Hedis Review Nurse jobs

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Phoenix Utilization Review RN - Managed Care

CareNational Healthcare Services, LLC - Phoenix, AZ - +1 location
$65,000 - $70,000 a year
Utilization Review RN – Managed Care. The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent,...
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8 days ago - save job - email - more...

Clinical Informaticist - CFHP

University Health System 39 reviews - San Antonio, TX
Investigates deviations or suspected deviations from expected provider performance, clinical care or outcomes which cannot be determined to be justified without...
4 days ago - save job - email - more...

HEDIS Review Nurse - Medical Records Specialist

Kelly Services 2,541 reviews - Seattle, WA 98104 (First Hill area)
HEDIS Review Nurse- Medical Records Specialist. work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers...
3 days ago - save job - email - more...

Seattle CONTRACT HEDIS Nurse (RN or LPN) - Managed Care

CareNational Healthcare Services, LLC - Seattle, WA
$35 - $38 an hour - Full-time, Contract
CONTRACT Quality Management HEDIS Review Nurse (RN or LVN) - Managed Care. This is a Full Time, Benefits Available, CONTRACT opportunity....
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2 days ago - save job - email - more...

QAPI Specialist

Professional Placement Associates Inc - New York, NY
HEDIS, IPRO, CCIP/PIP, CAHPS, HOS, NCQA, etc. •Routine record review including abstracting, interpreting, aggregating, analyzing and reporting data....
3 days ago - save job - email - more...

Navigator - RN (New Orleans Market)

Peoples Health, Inc. 9 reviews - New Orleans, LA - +2 locations
The Navigator will review, plan and coordinate health care services in order to utilize appropriate processes and appropriate resources to improve members'...
5 days ago - save job - email - more...

Case Manager

Family Physicians Group - Poinciana, FL
Review hospital admissions and discuss with UM. o Monitor patient progress/ anticipate discharge plan/ discuss w/ Inpatient CM as needed....
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9 days ago - save job - email - more...

Supervisor Field Case Management

Molina Healthcare 99 reviews - San Antonio, TX
• Functions as hands-on supervisor for daily Case Management activities including medical necessity review, initital assessments, continued stay review,...
9 days ago - save job - email - more...

RN- Engagement Quality Consultant -Athens, GA

Humana 660 reviews - Macon, GA
This will be a market facing position, working from home traveling to provider offices on a regular and ongoing basis in an assigned market territory to go over...
9 days ago - save job - email - more...


Epic Management 4 reviews - Redlands, CA
The QI Nurse is responsible for maintaining the quality management program under the direction of the QI Chair and assists in providing patients and internal...
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24 days ago - save job - email - more...
Clinical Quality RN - Marion or Orange County, FL area
UnitedHealth Group 1,470 reviews - Orlando, FL
chart review, compliance, HEDIS, investigation, etc... Keywords: RN, nurse, acute care, quality, improvement, HEDIS, compliance, chart review, investigation, FL...
Sponsored by UnitedHealth Group - 2 days ago
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1,470 reviews
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