Jobs 1 to 10 of 20
Upload your resume - Let employers find you
Director of Quality Review - Nurse
MJ Morgan Group - 10 reviews - New York, NY
Looking for a Director of Quality Review to direct and coordinate the daily operations of all Retrospective accounts, Cost Outlier unit and the QARR/ HEDIS...
Easily apply
Physician - Family Medicine
Molina Healthcare - 426 reviews - Bothell, WA 98021
Reviews cases with concurrent review nurses. Apply strong knowledge of Medicare rules to medical necessity determinations • Participate in development of UM...
Care Services Collaboration Associate Director (HouseCalls)...
OptumCare - 6 reviews - Hopkins, MN 55343
Best practices for Nurse Practitioner engagement, incentives, and workflow. Implement and monitor any chart review programs to ensure scalability....

Manager, Quality Management

MemorialCare - 63 reviews - Long Beach, CA
RN (Registered Nurse) license OR Licensed Vocational Nurse (LVN) license. The Manager of Quality is an experienced healthcare professional responsible for...

Quality Improvement Manager Registered Nurse

TotalMed - Chicago, IL
$100,000 a year
Registered Nurse (RN). Maintains a knowledge base of HEDIS requirements and implementing clinical performance methods to improve HEDIS performance....
Easily apply

LA Supervisor of Quality Improvement RN - Health Plan

CareNational Healthcare Services (CNHS) - Monterey Park, CA 91755
$115,000 a year
Registered Nurse (RN). Valid, unrestricted state Registered Nurse (R.N.). The primary focus of this position is providing direction and improving programs...
Easily apply

Manager, Provider Engagement and Performance

Spartanburg Medical Center - 114 reviews - Spartanburg, SC 29303
Business, healthcare administration, health education, registered nurse. Review monthly physician dashboard performance and quarterly report cards....

Chief Quality Officer

Trusted Health Plan - 3 reviews - Washington, DC 20003 (Capitol Hill area)
Lead multi-disciplinary resources to review Adverse Events and take appropriate action based on the review. Registered Nurse (RN) or MD....
Easily apply

Field Health Services - Vice President

WellCare - 672 reviews - Chicago, IL 60606 (Loop area)
Licensed Registered Nurse (RN) required. Intermediate - Ability to create, review and interpret treatment plans....

Director Health Services

Humana - 2,655 reviews - Miami, FL
Concurrent review experience preferred. Participates and upholds policy development and review. We strive to ensure we provide perfect service with one-on-one...

Director Clinical Services

USMD - Irving, TX 75039
Reviews training at least annually and makes modifications as needed. Must possess and maintain a valid Registered Nurse license from the State of Texas....
Easily apply

HEDIS Manager

Aetna - 2,223 reviews - Arlington, TX 76011 (East area)
Experienced HEDIS Manager needed to successfully manage HEDIS and the HEDIS Medical Record Review (MRR) process for a large health plan....

Clinical Director, RN, LVN or MHA

AMI Network - 3 reviews - Bakersfield, CA
$130,000 a year
Or *Vocational Nurse (LVN)*. This role is perfect for a *Registered Nurse (RN)*. Who is not a nurse, but has a strong healthcare background and a *MHA*....
Easily apply
Physician - Family Medicine
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

Never miss a job. Get new jobs emailed to you daily.

Be the first to see new Hedis Review Nurse $100,000 jobs
You can cancel email alerts at any time.