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RN Manager - Care Management - Healthcare
Edge Group - Houston, TX 77025
Serves as resource to clinic MD’s and staff, medical reviewers, payors and patients regarding the Disease management and case management programs....
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Clinical Data Reviewer

Meridian Health Plan - 87 reviews - Detroit, MI
Ongoing medical record data over-reads and review, training for HEDIS and state-specific performance measures, validation of HEDIS records and exclusions, and...

Clinical Practice Performance Consultant Auditor

UnitedHealth Group - 5,393 reviews - Sacramento, CA 95828  +2 locations
Complete Facility Site, Medical Record and Physical Accessibility Reviews. DHCS Master Facility Site Reviewer Certification....

Clinical Quality Assurance Auditor

BlueCross BlueShield of Tennessee - 4,133 reviews - Nashville, TN
Complete medical record audits for HEDIS data collection or quality of care reviews as required. A minimum of 5 years broad scope health care experience and 1...

Associate Chief Medical Officer - Family Practice

Salud Para La Gente - 9 reviews - Watsonville, CA 95076
MEDICAL QUALITY ASSURANCE. Provides input to Chief Medical Officer on grant funding opportunities to support medical services as needed....

Medical Staff Credentialing Specialst (On-Call) Portland

Kaiser Permanente - 4,801 reviews - Portland, OR
Investigate record of previous KPNW credentialing. Record meetings accurately, discreetly, timely and in professional minute-style....

Certified Medical Coder

RMA Medical Group of Florida LLC - Orlando, FL
Job DescriptionThe Medical Reviewer works in a collaborative effort directly with physicians and their office staff to review medical records and other clinical...
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Quality Improvement Coordinator (HEDIS) #15646

Bishop & Company - Honolulu, HI 96813 (Nuuanu-Punchbowl area)
Handles medical records. Calls provider offices, schedules appointments for field reviewers to collect medical records....
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Registered Nurse - Quality Assurance

CareOregon, Inc. - Portland, OR
Ability to glean clinical information from a medical record; Nurse reviewer will complete and successfully pass HEDIS training prior to performing the chart...

Associate Medical Director F/T (St. James 30)

Gardner Family Health Network - San Jose, CA 95112 (Downtown area)
Associate Medical Director*. Provides input to Medical Director on grant funding opportunities to support medical services as needed....
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$90,000 a year
Performing chart review HEDIS records. Reviewing and abstracting paper and electronic medical records utilizing NCQA HEDIS Technical specifications to optimize...
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