Hedis Review Nurse jobs

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Registered Nurse (RN) - Quality Management Nurse Consultant...

Aetna 320 reviews - City of Sunrise, FL 33323
for the review and evaluation of clinical information and documentation as it relates to HEDIS, CAHPS, HOS, and Medicare Stars. Reviews documentation and...
1 day ago - save job - email - more...

Complex Case Manager

Meridian Health Plan - Chicago, IL 60604 (Loop area) - +1 location
discharge planning, disease management and the review of claims, pharmacy and hospital discharge data. Is... efforts to improve HEDIS measures and Provider...
CareerBuilder - 9 days ago - save job - email - more...

Medicare Star Ratings Coordinator

Meridian Health Plan - Michigan
Information Set (HEDIS), CAHPS, and HOS are met. Identify opportunities for improvement in HEDIS, CAHPS... of Medicare guidance review and interpretation...
22 hours ago - save job - email - more...

Manager of Care Coordination – Medicare

Meridian Health Plan - Michigan
in the FWA module in MCS. Review care coordination... out opportunities to participate in and improve HEDIS, CAHPS, National Committee for Quality Assurance...
6 days ago - save job - email - more...

Clinical Program Specialist - RN (Alzheimers/Dementia)

Peoples Health, Inc. - Metairie, LA
psychologists, nurse practitioners, nursing staff... based on the annual assessment Completes an annual review and revision, when appropriate, of the Program...
19 days ago - save job - email - more...

Sr Dir, Healthcare Quality/Interventions

Aetna 320 reviews - Phoenix, AZ
Sr. Director will use HEDIS analytical expertise and... Quality and Management is desired Nursing/Registered Nurse is required FUNCTIONAL EXPERIENCES Functional...
12 days ago - save job - email - more...


R/O Resource Solutions - Baltimore, MD
Nurse: Position Summary: The Quality Assurance Nurse... reviews, which includes ongoing review of medical records and the annual HEDIS medical record review...
Monster - 5 days ago - save job - email - more...

QI Compliance Spec II RN

Molina Healthcare 96 reviews - Long Beach, CA - +1 location
Functions • Conduct review and investigation of... and review of potential quality of care issues or other activities related to medical record review that...
7 days ago - save job - email - more...

Registered Nurse Chart Auditor with Coding Experience

Pathway Medical Staffing - Philadelphia, PA
Please be advised that we are only considering nurses with the following: Unrestricted Active Nursing... of medical audit/chart review required CPC preferred...
4 days ago - save job - email - more...

HEDIS Project Manager

FirstHealth of the Carolinas 13 reviews - Pinehurst, NC
management approach, the HEDIS Manager arranges for... Act (HIPAA). The HEDIS Project Manager oversees education of Medical Record Review staff as it relates to...
30+ days ago - save job - email - more...
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