Hedis Review Nurse $100,000 jobs

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Behavioral Health Care Advocate - License Required - Tigard,...
United Health Group 1,514 reviews - Tigard, OR
registered psychiatric nurse * Current, unrestricted... and resiliency model * Managedcare, utilization review experience * Knowledge of or ability to research...
Sponsored by NurseJobsNationwide.com - 19 days ago

Director of I-SNP

Beth Abraham Family of Health Services - Bronx, NY
Nurse Practitioner with 3-5 years experience in I-SNP program;. 2-3 years in management/supervisory role with multi-site experience....
2 days ago - save job - block - email - more...

Complex Case Manager

Meridian Health Plan 25 reviews - Michigan
The Complex Case Manager is responsible for the identification of members for Complex Case Management, Resource Coordination and Episodic Case Management...
28 days ago - save job - block - email - more...

Director of Quality Improvement

Amtec Human Capital - Camarillo, CA
• Develops targeted activities to improve HEDIS, CAHPS, provider satisfaction and other identified performance measures....
5 days ago - save job - block - email - more...

Director of Quality Improvement and Program Management

BMC HealthNet Plan and Well Sense - Boston, MA
Reviews and edits documentation (e.g. request for proposals) on behalf of the Senior Director of Clinical and Quality Management as directed....
Boston Medical Center HealthNet Plan - 23 days ago - save job - block - email - more...

Director of Quality Improvement

Gold Coast Health Plan 2 reviews - Camarillo, CA
Develops targeted activities to improve HEDIS, CAHPS, provider satisfaction and other identified performance measures....
CareerBuilder - 14 days ago - save job - block - email - more...

Texas RN, BSN Director of Medical Management - Managed Care

CareNational Healthcare Services, LLC - Central, TX
The Director assists with daily management of concurrent and prior authorization review staff, auditing functions, and assuring that all staff provides a level... $135,000 - $150,000 a year
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8 days ago - save job - block - email - more...

Mid South Regional Medical Director

Humana 677 reviews - Knoxville, TN
Participation in Quality Operations including chair Quality Management Committee, complete initial peer review on quality of care complaints, complete peer-to...
30+ days ago - save job - block - email - more...

Senior Coordinator, Performance Improvement

Community Health Plan of Washington 9 reviews - Vancouver, WA - +1 location
on OFIs identified with the practice, as well as managing onsite auditing for potential quality issue (PQI) resolution or scheduling HEDIS medical...
CareerBuilder - 14 days ago - save job - block - email - more...

Utilization Manager - Part-time / Flexible Texas, Austin and...

Centene Corporation 151 reviews - Houston, TX
Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care...
30+ days ago - save job - block - email - more...

Manager, Quality Management

Health Plan of San Joaquin 3 reviews - French Camp, CA
Participates in the planning and implementation of the annual HEDIS process, associated activities and interventions....
30+ days ago - save job - block - email - more...

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