Hedis Review Nurse $60,000 jobs

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Quality Improvement Nurse - Managed Care
MJ Morgan Group 7 reviews - Lutherville-Timonium, MD
$85,000 - $92,000 a year
Assists the Quality Management Department with the coordination and preparation of HEDIS medical record reviews, which includes ongoing review of medical...
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Hedis Nurse (RN or LPN) Job
Yoh 102 reviews - Morris, NJ
Conduct medical record abstraction and reviews. Review required data analysis and research within the organizations data systems....
Sponsored by Yoh Services, LLC
Perioperative Quality Specialist
Virginia Hospital Center 117 reviews - Arlington, VA
Registered Nurse Licensed in the Commonwealth of Virginia. Works with VHC Quality Division and Perioperative Clinical Educator to maintain JCAHO, AORN, NQCA,...
Sponsored

RN Clinical Data & Audit Consultant-TELECOMMUTING OPTION! (C...

Health Net, Inc. 8 reviews - Glendale, CA 91203  +2 locations
Reviews, analyzes, and interprets data for required HEDIS, URAC, NCQA compliance, and related reporting for clinical service teams....

Quality Nurse Reviewer/HEDIS - Miami, FL

Magellan Health 14 reviews - Miami, FL 33126 (Flagami area)
HEDIS experience.Knowledge, Skills, Abilities:. If nurse, RN license at a minimum. Provides coverage of Nurse Line and/or Crisis Line as requested or required...

Compliance Liaison

CareSource 55 reviews - Dayton, OH
Support accreditation initiatives, including URAC, NCQA and HEDIS. Performs quality monitoring/case review in coordination with Quality Improvement staff....

Quality/Risk RN FT (1.0) Days The Physician Network

Catholic Health Initiatives 180 reviews - Lincoln, NE
Registered Nurse degree required. Registered Nurse licensure in the State of Nebraska required. Knowledge of local and national quality management and...

Quality Nurse Reviewer - Brooklyn, NY

Magellan Health 14 reviews - Brooklyn, NY 11201
The nurse who fills this role will be responsible for assisting in the review of MLTC enrollments, outsourced reassessments, Quality of Care reviews and...

RN/LPN - HEDIS Chart Review and Abstraction

The Street Consulting Group - New York, NY
Job Description Registered Nurse/Licensed Practical Nurse will perform HEDIS/QARR reviews at doctor's offices....
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QI Nurse

Health Plan of San Joaquin 12 reviews - French Camp, CA 95231
FACILITY SITE REVIEW. Under general supervision, performs quality improvement activities related to HEDIS, facility site review and complaint/grievance...

NCQA Specialist III

Molina Healthcare 191 reviews - Bothell, WA
Medical record review. HEDIS reporting or collection. Gather and review medical records from providers and facilities to complete activities related to quality...

Clinical Compliance Liaison

CareSource 55 reviews - Dayton, OH
Support accreditation initiatives, including URAC, NCQA and HEDIS. Performs quality monitoring/case review in coordination with Quality Improvement staff....

Health Risk Educator Consultant

Aetna 625 reviews - Overland Park, KS
Functional - Clinical / Medical/Clinical claim review & coding/1-3 Years. Click here to review the benefits associated with this position....
Travel Case Manager RN/Case Manager Registered Nurse
MSN 375 reviews - Ridley Park, PA
Current state registered nurse license. Travel Case Manager RN/Case Manager Registered Nurse. 1 year full time Hospital case management utilization review...
Sponsored by Medical Staffing Network

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