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RN Analyst / Coder
A-Line Staffing Solutions LLC - Detroit, MI
HEDIS experience preferred. SEEKING REGISTERED NURSES W/THE FOLLOWING QUALIFICATIONS:. HEDIS or professional medical coding is preferred....
Sponsored by CareerBuilder
RN- Clinical Quality Specialist
RN - Registered Nurse. Responsible for reviewing payor HEDIS and pay-for-performance reports; Performs chart abstractions, chart audits, and documentation...
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Clinical Resource Specialist

Sunshine State Health Plan - Maitland, FL
Work closely with Concurrent Review Nurses in discharge planning activities. Review medications to ensure compliance, efficiency, appropriateness, and side...

Quality Performance Specialist Clinical

AmeriHealth Caritas - 104 reviews - Southfield, MI
In addition, responsibilities also include supporting the annual medical record review activities including HEDIS and, Clinical Practice Guidelines....

Population Healthcare Manager/RN

Community Care Plan - City of Sunrise, FL 33323
Registered nurse licensure in the state of Florida. Review daily census for any enrollee in their panel admitted to the hospital;...

Clinical Quality Specialist

Northeast Georgia Health System - 32 reviews - Gainesville, GA
RN - Registered Nurse. Responsible for reviewing payor HEDIS and pay-for-performance reports; Performs chart abstractions, chart audits, and documentation...

QUALITY REVIEW SPECIALIST-Administration RMG-Presence Medica...

Presence Health - 89 reviews - Des Plaines, IL 60016
QUALITY REVIEW SPECIALIST. Completes ambulatory medical record reviews against internal and external performance measures and accreditation standards to ensure...

Director, Health Care Quality Management

Aetna - 1,628 reviews - New Albany, OH
Ensures maintenance of accurate documentation for quality improvement activities such as HEDIS reporting, surveys, audits, peer reviews, etc....

Staff Nurse - Primary Care (.60 FTE Renton)

Group Health Cooperative - 257 reviews - Seattle, WA
Document in EPIC- review and complete work in EPIC In-baskets. Act as clinical resource for team members - review patient needs, anticipate needs and plan with...

Utilization Manager - (STAR Kids)

Cenpatico National - Houston, TX
Master's degree in Behavioral Health or Registered Nurse required. Ensure compliance with all performance measures in regards to appeals, denials, higher level...

Utilization Manager IP/OP

Cenpatico National - Omaha, NE
Master's degree in Behavioral Health or Registered Nurse required. Ensure compliance with all performance measures in regards to appeals, denials, higher level...

Quality Improvement Manager

WellCare - 532 reviews - Louisville, KY 40223
Maintains a knowledge base of HEDIS requirements and implementing clinical performance methods to improve HEDIS performance....
EBI Medical Informatics Analyst - I
ABCBS - 18 reviews - Little Rock, AR
HEDIS and Quality of Care Measurement. For example, a Registered Health Information Administrator (RHIA), registered nurse (RN), etc....
Sponsored by Arkansas Blue Cross and Blue Shield
HEDIS Nurse
MJ Morgan Group - 7 reviews - Lutherville-Timonium, MD
$80,000 a year
Currently seeking an Registered Nurse to fill a HEDIS Nurse position working within a managed care organization just outside of Baltimore....
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Hedis Specialist
AmeriHealth Caritas - 104 reviews - Philadelphia, PA
HEDIS experience Knowledge of the NCQA and HEDIS submission process. Minimum 4-5 years working with HEDIS data including:....
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