Hedis Review Nurse jobs

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Lead Quality Analyst (HC OPS)
EmblemHealth 83 reviews - Melville, NY
Knowledge of HEDIS & QARR reporting processes strongly preferred. ­- Develop customized models and scenario analyses to monitor and review projected measure....
Sponsored by EmblemHealth
RN HEDIS Consultant for WellMed - El Paso, TX $3,000 SIGN-ON...
UnitedHealth Group 2,187 reviews - El Paso, TX
RN, registered nurse, HEDIS, quality, El Paso, Texas, TX, stars, audit. Assist in developing of training and analytical materials for Stars and HEDIS....
Sponsored by UnitedHealth Group

Quality Improvement Nurse

Judge Healthcare - Wilmington, DE
Review customer complaints. HEDIS or NCQA experience. This job will have the following responsibilities:....
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Quality Nurse Manager

Tufts Health Plan 70 reviews - Watertown, MA
The Quality Nurse Manager is responsible for working independently to retrieve, review, abstract, and enter pertinent medical data required for certain HEDIS...

Quality Management Nurse RN

AmeriHealth Caritas 72 reviews - Harrisburg, PA
In addition, responsibilities also include supporting the annual medical record review activities including HEDIS and, Clinical Practice Guidelines....

Navigator - RN (Baton Rouge Market)

Peoples Health, Inc. 18 reviews - Baton Rouge, LA  +2 locations
Reviews and ensures documentation of member encounter is appropriate to satisfy HEDIS/STAR measures, medication measures, referrals, authorizations....

Appeals Registered Nurse

Medical Staffing Network Care Management - Philadelphia, PA  +2 locations
Appeals Nurse needed in Philadelphia, Pennsylvania. Must be a licensed Registered Nurse in the state of Pennsylvania....

Clinical Quality Consultant RN (HEDIS)

WellMed Medical Mgmt, Inc - San Antonio, TX
Quality, HEDIS, STARS, Regsitered Nurse, RN, San Antonio, TX, Texas. Registered Nurse with Undergraduate degree or equivalent experience....

Nurse Quality Manager

U.S. Department of State 144 reviews - Boston, MA
$64,158 - $135,391 a year
Nurse Quality Manager. Nurse III - Master's degree. Nurse II - A BSN with. Efforts, especially related to HEDIS measures....

RN Auditor

- Lansing, MI
The nurses and coders will be expected to participate in providerand hospital visits to educate, train and review medical records to determinethe following:....

LVN Medical Record Abstractor

Baylor Scott & White Health 110 reviews - Temple, TX
License Pract/Vocational Nurse. Clinical knowledge of medical conditions included in HEDIS measures and clinical studies;...

Utilization Review Nurse - 90,000k

Alls Well Health Care Services - Oakland, CA
Apply for this great position as a Utilization Review Nurse today! We are in search for nurses with utilization review, discharge planning and Interqual/HEDIS...
RN Operating Room
U.S. Got People - Eglin AFB, FL
$30 an hour
The OR Nurse will be required to consult with other OR Nurses, physicians, Physician assistants, or other Healthcare Specialists for continuation of care....
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Sponsored by U.S. Got People
Director of Quality Improvement and Program Management
BMC HealthNet Plan and Well Sense - Boston, MA
Registered nurse with active license. Including HEDIS, STARs, CAHPS, and CMS is required. Drafts as well as reviews and edits documentation (e.g....
Sponsored by Boston Medical Center HealthNet Plan
HEDIS Nurse Case Manager
HealthCare Support Staffing 58 reviews - Miami Gardens, FL
$25 - $28 an hour
Candidates should have recent Case Management and HEDIS experience with extensive chart review experience. Are you an experienced looking for a HEDIS Nurse Case...
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Sponsored by HealthCare Support Staffing
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