Hedis Review Nurse jobs

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Senior Director Medical Management and Care Coordination
ArchCare - New York, NY
Education Desired— Master’s degree in Nursing or Public Health preferred (if nurse); Provide leadership to the Director of Medical Management and Care...
Sponsored by ArchCare
LTSS Resource Specialist
Granite State Health Plan - Bedford, NH
Work closely with Concurrent Review Nurses in discharge planning activities. Review medications to ensure compliance, efficiency, appropriateness, and side...
Sponsored by CareerArc.com

RN Analyst / Auditor - LANSING

A Line Staffing Solutions - Detroit, MI
$30 - $32 an hour
Audit and medical chart review experience preferred. The nurses and coders will be expected to participate in provider and hospital visits to educate, train and...
Easily apply

Full Time – Clinic Manager – Columbus – 764 Hebron Rd Heath...

Take Care Health Systems 115 reviews - Heath, OH
O Completion of mid-year and year-end reviews,. Valid accreditation from the AANP or ANCC as a Family Nurse Practitioner....

Quality Improvement Specialist II

Centene Corporation 224 reviews - Indianapolis, IN
Access and availability studies, HEDIS abstraction forms, medical records/site reviews, member and physician satisfaction studies....

Clinical Care Coordinator - Kansas City Area

Humana 983 reviews - Overland Park, KS
Review member specific and provider specific data to identify concerns needing follow up by assigned Case Managers....

Clinical Care Coordinator, Clinical Quality - HHC - Elmhurst...

Healthfirst 109 reviews - New York, NY
Assist with on-site medical record review retrieval for HEDIS and QARR, coding studies, and other Quality special projects when required and assigned by...

Manager, Provider Support

Magellan Health Services 153 reviews - West Des Moines, IA 50266
Works with Quality Improvement Department to implement field/provider practice based quality initiatives – e.g. P4P programs, medical record reviews, interface...

Clinical Quality HEDIS RN - Las Vegas, NV

UnitedHealth Group 2,130 reviews - Las Vegas, NV
Previous HEDIS data collection and medical record/chart review experience highly preferred. Perform HEDIS medical record review in physician offices throughout...

HEDIS Clinical Quality Consultant RN - Tampa, FL $3,000 SIGN

WellMed Medical Mgmt, Inc - Tampa, FL
Registered Nurse with Undergraduate degree or equivalent experience. Assist in developing of training and analytical materials for Stars and HEDIS....

Quality Assessment Manager

Chinese Community Health Plan - San Francisco, CA 94133 (Russian Hill area)
Q Registered Nurse with current CA California license. Monitors member access to provider network through HEDIS practitioner turnover measures;...
Easily apply

South Seattle HEDIS Project Manager - Managed Care

CareNational Healthcare Services, LLC - Seattle, WA
$80,000 - $106,000 a year
Manage medical record review process for HEDIS and provide daily coordination of Reviewers. HEDIS duties include oversight of medical record review done by...
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Coder Auditor - RN
- Detroit, MI
RN with HEDIS experience preferred. Audit and medical chart review experience preferred. Genpact is seeking a Coder Auditor - Registered Nurse....
Sponsored by CareerBuilder
HEDIS Clinical Quality Consultant RN
United Health Group 2,130 reviews - Tampa, FL
Registered Nurse with Undergraduate degree or equivalent experience. Assist in developing of training and analytical materials for Stars and HEDIS....
Sponsored by NurseJobsNationwide.com
Quality & Compliance Manager
Arizona Priority Care 4 reviews - Chandler, AZ
Current, unrestricted AZ Registered Nurse license required. Annually review corporate Quality, Credentialing and Compliance Programs as well as corporate P&Ps...
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Sponsored by Arizona Priority Care
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