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Hedis Specialist
AmeriHealth Caritas - 104 reviews - Philadelphia, PA
HEDIS experience Knowledge of the NCQA and HEDIS submission process. Minimum 4-5 years working with HEDIS data including:....
RN- Clinical Quality Specialist
RN - Registered Nurse. Responsible for reviewing payor HEDIS and pay-for-performance reports; Performs chart abstractions, chart audits, and documentation...
HEDIS Review Nurse
HEDIS REVIEW NURSE - RN. Medical Review Nurse, Medical Review RN, Registered Nurse, RN, Medical Review, Medical Review LPN, Nursing Jobs, Healthcare Jobs, HEDIS...


Epic Management - 15 reviews - United States
On quality review or utilization review background. Studies & HEDIS. The QI Nurse is responsible for maintaining the....
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Cnslt, Clinical Quality - GA Region - FT(40hrs)

Kaiser Permanente - 3,632 reviews - Atlanta, GA
Responsible for continuous quality reviews of the program to ensure HEDIS, STARs and other Adult Medicine/ Pediatric departmental quality measures are met....

Remote Medical Coder RN

Change Healthcare - 123 reviews - Kentucky
Excellent knowledge of medical record review and abstraction; A minimum of one year HEDIS abstraction experience preferred;...

Perioperative Quality Specialist

Virginia Hospital Center - 122 reviews - Arlington, VA
Registered Nurse Licensed in the Commonwealth of Virginia. Works with VHC Quality Division and Perioperative Clinical Educator to maintain JCAHO, AORN, NQCA,...

Quality Improvement Manager

WellCare - 532 reviews - Louisville, KY 40223
Maintains a knowledge base of HEDIS requirements and implementing clinical performance methods to improve HEDIS performance....

Facility Review RN

Molina Healthcare - 237 reviews - Sacramento, CA
HEDIS reporting or collection. Knowledge of HEDIS measurement and reporting. Gather and review medical records from providers and facilities to complete...

QM Nurse Consultant

Aetna - 1,627 reviews - Dallas, TX 75201 (City Center District area)
HEDIS medical record reviews. Review medical records for annual HEDIS project; Nursing/Registered Nurse is required. Quality of Care case reviews....

Nurse Case Manager-Philadelphia, PA!

Cigna - 1,664 reviews - Philadelphia, PA 19192 (Cobbs Creek area)
Registered Nurse in applicable state. Prior knowledge of Medicare and Stars and at least five years HEDIS related experience and/or solid working knowledge of...

Vice President, Wellness and Care Management Optimization Se...

The Advisory Board Company - 67 reviews - Remote
More than half of our extraordinary team consists of physicians and nurses; Working knowledge of federal quality scoring and transformation incentive programs...

Nurse Auditor

Epitec Inc. - Detroit, MI
The nurses and coders will be expected to participate in provider and hospital visits to educate, train and review medical records to determine the following:....
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Quality Perform Specialist Registered Nurse
In addition, responsibilities also include supporting the annual medical record review activities including HEDIS and, Clinical Practice Guidelines....
MJ Morgan Group - 7 reviews - Lutherville-Timonium, MD
$80,000 a year
Currently seeking an Registered Nurse to fill a HEDIS Nurse position working within a managed care organization just outside of Baltimore....
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Company with Hedis Review Nurse $40,000 jobs
AmeriHealth Caritas is the nation's leader in health care solutions for the underserved and chronically ill for over 30 years.