HEDIS Nurse jobs

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QM Nurse Consultant - HEDIS Supplemental Data Review
Aetna - 2,441 reviews - Phoenix, AZ 85040
Registered Nurse with HEDIS medical record audit experience. Nursing/Registered Nurse is required. Understand the NCQA HEDIS technical specifications for the...
HEDIS RN with the possibilty of going remote
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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HEDIS Review Registered Nurse
The HEDIS Review Registered Nurse:. In this role, the HEDIS Review Registered Nurse performs telephonic contact with members who have been pre-identified as...

Pre-Service Review Nurse

Meridian Health Plan - 101 reviews - Detroit, MI
Current license (without restriction) to practice as a Licensed Practical Nurse or Registered Nurse in the designated State is required....

HEDIS Reviewer

TotalMed - Houston, TX 77058 (Pasadena area)
$30 - $33 an hour
Licensed Practical Nurse. Candidates are required to have HEDIS experience. If not a nurse, will require no less than 2 years of chart abstraction experience....
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HEDIS Patient Care Advocate

TotalMed - Louisville, KY
$20 - $26 an hour
Licensed Practical Nurse. Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements....
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HEDIS Reviewer / HEDIS Abstractor

Quality Staffing of America - 2 reviews - New Albany, OH 43054
$18 - $31 an hour
Are you a HEDIS Reviewer / HEDIS Abstractor ? Minimum of 1 year of HEDIS medical record review experience (preferred)....
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Nurse Coordinator

BlueCross BlueShield of Kansas City - 4,522 reviews - Kansas City, MO 64108 (Crown Center area)
Experience with and understanding of HEDIS quality measures and a working understanding of HEDIS principles. Registered Nurse (RN) licensure in MO/KS....

Utilization Management Inpatient Review Nurse

Meridian Health Plan - 101 reviews - Detroit, MI
Current license (without restriction) to practice as a Licensed Practical Nurse or Registered Nurse in the designated State is required....

RN/LPN HEDIS Reviewer

TotalMed - Dallas, TX
$30 - $33 an hour
Registered Nurse (RN). Candidates are required to have HEDIS experience. If not a nurse, will require no less than 2 years of chart abstraction experience....
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Field Based HEDIS RN

UnitedHealth Group - 5,961 reviews - Boise, ID 83708  +1 location
Experience with HEDIS. 3+ years of clinical experience as a Registered Nurse in a hospital, acute care, home health, direct care or case management....

Registered Nurse – Primary Care

Kaiser Permanente - 5,280 reviews - Seattle, WA
The Registered Nurse is an integral leader of the healthcare team, overseeing and participating in patient assessment and the formulation and implementation of...

LVN - Clinical Quality - HEDIS - WellMed

UnitedHealth Group - 5,961 reviews - Mesquite, TX 75181  +2 locations
Licensed Vocational / Professional Nurse. 2+ years of experience working with HEDIS / STARS measures. Maintains education / knowledge base of HEDIS / STARs...

Nurse Case Manager

Cigna - 2,392 reviews - Birmingham, AL 35242
Unrestricted Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) in the applicable state....

Quality Assurance Nurse, LVN

MemorialCare - 71 reviews - Long Beach, CA
This position will oversee the production, analysis, and sets up logistics during HEDIS season. Program development and knowledge of the quality process and QI...

HEDIS Review Nurse

TotalMed - New York, NY
$42 - $50 an hour
Registered Nurse (RN). Licensed Registered Nurse (RN) Required. Performs telephonic contact with members who have been pre-identified as having chronic disease...
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Quality Nurse Liaison

BlueCross BlueShield of Kansas City - 4,522 reviews - Kansas City, MO 64108 (Crown Center area)
HEDIS abstraction experience. Learns HEDIS measures to serve as subject matter expert for NCQA HEDIS measures....

Registered Nurse – Secure Messaging Services

Kaiser Permanente - 5,280 reviews - Seattle, WA
We are hiring Staff Nurses to join the Secure Messaging Services team. The Registered Nurse is an integral leader of the healthcare team, overseeing and...

Director of Care Coordination

Family Care Partners - 43 reviews - Jacksonville, FL
Experience as a nurse administrator, manager, or director. Experience with HEDIS, population health, risk adjustment, and contracts....
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HEDIS NURSE

Nursing Services INC - San Antonio, TX
$60,000 - $70,000 a year
LOOKING FOR NURSES LPNs and RNs AND HEALTHCARE WORKERS*. Stays abreast to changes in HEDIS measures and systems and changes in clinical guidelines. NO E*....
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Director, Case Management

PacificSource Health Plans - 23 reviews - Eugene, OR 97401 (Cal Young area)  +3 locations
$101,000 - $140,000 a year
Maintains current clinical knowledge base and specialty nurse functions. Registered nurse with current unrestricted state license is strongly preferred....

Medicaid Quality Review Nurse

Quality Health Strategies - 9 reviews - Washington, DC
The Medical Quality Review Nurse independently performs clinical assessment functions of the review program as outlined by procedures, by conducting an initial...
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Behavioral Health Nurse -RN

Kaiser Permanente - 5,280 reviews - Atlanta, GA
HEDIS outreach calls. The Registered Nurse is responsible for nursing care services provided to the clients assigned, specifically Behavioral Health clients....
Austin, TX Opportunity for HEDIS Nurse (January Start)
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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Nurse Practitioner or Physician Assistant
HealthFair - Maine, ME
$50 - $60 an hour
We are looking for Nurse Practitioners or Physician Assistants who are competent in performing health risk assessments (HRA) for major insurance companies...
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