Hedis Review Nurse $100,000 jobs

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Director of Quality Improvement and Program Management
BMC HealthNet Plan and Well Sense - Boston, MA
Registered nurse with active license. Including HEDIS, STARs, CAHPS, and CMS is required. Drafts as well as reviews and edits documentation (e.g....
Sponsored by Boston Medical Center HealthNet Plan
Psychiatry - Physician
Spot On Recruiting - New Orleans, LA
4.Serves as a resource and consultant to other areas of the company, may chair or serve on company committees, may be required to represent group to external...
Sponsored by DocCafe.com
Director of Quality for Managed Long Term Care Plan
Compass Healthcare Consulting & Placement - Brooklyn, NY
Training nurse medical record review staff in quality improvement study guidelines, use of medical record abstraction tools and conducting inter-rater...
Easily apply
Sponsored by Compass Healthcare Consulting & Placement

Director, Practice Optimization

Evolent Health 6 reviews - Arlington, VA
Bachelors prepared Registered Nurse. Knowledge of RAF, HEDIS, STARS, payer partnerships, and practice workflows....

Senior Director Medical Management and Care Coordination

ArchCare - New York, NY
Education Desired— Master’s degree in Nursing or Public Health preferred (if nurse); Provide leadership to the Director of Medical Management and Care...

Buffalo RN Director of Quality Improvement - Managed Care

CareNational Healthcare Services, LLC - Buffalo, NY  +1 location
Requires a valid, unrestricted state Registered Nurse (R.N.). Knowledge of and direct experience with HEDIS, QARR, Medicare Star Rating and Quality Operations...
Easily apply

Area Medical Director

MedExpress 129 reviews - Pittsburgh, PA 15220  +4 locations
HEDIS Measures (e.g. Participate in review of patient satisfaction surveys. Participate in Peer Review and Root Cause Analyses as necessary....

Director of Quality Improvement and Program Mgmt

US Tech Solutions - Boston, MA 02116 (South End area)
Registered nurse with active license. Including HEDIS, STARs, CAHPS, and CMS is required. Drafts as well as reviews and edits documentation (e.g....
Easily apply

Field Health Services - Vice President

WellCare 124 reviews - Des Moines, IA
Ability to create, review and interpret treatment plans. State Licensed Registered Nurse (RN) or valid compact state licensure, no restrictions is required....

Registered Nurse Clinical Evaluation Manager

Medical Staffing Network Care Management - New York, NY
Registered Nurse (RN) licensure in the state of New York. Please be advised that we are only considering nurses with the following:....

President Medicaid Health Plan - IA

Anthem, Inc. 614 reviews - Des Moines, IA
Quarterly reviews, and Medicaid Operating Reviews and course corrections. Health Services and Quality - Oversight and participation in medical management,...

Medical Director - Illinois

Meridian Health Plan 43 reviews - Chicago, IL
Offer clinical guidance to the Utilization Management nurses and other staff. Review “clean” files and prepare exception report prior to Credentialing Committee...

QA Management Coodinator

Professional Placement Associates Inc - New York, NY
OCS, MDS, FIMS, EQUIP, HEDIS). Concurrent medical record review, environmental rounds/inspections, PI initiatives)....
Director of Quality Management for MLTC
Compass Healthcare Consulting & Placement - Brooklyn, NY
Training nurse medical record review staff in quality improvement study guidelines, use of medical record abstraction tools and conducting inter-rater...
Easily apply
Sponsored by Compass Healthcare Consulting & Placement

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