Hedis Review Nurse $120,000 jobs

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Physician - Hospitalist
Molina Healthcare - 448 reviews - Bothell, WA 98021
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

Vice President, Case Management

A-Line Staffing Solutions - 6 reviews - Milwaukee, WI
$175,000 - $270,000 a year
Registered Nurse is highly preferred, but candidates will be reviewed based on their experience with NCQA, URAC, HEDIS, CAHPS, etc....
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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....
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Outpatient Clinic Director | Nurse or Administrator

AMI Network - 3 reviews - Bakersfield, CA
$110,000 - $140,000 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*....
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Medical Director

BMC Health Net - Charlestown, MA
Conducts review of prior authorizations, concurrent reviews and retrospective reviews that do not meet standard criteria and determines coverage....

Medical Director - Behavioral Health (Psychiatrist)

Molina Healthcare - 448 reviews - Albuquerque, NM 87106 (University Hts area)
Evaluates authorization requests in timely support of nurse reviewers, reviews cases requiring concurrent review, and manages the denial process....

MEDICAL DIRECTOR - (TRICARE) BEHAVIORAL HEALTH INTEGRATION

Humana - 2,717 reviews - San Antonio, TX 78229
He/she will work closely with a multidisciplinary health services review team including nurses and other health professionals....

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