Hedis Review Nurse jobs

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Practice Coordinator

CIGNA 688 reviews - Philadelphia, PA - +1 location
Consistently monitors participating provider performance on the identified P4Q and/or HEDIS STAR measures and regularly communicates status of those measures to...
3 days ago - save job - email - more...

Clinical Coding RN- NAMM Illinois - Chicago, IL

UnitedHealth Group 1,487 reviews - Chicago, IL
The Clinical Coding RN reviews clinical information from a variety of medical records and assigns appropriate ICD-9-CM and/or CPT codes to patient records....
4 days ago - save job - email - more...

Registered Nurse Medical Management

Pathway Medical Staffing - Bronx, NY
Collect, review and evaluate information necessary to reach prospective, concurrent and retrospective decisions using objective evidence based clinical criteria...
10 days ago - save job - email - more...

Quality Manager

Community Health Alliance - Chattanooga, TN 37415 - +3 locations
The Quality Manager is responsible for direction and guidance on clinical quality improvement and management programs through management of business processes...
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9 days ago - save job - email - more...

Utilization Manager (Sign on Bonus)

Centene Corporation 148 reviews - Lenexa, KS - +2 locations
Ensure compliance with all performance measures in regards to appeals, denials, higher level of care admission certification and concurrent review timeliness,...
21 days ago - save job - email - more...

Clinical HEDIS Practice Advisor, RN (Registered Nurse) Louis...

WellCare 81 reviews - Louisville, KY
Clinical HEDIS Practice Advisor, RN (Registered Nurse) Louisville, KY. Care Health Plans, Inc. provides managed care services targeted to government-sponsored...
30+ days ago - save job - email - more...

Provider Educator RN with WellMed

WellMed Medical Mgmt, Inc - San Antonio, TX
Audits work of Clinical Coding Nurses, Medical Coding Analysts, and Processing Coordinator and provides feedback to supervisor/manager....
WellMed Medical Group - 13 days ago - save job - email - more...

HEDIS Health Care QM Project Manager

Aetna 345 reviews - Morrisville, NC 27560
Candidates are required to have at least 1 to 3 years of experience working with HEDIS measures. Candidates are strongly preferred to have a clinical licensure...
23 days ago - save job - email - more...

RN- Engagement Quality Consultant -Athens, GA

Humana 665 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...
14 days ago - save job - email - more...

HEDIS Review Nurse / RN / LVN

Kelly Services 2,555 reviews - Harlingen, TX 78550
HEDIS REVIEW NURSE / RN / LVN Kelly Healthcare Resources has an exciting contract HEDIS Review Nurse / RN / LVN opportunity available with our large client...
23 days ago - save job - email - more...
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