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RN / LMSW Case Manager (MMP)
Completion of an accredited Licensed Vocational Nurse (LVN), or Licensed Practical Nurse (LPN) Program, Associate's Degree or Bachelor's Degree in nursing,...
Sponsored
RN / LMSW Case Manager
Completion of an accredited Licensed Vocational Nurse (LVN), or Licensed Practical Nurse (LPN) Program, Associate's Degree or Bachelor's Degree in nursing,...
Sponsored
RN / LMSW Case Manager (TOC)
Completion of an accredited Licensed Vocational Nurse (LVN), or Licensed Practical Nurse (LPN) Program, Associate's Degree or Bachelor's Degree in nursing,...
Sponsored

Quality Management Coordinator

Blue Cross Blue Shield of Michigan - 136 reviews - Southfield, MI
Registered nurse with a current unrestricted Michigan license required. Coordinates the Quality Management Program through problem identification, development...

Nurse Auditor

Epitec Inc. - Detroit, MI
The nurses and coders will be expected to participate in provider and hospital visits to educate, train and review medical records to determine the following:....
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RN Community Care Coordination Team Lead

Meridian Health Plan - 63 reviews - Battle Creek, MI
Ensure HEDIS is addressed with all members and providers for members assigned to team. Identify cases that require team case conferences with the nurse reviewer...

Care Coordination Nurse

Meridian Health Plan - 63 reviews - Detroit, MI
Current license (without restriction) to practice as a Licensed Practical Nurse or Registered Nurse in the designated State is required....

Registered Nurse HEDIS

A-Line Staffing Solutions - Detroit, MI 48226 (Downtown area)
$70,000 a year
\*Registered Nurse / RN HEDIS / Auditor\*\*Positions available in Metro Detroit and Lansing areas!\*• ; Educate on HEDIS measures• ;...
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Manager of Quality Data Abstraction

Meridian Health Plan - 63 reviews - Detroit, MI
Participates as a subject matter expert (SME) in HEDIS planning activities including the HEDIS Committee....

RN Analyst

Epitec - 23 reviews - Detroit, MI
$60,000 a year
HEDIS experience is a plus.\*. Epitec is looking for an RN Analyst for our largest healthcare client in Detroit, MI.\*....
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Manager of Provider Appeals

Molina Healthcare - 246 reviews - Troy, MI
Contract, network, IPA, physician, doctor, practitioner, nurse, train, claim, ICD, hospital, Medicare, Medical, MCO, carrier, PPO, HMO, private pay, LTC, LTAC,...

Care Coordinator

Meridian Health Plan - 63 reviews - Detroit, MI
Assists with scheduling appointments for HEDIS measures the member needs. Experience as a nurse aide or home health aide is also beneficial. Who we are:....

RN Quality Improvement Nurse

Healthcare Scouts - Southfield, MI
$73,000 a year
Knowledge of NCQA guidelines and HEDIS measures. Is actively seeking Registered Nurses in the Southfield, MI area for an immediate opening as an RN Quality...
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