Hedis Review Nurse $60,000 jobs

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HEDIS Nurse (RN/LPN)
Execu | Search 45 reviews - Garden City, NY
$60,000 - $75,000 a year
The HEDIS Nurse will be responsible for scheduling and performing on-site medical record reviews at physician offices....
Sponsored by Execu | Search
Registered Nurse (RN) - HEDIS / QARR Project
Execu | Search 45 reviews - Manhattan, NY
Managed Care, Quality Improvement, Performance Improvement, Case Management, Chart Review, Utilization Review, and/or Pre-certification/Authorization....
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Clinical Reviewer
EmblemHealth 83 reviews - Melville, NY
Knowledge of HEDIS specifications required. Provide educational support to physicians and staff to ensure process improvement and increase member satisfaction,...
Sponsored by EmblemHealth

Registered Nurse Chart Auditor

Medical Staffing Network Care Management - Philadelphia, PA
3+ years of medical audit/chart review required. Please be advised that we are only considering nurses with the following:....

RN-Network Performance Improvement Consultant-Grand Rapids-B...

Provider Contracting, West & Mid - Grand Rapids, MI
Registered nurse with unrestricted current Michigan license required. Demonstrated ability to review and understand patient medical records....

Nurse Quality Management - CFHP

University Health System 63 reviews - San Antonio, TX
Conducts focused reviews. Current licensure as a Registered Nurse in the State of Texas is required. Reviews and analyzes member medical records and other data...

Supervisor QI, HEDIS and Interventions Outreach

Molina Healthcare 159 reviews - Bothell, WA
Registered Nurse with current State License. Bachelor’s Degree preferably in a health care related field or Registered Nurse....

Clinical Quality Audit Specialist

Mount Carmel Health - Columbus, OH
Active Ohio Registered Nurse license required. At least 2 years of previous quality assurance/improvement experience and/or chart review experience required....

RN - Quality Improvement Nurse

Humana 1,021 reviews - Palm City, FL  +1 location
Review medical records and identify needed improvements that impact HEDIS measures or coding (i.e. The Quality Improvement Nurse will facilitate and work...

Quality Improvement Nurse

Alignment Healthcare - Orange, CA
Quality Improvement Nurse. Knowledge of Medicare Managed Care Plans, NCQA and HEDIS. Assists various departments with annual quality related projects (internal...

Utilization Manager

Centene Corporation 238 reviews - Des Moines, IA  +1 location
Masters degree in Behavioral Health or Registered Nurse required. Ensure compliance with all performance measures in regards to appeals, denials, higher level...

Chicago Utilization Review Nurse (RN or LPN) - Managed Care

CareNational Healthcare Services, LLC - Chicago, IL
Utilization Review Nurse (RN or LPN) - Managed Care. As a Utilization Review Nurse you will utilize your clinical skills to telephonically provide and...
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Clinical Care Coordinator - Rogers, AR

Humana 1,021 reviews - Rogers, AR  +1 location
Review member specific and provider specific data to identify concerns needing follow up by assigned Case Managers....
Registered Nurse Coordinators Needed ASAP
Avery Partners 7 reviews - Virginia
Candidates with HEDIS or Medical Review experience are encouraged to apply. Nurses must be able to work independently....
Sponsored by NurseJobsNationwide.com
RN (Quality Improvement/Chart Review)
HealthCare Support Staffing 58 reviews - Milwaukee, WI
2+ years of HEDIS or chart review experience. Job Title RN (Quality Improvement/Chart Review). Are you an experienced Registered Nurse looking for a new...
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Sponsored by HealthCare Support Staffing

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