Hedis Review Nurse $60,000 jobs

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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....
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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,...
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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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