Hedis Review Nurse jobs

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HEDIS - Registered Nurse - RN
Other Registered Nurse (RN) HEDIS Program Manager duties as assigned. At least four years Registered Nurse (RN) HEDIS Program experience preferred....
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Clinical Qual Imprv Spc RN-SFL
Florida Blue - 245 reviews - Miami, FL 33101
HEDIS Quality Improvement experience. Support retrospective HEDIS by being a subject matter expert in HEDIS clinical measures to include retrieval, abstraction,...
HEDIS Manager
Prior HEDIS project management experience is required. This position will monitor HEDIS data collection, conduct data analysis, coordinate medical record review...

Clinical Care Coordinator

Meridian Health Plan - 90 reviews - Detroit, MI
Coordinate such training with the Care Coordination Clinical Trainer and Manager Performs discharge planning on select members assigned to team Ensure HEDIS is...

Directorof Health Care Qaulity Management

Aetna - 2,271 reviews - Kenner, LA
Nurse Practitioner License. Ensures maintenance of accurate documentation for quality improvement activities such as HEDIS reporting, surveys, audits, peer...

Clinical Quality Navigator (CQN)

MedProVidex - 700 reviews - Oxnard, CA 93030
Strong knowledge of HEDIS. With the Quality Nurse and Care Coordinator. From measures identified in data collection tool, reviews....

Manager (Nurse) Health Care Mgmt - Medicaid - Southwest VA A...

Anthem, Inc. - 2,156 reviews - Bristol, VA
Reviews benefit systems and cost benefit analysis. Supports quality initiatives and activities, including adherence to National Committee for Quality Assurance...

RN - Registered Nurse - Quality Management - ALTCS

Banner Health - 902 reviews - Tucson, AZ
The nurses in this area are required to complete Quality of Care and mortality reviews for the state. Prepares Quality of Care cases for Peer Review as...

ACO Quality HEDIS and CAHPS Coordinator

Millennium Physician Group - 26 reviews - North Fort Myers, FL 33903
Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors. Responsible for the coordination and collection of GPRO quality...
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LPN Adult Medicine (Montecito) - Southwest Medical

UnitedHealth Group - 5,527 reviews - Las Vegas, NV 89105
The LPN will be responsible for collecting all the pre-visit / HEDIS / STAR information on over 450 patients per month that visits the PCP when assigned to a...

Clinical RN-with Utilization Management, Case Management

Care1st Health Plan - 31 reviews - San Diego, CA
Or HEDIS experience; The HEDIS Network Support Nurse is responsible for performing medical record review and audit, data extraction, maintaining the HEDIS data...
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Utilization Management Pre-Service Review Nurse

Meridian Health Plan - 90 reviews - Detroit, MI
A Day in the Life of a Utilization Management Pre-Service Review Nurse - MeridianCare:. Current license (without restriction) to practice as a Licensed...

Care Coordinator - RN (Houma/Southland Market)

Peoples Health, Inc. - 42 reviews - Houma, LA 70360
Review daily facility census for assigned population. Participate in meetings with PCP for review of the census as indicated....
Utilization Management Review Nurse
AlohaCare - 11 reviews - Honolulu, HI 96814
URAC/NCQA and HEDIS exposure an asset. Screen and review internal and external referrals for Medicaid/MQD’s carved out Disability Program through the Aid to...
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Director of Quality Review - Nurse
MJ Morgan Group - 10 reviews - New York, NY
Looking for a Director of Quality Review to direct and coordinate the daily operations of all Retrospective accounts, Cost Outlier unit and the QARR/ HEDIS...
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