Hedis Review Nurse $40,000 jobs

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Quality Improvement RN
HealthCare Support Staffing 24 reviews - Tampa, FL
Quality Improvement Nurse (RN) Position Summary: Are you an experienced Registered Nurse in the Greater... Ability to create, review and interpret treatment...
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Sponsored by HealthCare Support Staffing - 26 days ago
Clinical Nurse Manager
General Physician, PC - Elma, NY
NCQA, DRP and incentive programs • Understanding of HEDIS measures • Providing suggestions and input to... test reports, etc. • Review current pricing of...
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Sponsored by General Physician, PC - 30+ days ago
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Medical Record Field Reviewer/ Twin Falls & Ada, ID

Outcomes Health Information Solutions 34 reviews - Twin Falls, ID
2. HEDIS 3. Medical Record Reviews (Accreditation) 4... record review services 2. Scan relevant components of the medical record to support reviews performed 3...
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1 day ago - save job - block - email - more...

QI Compliance Spec II RN

Molina Healthcare 96 reviews - Long Beach, CA - +1 location
Functions • Conduct review and investigation of... and review of potential quality of care issues or other activities related to medical record review that...
9 days ago - save job - block - email - more...

Utilization Management (UM) Nurse Associate (LPN /LVN)

Aetna 321 reviews - Dallas, TX 75247 (Northwest Dallas area)
with NCQA, JCAHO, URAC, HEDIS standards/measures... eligibility may vary by position. Click here to review the benefits associated with this position. How to...
6 days ago - save job - block - email - more...

Licensed Utilization Management (UM) Nurse Associate - LPN /...

Aetna 321 reviews - Dallas, TX 75247 (Northwest Dallas area)
with NCQA, JCAHO, URAC, HEDIS standards/measures... eligibility may vary by position. Click here to review the benefits associated with this position. How to...
6 days ago - save job - block - email - more...

Medical Record Field Reviewer

Outcomes Health Information Solutions 34 reviews - Madison County, AL - +7 locations
2. HEDIS 3. Medical Record Reviews (Accreditation) 4... record review services 2. Scan relevant components of the medical record to support reviews performed 3...
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1 day ago - save job - block - email - more...

Medical Records Reviewer Manhattan Region

Visiting Nurse Service of New York 94 reviews - Manhattan, NY
retrieval and review. Minimum of one year quality improvement experience in Medicare, Medicaid or Commercial Health Plan Knowledge of HEDIS/QARR standards...
16 hours ago - save job - block - email - more...

RN Quality Operations Compliance and Accrediation Clinical A...

Humana 611 reviews - Metairie, LA
CMS Coverage Guidelines review criteria. Manage... established screening criteria Conduct admission review, post-discharge calls and discharge planning Key...
4 days ago - save job - block - email - more...

Quality Analysis Consultant

Humana 611 reviews - Richmond, VA - +1 location
ensure members are receiving needed services Review exception reports and clinical documentation system... requirements per NCQA, HEDIS, CMS, Humana, and others...
9 days ago - save job - block - email - more...

Care Coordinator

Freedom Health - Tampa, FL
Reviews requested services and assists nurse in... by conducting member interviews Supports nurses on HEDIS® efforts and cases. Performs other duties as...
2 days ago - save job - block - email - more...

Cost Containment Specialist, RN or LPN

PMA Companies - De Witt, NY - +2 locations
used in the bill review process. Review bills in CBR... Utilization Review or de-authorization of treatment to the claims staff Perform clinical review of medical...
13 days ago - save job - block - email - more...
Registered Nurse (RN) - HEDIS Manager - Clinical Quality
Centra Healthcare Solutions - Iselin, NJ
state to work as the HEDIS Manager for the Quality Management Department. The HEDIS Mgr for the Quality... and external HEDIS quality review activities.-Manages...
Sponsored by Centra Healthcare Solutions - 1 day ago

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Company with Hedis Review Nurse $40,000 jobs
Centra Healthcare Solutions, Inc. was established with the mission to provide first class staffing services and concierge customer service.
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