Hedis Review Nurse $40,000 jobs

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Clinical Program Specialist - RN (Alzheimers/Dementia)
Peoples Health, Inc. 10 reviews - Metairie, LA
Promotes member adherence to HEDIS/ 5 Star measures. Reviews, evaluates and reports on Peoples health statistical data....
Sponsored by Peoples Health, Inc. - 20 days ago
HEDIS Nurse
Excellus BlueCross BlueShield - Syracuse, NY
Requirements of HEDIS Nurse*. Essential Responsibilities/Accountabilities of HEDIS Nurse*. Travels from home to provider offices or facilities to complete...
Sponsored by Excellus BlueCross BlueShield - 23 days ago

Mgr, Health Care QM

Aetna 402 reviews - Pittsburgh, PA 15220 - +1 location
Nursing/Registered Nurse is required. HEDIS and STARs experience is required. Supplemental HEDIS data IT background experience preferred....
4 days ago - save job - email - more...

NYC CONTRACT Quality Management HEDIS Review Nurse (RN or LP...

CareNational - Bronx, NY
CONTRACT Quality Management HEDIS Review Nurse (RN or LPN) - Managed Care. NYC CONTRACT Quality Management HEDIS Review Nurse (RN or LPN) - Managed Care....
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7 days ago - save job - email - more...

Canton OH CONTRACT HEDIS Review Nurse (RN or LPN) - Managed...

CareNational - Canton, OH
Canton CONTRACT HEDIS Review Nurse (RN or LPN) - Managed Care. CONTRACT Quality Management HEDIS Review Nurse (RN or LPN) - Managed Care....
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9 days ago - save job - email - more...

HEDIS Nurse Abstractor / RN / LPN

EmployIndy - Indianapolis, IN
Medical Review Nurse, Medical Review RN, Registered Nurse, RN, Medical Review LVN, LVN, Licensed Vocational Nurse, LPN, Licensed Practical Nurse, Medical Review...
7 days ago - save job - email - more...

Milwaukee Area CONTRACT HEDIS Nurse (RN or LPN) - Managed Ca...

CareNational - Milwaukee, WI
CONTRACT Quality Management HEDIS Review Nurse (RN or LPN) - Managed Care. The Quality Management HEDIS Review Nurse coordinates and performs onsite data...
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9 days ago - save job - email - more...

Utilization Manager-Jacksonville, FL (Sign-On Bonus)

Centene Corporation 164 reviews - Jacksonville, FL
Master’s degree in Behavioral Health or Registered Nurse required. Ensure compliance with all performance measures in regards to appeals, denials, higher level...
3 days ago - save job - email - more...

Coder Analyst

VisionIT 10 reviews - Detroit, MI
Audit and medical chart review experience preferred. The nurses and coders will be expected to participate in provider and hospital visits to educate, train and...
3 days ago - save job - email - more...

Charleston CONTRACT HEDIS Nurse (RN or LPN) - Managed Care

CareNational Healthcare Services, LLC - Charleston, WV - +8 locations
$30 - $34 an hour
CONTRACT Quality Management HEDIS Review Nurse (RN or LPN) - Managed Care. The Quality Management HEDIS Review Nurse coordinates and performs onsite data...
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11 days ago - save job - email - more...

Health Care Quality Management Manager

Aetna 402 reviews - Charleston, WV 25301
Nursing/Registered Nurse is desired. 4+ years in HEDIS project management. Responsible for all aspects of the HEDIS process including project set-up, oversight...
15 days ago - save job - email - more...

HEDIS - Nurse Abstractor

L.A. Care Health Plan 9 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...
14 hours ago - save job - email - more...
Navigator - RN (New Orleans Market)
Peoples Health, Inc. 10 reviews - New Orleans, LA
Reviews and ensures documentation of member encounter is appropriate to satisfy HEDIS/STAR measures, medication measures, referrals, authorizations....
Sponsored by Peoples Health, Inc. - 20 days ago
Clinical Quality Specialist
Northeast Georgia Health System - Gainesville, GA
RN - Registered Nurse. Responsible for reviewing payor HEDIS and pay-for-performance reports; Performs chart abstractions, chart audits, and documentation...
Sponsored by Northeast Georgia Health System - 15 days ago
HEDIS NURSE- MEDICAL RECORDS SPECIALIST
The Judge Group 40 reviews - Richmond, VA
Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected...
Sponsored by The Judge Group - 10 days ago

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