Hedis Review Nurse $40,000 jobs

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Healthcare Scouts - Cypress, CA
The HEDIS Registered Nurse RN will need to be extremely detailed oriented with exceptional medical record review skills....
Easily apply
Sponsored by Healthcare Scouts - 9 days ago
Registered Nurse Hedis Auditor
Adecco 4,319 reviews - Buffalo, NY
Registered Nurse Hedis Auditor job responsibilities include:. Provide quarterly quality reviews of UM nurse determinations in the UM tracking system;...
Sponsored by Adecco - 30+ days ago
Special Projects Nurse Job - HEDIS
Adecco 4,319 reviews - Honolulu, HI
Medical record review / prefer HEDIS experience / prefer online medical record review experience. Access and review medical records via online systems against...
Sponsored by Adecco - 30+ days ago
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Nurse Case Manager - Huntsville, AL (Partnership for Quality...

Cigna 865 reviews - Huntsville, AL - +1 location
Nurse Case Manager - Huntsville, AL (Partnership for Quality). Current licensure as a Registered Nurse (RN) in applicable state....


HealthCare Talent 2 reviews - Los Angeles, CA
The HEDIS Abstractor, External Audits and Quality Control conducts validation and production checks on medical records abstracted for the HEDIS Project and...

Clinical Auditor

IASIS Integrated Care Solutions - Tampa, FL
Chart review knowledge required. Active, current, valid, unrestricted Florida Registered Nurse (RN) license or LPN....

Navigator - RN (Westbank Market)

Peoples Health, Inc. 14 reviews - Louisiana
Reviews performance with Navigator Manager monthly to ensure goals are being met. Reviews and ensures documentation of member encounter is appropriate to...

Nurse Case Manager Philidelphia

Cigna 865 reviews - Philadelphia, PA
Nurse Case Manager Philidelphia. Current licensure as a Registered Nurse (RN), Nurse Practitioner, or Physician’s Assistant in applicable state....

Manager, Quality Risk

EmblemHealth 65 reviews - Melville, NY
Health Peer Review Subcommittee. Registered Nurse, License Practical Nurse or Physician Assistant with an active unrestricted license or certification...

Quality Operations Compliance and Accreditation - Clinical A...

Humana 887 reviews - Charlotte, NC
Collect and review annual HEDIS data. Knowledge of HEDIS specifications and medical records review a plus. Participate in Peer Review process....

Manager, Quality Improvement

Conifer Value Based Care - Phoenix, AZ
Respond to Health Plan HEDIS Audit Corrective Action Plan (CAP).Participate in the selection of HEDIS Intervention Measures....

Registered Nurse (RN) Quality Management Nurse Consultant

Aetna 460 reviews - Downers Grove, IL 60515
As the Registered Nurse (RN) Quality Management Nurse Consultant, you will be responsible for the review and evaluation of clinical information and...

Clinical Quality Assurance Auditor

EMHS - Brewer, ME
Beacon Health, LLC Quality Nurse Supervisor. Focus on customer service to continually enhance member satisfaction with the review process....
Performance Improvement Clinical Specialist I - Telework
Partnership HealthPlan of California 10 reviews - Fairfield, CA
Facility Site Review. HEDIS and Title 22. Current California Registered Nurse license. Performs medical record reviews for all Quality Improvement activities...
Sponsored by Partnership HealthPlan of California - 30+ days ago
AVP, Organizational Culture and Quality
Brightpoint Health - New York, NY
A clinical background either as a Nurse or Nurse Practitioner preferred, but not required. Knowledge of clinical metrics such as HEDIS measures, NQF, etc....
Sponsored by Brightpoint Health - 17 days ago

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