Hedis Review Nurse $40,000 jobs

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Travel Case Manager RN/Case Manager Registered Nurse
Medical Staffing Network 324 reviews - Roanoke, VA
Current state registered nurse license. Hospital case management utilization review experience. Travel Case Manager RN/Case Manager Registered Nurse....
Sponsored by Medical Staffing Network - 6 days ago
Performance Improvement Clinical Specialist I - Telework
Partnership HealthPlan of California 11 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
Quality Performance Specialist Clinical, Registered Nurse
AmeriHealth Caritas 59 reviews - Charleston, SC
In addition, responsibilities also include supporting the annual medical record review activities including HEDIS and, Clinical Practice Guidelines....
Sponsored by AmeriHealth Caritas - 30+ days ago


Anthem, Inc. 582 reviews - Tampa, FL
Perform monthly, quarterly, annual and ad hoc medial record reviews such as HEDIS and CPG compliance; HEDIS Nurse/Clinical Quality Audit Analyst Sr....

Medical Record Field Reviewer

Altegra Health 74 reviews - Grand Rapids, MI - +44 locations
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare 113 reviews - O‘ahu, HI - +7 locations
Required 2 years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in clinical data/chart reviews and...

Clinical Care Coordinator

Humana 913 reviews - Louisville, KY
Review medical records for CMS Stars and HEDIS/Quality compliance. Consult with Clinical Program Case Managers and nurses to identify member specific...

Quality Improvement Specialisit

Molina Healthcare 141 reviews - Long Beach, CA
Assists in the HEDIS medical record review scheduling project. Organizes review of required practitioners, and chart review process....

RN Review Analyst

ICONMA - Detroit, MI
Registered Nurse, Review Analyst, Acute Care, HEDIS:. Audit and medical chart review experience preferred. RN with HEDIS experience but will interview qualified...
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HEDIS Review RN- CareConnect

North Shore-LIJ Health System 115 reviews - Greenvale, NY
Conducts medical record reviews. Schedules and coordinates on-site medical record reviews. Conducts medical record review audits to ensure accuracy....

HEDIS Abstractor -External Audits and Quality Control

L.A. Care Health Plan 14 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...

Nurse Reviewer (Part-time thru August)

Arch Systems - Baltimore, MD
Must be a registered nurse (RN). The successful PQRS Nurse Reviewer can perform the following critical job duties:....
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Clinical Quality Review Nurse

Independent Health 30 reviews - Buffalo, NY
The Clinical Quality Review Nurse shall be responsible for medical record reviews for member quality complaints, HEDIS/QARR, credentialing and other focused...
Quality Performance Specialist Clinical- RN
AmeriHealth Caritas 59 reviews - Philadelphia, PA
In addition, responsibilities also include supporting the annual medical record review activities including HEDIS and, Clinical Practice Guidelines....
Sponsored by AmeriHealth Caritas - 30+ days ago
Quality Improvement/ HEDIS Coordinator
Healthcare Scouts - Phoenix, AZ
HEDIS experience REQUIERED! In this position you will coordinate the multifaceted aspects of the hybrid medical record review which includes conducting medical...
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Sponsored by Healthcare Scouts - 30+ days ago

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Company with Hedis Review Nurse $40,000 jobs
59 reviews
AmeriHealth Caritas is the nation's leader in health care solutions for the underserved and chronically ill for over 30 years.