Hedis Nurse RN jobs

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Clinical Quality Specialist
Northeast Georgia Health System - Gainesville, GA
Associate's Degree RN - Registered Nurse 3 Years of Experience Required The Clinical Quality Specialist... is a plus. · Active RN GA license required...
Sponsored by Northeast Georgia Health System - 15 days ago
Baltimore Utilization Review Nurse (RN) - Managed Care
CareNational Healthcare Services, LLC - Baltimore, MD
Review Nurse (RN) - Managed Care Baltimore, MD Job Summary: The Utilization Review Nurse is... As a Utilization Review Nurse you will utilize your... $70,000 - $80,000 a year
Easily apply
Sponsored by CareNational Healthcare Services, LLC - 6 days ago
Vice President (VP) of Operations/Quality Improvement (QI)
Healthcare Scouts - Waltham, MA
as a Registered Nurse (RN) Vice President (VP) of... and active Registered Nurse (RN) licensure Detailed knowledge with and about NCQA and HEDIS Master’s... $175,000 a year
Sponsored by Healthcare Scouts - 11 days ago

RN Quality Nurse

Humana 637 reviews - Kansas City, MO
The Quality Nurse Analyst will work collaboratively with the Care Management nurse and providers to focus on chronic/complex care members and HEDIS and Risk...
13 hours ago - save job - email - more...

Quality Operations Compliance Accreditation Clinical Advisor

Humana 637 reviews - Columbia, SC
Quality Operations Compliance Accreditation Clinical Advisor, RN. South Carolina WAH with a minimum of two days/week in the office or Atlanta (Ashwood Parkway)...
13 hours ago - save job - email - more...

Chart Review HEDIS RN (Per Diem / PRN)

Molina Healthcare 99 reviews - San Antonio, TX
Nurse, BSN, MSN, ADN, Field RN, field nurse, telephonic nurse, LPN, LVN, ACSW, AACN, SIU, LSW, LBSW, LCSW, LMSW, MSW, CCM, ANNC, MDS, CPHQ, CHPN, PHN, CHES,...
9 hours ago - save job - email - more...

Registered Nurse (RN) Case Manager

Aetna 336 reviews - Detroit, MI 48207 (Elmwood Park area)
member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and...
2 days ago - save job - email - more...

Registered Nurse / Case Nurse Consultant (Philadelphia)

Cigna 662 reviews - Philadelphia, PA
The care team nurse is responsible for assisting providers using their nursing background to assess, evaluate, and manage the care of all members/patients...
6 days ago - save job - email - more...

Care Manager Nurse

Humana 637 reviews - Kansas City, MO
Manage network participation, care with specialty networks, care with DME providers and transfers to alternative levels of care using your knowledge of benefit...
10 days ago - save job - email - more...

Medical Record Field Reviewer

Altegra Health 50 reviews - Las Cruces, NM - +20 locations
Outcomes’ nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations....
3 days ago - save job - email - more...

Quality Improvement Nurse (RN) - Dublin, OH

Humana 637 reviews - Dublin, OH
The Quality Improvement Nurse will facilitate and work collaboratively with provider groups focused on Senior Products, Commercial and Medicaid plans to...
8 days ago - save job - email - more...

Clinical Quality Nurse

MemorialCare Medical Foundation Nautilus Healthcar... - Newport Beach, CA
Clinical Quality Nurse needed in Quality Management Department to provide support with QI audits, and coverage for grievances/appeals....
MemorialCare - 3 days ago - save job - email - more...

Healthcare Transition Coach II

Molina Healthcare 99 reviews - Jefferson, TX
Nurse, BSN, MSN, ADN, Field RN, field nurse, telephonic nurse, LPN, LVN, ACSW, AACN, SIU, LSW, LBSW, LCSW, LMSW, MSW, CCM, ANNC, MDS, CPHQ, CHPN, PHN, CHES,...
9 hours ago - save job - email - more...
Quality Improvement RN/ Clinical Advisor - Broward County -...
Humana 637 reviews - Fort Lauderdale, FL
Nurse/ Clinical Advisor you will engage our members to develop lifelong wellbeing and health. Assignment Capsule The Quality Improvement Nurse /Clinical...
Sponsored by CareerBuilder - 9 days ago
RN, Health Risk Coordinator
Promedica 21 reviews - Maumee, OH
entry, and address HEDIS and Star Rating criteria... mailings to new members as per the HRA guidelines, HEDIS measures, and Star Rating initiatives. They r...
Sponsored by ProMedica - 30+ days ago

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