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Clinical Quality Manager
Healthfirst - 480 reviews - New York, NY
Clinical degree - NYS LPN, RN, LMSW or LCS. Monitor provider-specific HEDIS report cards. Contact provider offices to request and review charts in support of...
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HEDIS Review Nurse
HEDIS REVIEW NURSE - RN. Medical Review Nurse, Medical Review RN, Registered Nurse, RN, Medical Review, Medical Review LPN, Nursing Jobs, Healthcare Jobs, HEDIS...
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RN/LPN
Medical Group - Miami Beach, FL
Supervisors that HEDIS guidelines are being met and achieving performance measures by clinical staff. To be considered, candidate must be bilingual (Spanish and...
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Clinical Reader

Altegra Health - 154 reviews - Danville, KY
RN. Active RN or LPN license a plus; A minimum of one year HEDIS abstraction experience preferred; RESPONSIBILITIES, SKILLS & ABILITIES....
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Quality Nurse - RN or LPN

Humana - 1,905 reviews - Mobile, AL
Quality Nurse - RN or LPN. Active RN or LPN license in the state(s) in which the nurse is required to practice....

HEDIS/ Quality Auditor

Integrated Resources Inc - 4 reviews - Mount Laurel, NJ
LPN, RN, LMSW or LCSW preferred. Provide HEDIS provider guidelines that highlight appropriate HEDIS codes for claims submission....
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Clinical Quality Auditor RN

Horizon Blue Cross Blue Shield of New Jersey - 288 reviews - Trenton, NJ
LPN, RN, LMSW or LCSW required. Provide HEDIS provider guidelines that highlight appropriate HEDIS codes for claims submission....

Clinical Quality Analyst - Telecommute - Houston, TX

UnitedHealth Group - 3,953 reviews - Houston, TX
1 year experience of HEDIS. Clinical and / or Health Education experience (RN or LPN desired). Read and interpret standards / requirements and / or technical...

Care Coach (RN or LPN)

Humana - 1,905 reviews - Miami, FL  +1 location
Active RN or LPN License. Knowledge of HEDIS and CMS guidelines. Patient Care Coach....

LPN/RN Office Manager

Tallahassee Primary Care Associates - 6 reviews - Tallahassee, FL
RN or LPN with active Florida license in good standing. Serves as the office liaison on matters related to HEDIS and PCMH....
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Grievance and Appeals Manager

Trusted Health Plan - Charleston, WV
WV licensed RN/ LPN. THIS ROLE REQUIRES RN or LPN LICENSE to practice in West Virginia with 2-5 years of relevant experience:....
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Quality Improvement Nurse - Sandy, UT

Humana - 1,905 reviews - Sandy, UT 84070
Experienced clinical background as an RN or LPN. Review medical records and identify needed improvements that impact HEDIS measures or coding (i.e....

Clinical Resource Specialist

Sunshine State Health Plan - Maitland, FL
Unrestricted RN or LPN license in applicable state. Identify and monitor performance measures for HEDIS and external agencies....
Quality Improvement Nurse
Humana - 1,905 reviews - Sandy, UT
Experienced clinical background as an RN or LPN. Review medical records and identify needed improvements that impact HEDIS measures or coding (i.e....
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Hedis Specialist
AmeriHealth Caritas - 104 reviews - Philadelphia, PA
RN or LPN. HEDIS experience Knowledge of the NCQA and HEDIS submission process. Minimum 4-5 years working with HEDIS data including:....
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Company with Hedis LPN RN jobs
AmeriHealth Caritas is the nation's leader in health care solutions for the underserved and chronically ill for over 30 years.