Hedis Review Nurse $40,000 jobs

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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 - 12 days ago
RN, Health Risk Coordinator
Promedica 21 reviews - Maumee, OH
entry, and address HEDIS and Star Rating criteria... mailings to new members as per the HRA guidelines, HEDIS measures, and Star Rating initiatives. They r...
Sponsored by ProMedica - 30+ days ago

Quality Nurse/Practice Consultant

WellPoint 429 reviews - Indianapolis, IN 46201
of the primary care practice, identify opportunities for improvement, asses current practice patterns, assets and challenges, NCQA Standards, HEDIS audits,...
1 day ago - save job - email - more...

RN, Clinical Claims Review

HealthCare Partners 63 reviews - Torrance, CA
We are currently seeking a RN, Clinical Claims Review:. Responsible for review, research and complete retrospective clinical claims review for Commercial,...
5 days ago - save job - email - more...

QUALITY IMPROVEMENT NURSE - QUALITY MANAGEMENT

Epic Management 4 reviews - Redlands, CA
The QI Nurse is responsible for maintaining the quality management program under the direction of the QI Chair and assists in providing patients and internal...
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8 days ago - save job - email - more...

Medical Director, Clinical Informatics

Evolent Health 3 reviews - Arlington, VA
The Clinical Informatics team seeks a clinician with experience both in medical data analysis and clinical practice to support our Clinical Rules Engine quality...
14 days ago - save job - email - more...

Quality Operations Compliance Accreditation Clinical Advisor

Humana 637 reviews - Columbia, SC
Humana departments and our network providers as it relates to Quality of care concerns as well as participate in activities associated with HEDIS, CAHPS,...
1 day ago - save job - email - more...

Hedis Supervisor - RN

Molina Healthcare 99 reviews - Columbus, OH
• Manages the facility site review (FSR) and Credentialing day-to-day operations and staff. • Acts as a resource for FSR and Credentialing staff for all...
10 days ago - save job - email - more...

Medical Record Field Reviewer

Altegra Health 50 reviews - Corpus Christi, TX - +24 locations
Outcomes’ nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations....
3 days ago - save job - email - more...

HEDIS Nurse Abstractor

The CSI Companies 15 reviews - Franklin, TN
CSI is looking for a nurse (RN or LPN) for a Nurse Abstractor position with a worldwide company in Franklin, TN (Cool Springs).... $28 an hour
4 days ago - save job - email - more...

Population Care Manager, RN

Holy Cross Hospital of Florida - Fort Lauderdale, FL
Holy Cross is accredited by the Joint Commission and is the first hospital in Broward County to be designated a Magnet Hospital by the American Nurses...
7 hours ago - save job - email - more...

Population Care Manager, RN

Holy Cross Hospital 96 reviews - Fort Lauderdale, FL
Holy Cross is accredited by the Joint Commission and is the first hospital in Broward County to be designated a Magnet Hospital by the American Nurses...
1 day ago - save job - email - more...
HEDIS Review Nurse / RN / LVN
Kelly Services 2,489 reviews - Harlingen, TX
HEDIS REVIEW NURSE / RN / LVN Kelly Healthcare Resources has an exciting contract HEDIS Review Nurse... Review Nurse, Medical Review RN, Registered Nurse, RN...
Sponsored by Kelly Services - 1 day ago
Baltimore Utilization Review Nurse (RN) - Managed Care
CareNational Healthcare Services, LLC - Baltimore, MD
Review Nurse (RN) - Managed Care Baltimore, MD Job Summary: The Utilization Review Nurse is... review. The UR Nurse will performs reviews of current... $70,000 - $80,000 a year
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Sponsored by CareNational Healthcare Services, LLC - 6 days ago
Clinical Quality Specialist
Northeast Georgia Health System - Gainesville, GA
Degree RN - Registered Nurse 3 Years of Experience... for reviewing payor HEDIS and pay-for-performance reports; performs chart reviews and audits to identify...
Sponsored by Northeast Georgia Health System - 16 hours ago

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