Hedis Review Nurse jobs

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Clinical Practice Consultant for New Castle and Kent Co, DE
UnitedHealth Group 2,190 reviews - Newark, DE
2+ years of quality improvement or medical record review experience. If required, supports state specific medical record collection and abstraction processes to...
Sponsored by UnitedHealth Group
RN - Registered Nurse - Quality
Core Medical Group 25 reviews - Phoenix, AZ
Director of Quality / HEDIS. Asuccessful candidate will have HEDIS and/or Stars experience in an extensive capacity....
Sponsored by NurseJobsNationwide.com
Verification Specialist-LVN WellMed - San Antonio, TX
UnitedHealth Group 2,190 reviews - San Antonio, TX
Licensed Vocational/Professional Nurse. Review of scanned records and data entry into DataRaps application. Three or more years of experience with data analysis...
Sponsored by UnitedHealth Group

Clinical Analyst

Independence Blue Cross 264 reviews - Philadelphia, PA
Qualifications Registered Nurse Minimum 5 years experience in medical record review Three to five years experience with HEDIS medical record review Expert level...

TRICARE Clinical Quality RN - Phoenix, Arizona

UnitedHealth Group 2,190 reviews - Phoenix, AZ
RN, Registered Nurse, Nurse, quality, quality control, audit, auditor, quality improvement, auditing,accuracy, TQM, HEDIS, Six Sigma, Phoenix, AZ, Arizona....

Appeals Registered Nurse

Medical Staffing Network Care Management - New York, NY  +2 locations
Perform medical record review for cases submitted for retrospective review, appeal or quality measurement....

RN - Quality Improvement Nurse

Humana 1,021 reviews - Palm City, FL  +1 location
Review medical records and identify needed improvements that impact HEDIS measures or coding (i.e. The Quality Improvement Nurse will facilitate and work...

HEDIS Specialist

Molina Healthcare 159 reviews - Troy, MI
Assists the Manager in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers and...

Quality Improvement Manager - RN

WellCare 130 reviews - Louisville, KY  +1 location
Maintains a knowledge base of HEDIS requirements and implementing clinical performance methods to improve HEDIS performance....

HEDIS Nurse

The Judge Group 52 reviews - Nashville, TN  +2 locations
Judge Healthcare is actively seeking a full time Registered Nurses AND Licensed Practical Nurses for an outstanding healthcare client of ours in the state of...
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Utilization Review Nurse - 90,000k

ALL's WELL 12 reviews - Oakland, CA 94601 (Harrington area)
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...

Supervisor QI, HEDIS and Interventions Outreach

Molina Healthcare 159 reviews - Bothell, WA
Registered Nurse with current State License. Bachelor’s Degree preferably in a health care related field or Registered Nurse....

BSRN Nurse Case Manager

Cigna 968 reviews - Baltimore, MD
Annually the PC will assist in medical chart review and data collection during HEDIS season. Measures are entered in Inovalon and subject to quality audit...
Family Practice/Primary Care - LPN
Loyal Source Government Services - Norfolk, VA
Tracks HEDIS measures, lab/rad results and notify patients per command/department policies. Licensed Practical/Vocational Nurse – Branch Medical Clinic (BMC)...
Sponsored by Nursing Job Cafe
Medical Director- Optum CPM, Phoenix or Tucson, AZ
UnitedHealth Group 2,190 reviews - Phoenix, AZ
Provide/support Care Coordination nurses in daily review activities. 2+ years driving HEDIS, STARS & RAF. Document case review findings, actions, and outcomes...
Sponsored by UnitedHealth Group
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