Hedis Review Nurse jobs

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HEDIS Review RN- CareConnect
North Shore-LIJ Health System 115 reviews - Greenvale, NY
HEDIS Review RN- Care. Schedules and coordinates on-site medical record reviews Conducts medical record reviews Uploads or enters outcomes into database...
Sponsored by Nurse.com - 11 days ago
Statewide Health Services Director - Brentwood, TN-Must Repo...
UnitedHealth Group 1,981 reviews - Brentwood, TN
Leadership (Measured through performance metrics, Colleague Reviews, NCQA Accreditation, if applicable). Conducts local clinical documentation reviews and...
Sponsored by UnitedHealth Group - 25 days ago
Quality Performance Specialist Clinical, Registered Nurse
AmeriHealth Caritas 59 reviews - Charleston, SC
In addition, responsibilities also include supporting the annual medical record review activities including HEDIS and, Clinical Practice Guidelines....
Sponsored by AmeriHealth Caritas - 30+ days ago

Quality Management Nurse

Prestige Health Choice - Miami, FL
Assistance will be based upon the organizations needs annually but may include participation in the development of medical record review tools, conducting...

Registered Nurse-Review Analyst

VisionIT 10 reviews - Detroit, MI
HEDIS experience preferred. Medical record review experience required. Registered Nurse with current Michigan driver's license. Top 3 Criteria:....

Quality Improvement Nurse - Central Florida

Humana 912 reviews - Tampa, FL
Review medical records to identify needed improvements that impact HEDIS measures or coding (i.e. The Quality Improvement Nurse/Clinical Advisor will facilitate...

Vice President of Care Management

Meridian Health Plan 40 reviews - Detroit, MI
Current license as a Registered Nurse is required. Review analyses of activities, costs, operations to determine progress toward stated goals and objectives....

(RN) Quality Clinical Coord Spec - Phoenix

Cigna 891 reviews - Phoenix, AZ
Performs quality reviews. Registered Nurse (RN) license in applicable state. HEDIS and NCQA survey experience for Health Services....

Clinical Manager of Excellence - Telecommute US

UnitedHealth Group 1,981 reviews - Eden Prairie, MN
Registered Nurse, RN, Clinical Program Manager. The Manager of Clinical Excellence will support HEDIS and quality improvement requirements for Care Delivery &...

Manager of Quality Improvement

Meridian Health Plan 40 reviews - Detroit, MI
Provides oversight and direction to the HEDIS Coordinators , Quality Coordinators, Quality Nurse and Medical Record Abstraction Team....

Full–Time – Clinic Manager – Columbus – 4530 Kenny Rd. Colum...

Take Care Health Systems 109 reviews - Columbus, OH
O Completion of mid-year and year-end reviews,. Valid accreditation from the AANP or ANCC as a Family Nurse Practitioner....

UAS Field Reassessment Nurse

Medical Staffing Network Care Management - New York, NY
Please be advised that we are only considering nurses with the following:. A leading New York managed care organziation has an immediate need for a UAS Field...

CMP-Clinical Integration Nurse - (22744)

Cadence Health 24 reviews - Winfield, IL 60190
Working knowledge of medical record reviews, clinical and preventive health guidelines, contract terms and requirements and HEDIS data....
Field RN Case Manager - Maryland Heights MO
UnitedHealth Group 1,981 reviews - Maryland Heights, MO
Case Manager, nurse, RN, registered nurse, MCO, managed care, chart review, wellness, provider, Maryland Heights, MO, Missouri, CCM, HEDIS, Stars, Medicare....
Sponsored by UnitedHealth Group - 6 days ago
Clinical RN Relationship Manager - Brookfield WI
UnitedHealth Group 1,981 reviews - Brookfield, WI
RN, Registered Nurse, Clinical, Relationship, Case Manager, coordination, care, Medicare, Stars Rating System, HEDIS, Brookfield, WI, Wisconsin, managed care,...
Sponsored by UnitedHealth Group - 4 days ago
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