Hedis Review Nurse $100,000 jobs

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Quality & Compliance Manager
Arizona Priority Care 5 reviews - Chandler, AZ
Current, unrestricted AZ Registered Nurse license required. Annually review corporate Quality, Credentialing and Compliance Programs as well as corporate P&Ps...
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Director of Quality Improvement
Meridian Health Plan 51 reviews - Chicago, IL
Develop a comprehensive strategy for HEDIS improvement, including action plans for all key HEDIS measures Support the contracting process through program design...
Sponsored by TheLadders.com
Physician - Emergency Medicine
Carl Vinson VA Medical Center 3 reviews - Dublin, GA
$260,000 a year
The ED Director/Chief of Medicine will work in a team setting with other physicians, nurse managers, registered nurses and support staff assigned to perform...
Sponsored by MDLinx

Quality RN Practice Consultant (NE Indiana) - 112641SK

Anthem, Inc. 674 reviews - Delphi, IN
Assesses quality performance of the primary care practice, identify opportunities for improvement, asses current practice patterns, assets and challenges, NCQA...

Clinical Service Manager

PopHealthCare - Providence, RI
Strong understanding of HEDIS and other Quality metrics. Completes hospitalization reviews to identify root cause and develop an action plan....
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Medical Director - Central Programs

Molina Healthcare 191 reviews - Remote  +2 locations
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

Quality Nurse

Physicians Health Plan of Northern Indiana, Inc - Fort Wayne, IN
Reports to Department Director, Medical Director, and COO any gaps in processes and review of potential quality of care issues or other activities related to...

Director, Quality Management

Family Health Network 13 reviews - Chicago, IL
Responsible for HEDIS and HFS Quality Reporting and Medical Record Review Programs. Supports the activities of QM/UM and Peer Review Committee(s)....

Grievance and Appeals Manager

Trusted Health Plan - Washington, DC 20003 (Capitol Hill area)
We are looking for an experienced Grievance/ Appeals Nurse Manager. Demonstrate an understanding of each case and prepared a review for each case....
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Manager, Quality Risk

EmblemHealth 107 reviews - New York, NY
Registered Nurse, License Practical Nurse or Physician Assistant with an active unrestricted license or certification (Registered Nurse or Physician Assistant...

Quality Improvement Registered Nurse

Platinum Healthcare Staffing - Orange, CA
Responsible for specifics HEDIS and Appropriate Resource Use Metrics as well as oversight of the CMMIU Grant measure targeted at Bronchiolitis, communicate...
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Director Quality and Productivity

EnvisionRx - Twinsburg, OH
Clinical experience in a medical profession, such as pharmacist, nurse or physician preferred. Review regulatory and contractual requirements and accreditation...
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Lead Utilization Manager

Cenpatico National - Dallas, TX
Master's degree in Behavioral Health or Registered Nurse. Compile and report daily review activity and facility statistics....
Medical Director
Molina Healthcare 191 reviews - Troy, MI
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

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