RN, telecommute, NCQA, Clinical Practice Consultant, Greenville, Mississippi, MS. If required, supports state specific medical record collection and...
Sponsored by UnitedHealth Group

RN Clinical Quality Analyst - Honolulu, HI

UnitedHealth Group 2,057 reviews - Honolulu, HI
RN, Registered Nurse, Clinical Quality Nurse, Clinical Quality RN, Charge Nurse, Analyst, Health Care, Medicaid, Medicare, HEDIS, NCQA, Managed Care, Clinical,...

Quality Auditor II - HNJH

Horizon Blue Cross Blue Shield of New Jersey 36 reviews - Trenton, NJ
Requires License Practical Nurse License. Prefers knowledge of URAC accreditation standards and HEDIS principles....

Population Care Manager, RN

Population Care Manager, RN - Fort Lauderdale, FL
Registered Nurse Licensure required. Review medical records for patients identified by health plans, providers or HCPP as needing review....

RN Case Manager

Family Physicians Group of Florida - Orlando, FL
Nurse Practitioner, Case Management:. Hedis/ Quality Measures monitoring/ follow up. Review hospital admissions and discuss with UM....
Easily apply

Manager I AGP Quality Management - Plan 100564SY

Anthem, Inc. 600 reviews - Rancho Cordova, CA
Manages HEDIS nurses, facility sight review nurses, or other clinical and non-clinical staff trained to work with providers to ensure quality of care delivery....

Clin Quality Improv Spec-CCHP

Children's Hospital & Health System - Milwaukee, WI
Responsible for supporting the ongoing Clinical Quality Improvement Program which includes but not limited to HEDIS year round medical record review, proactive...

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....

Clinical Operations Manager

Consumers Choice Health Plan of South Carolina - Charleston, SC 29406
Minimum of three to five years’ experience as a Registered Nurse. Familiarity with NCQA standards, HEDIS measures and other quality metrics is preferred....
Easily apply

RN - Manager, Prior Authorization

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

RN - HEDIS Clinical Specialist

Conifer Value Based Care - Detroit, MI
Assists with HEDIS Hybrid medical record review. Supports the collection of HEDIS supplemental data for inclusion in the HEDIS Supplemental Database and assists...
RN HEDIS Clinical Quality Consultant for WellMed, Rio Grande...
UnitedHealth Group 2,057 reviews - Harlingen, TX
WellMed, Optum, Healthcare, Clinical Consultant, RGV, Rio Grande Valley, Harlingen, McAllen, Brownsville, Weslaco, TX, HEDIS, rn, registered nurse, quality,....
Sponsored by UnitedHealth Group
Case Manager Licensed Practical Nurse - Oklahoma City, OK
UnitedHealth Group 2,057 reviews - Oklahoma City, OK
HEDIS knowledge and experience. Review all member charts prior to a physician. Energize your career with one of Healthcare's fastest growing....
Sponsored by UnitedHealth Group
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