Hedis Review Nurse $60,000 jobs

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Chart Review Nurse (RN/LPN)
Execu | Search 38 reviews - Albany, NY
$30 - $33 an hour
The Chart Review Nurse will join the HEDIS team. NYS Registered Nurse (RN) or Licensed Practical Nurse ( LPN ). Prior HEDIS experience....
Sponsored by Execu | Search - 1 day ago
DC CONTRACT Utilization Review Nurse (RN) -- Managed Care
CareNational Healthcare Services, LLC - Washington, DC
$35 - $40 an hour
Utilization Review Nurse (RN) - Managed Care. The Utilization Review Nurse is responsible for utilization management and utilization review for prospective,...
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Sponsored by CareNational Healthcare Services, LLC - 23 days ago

QI Nurse Specialist

CalOptima 6 reviews - Orange, CA
The QI Nurse Specialist is responsible for performing annual review and revision of departmental policies as appropriate....
1 day ago - save job - email - more...

Clinical Quality Nurse Reviewer 14-688

Medical Mutual of Ohio 32 reviews - Cleveland, OH
Performs medical record review, HEDIS data collection, quality of care complaint review, and credentialing review activities to support clinical quality...
14 days ago - save job - email - more...

QI Compliance Specialist III

Molina Healthcare 116 reviews - Albuquerque, NM
HEDIS reporting or collection. Gather and review medical records from providers and facilities to complete activities related to quality of care issues, HEDIS...
5 days ago - save job - email - more...

RN Director of Quality (HEDIS)

CareNational HealthCare - Fort Lauderdale, FL
$95,000 a year
This position has oversight responsibilities for the quality of providers’ service delivery and overall performance reviews....
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20 days ago - save job - email - more...

HEDIS Review RN

Allied Health Group - Milwaukee, WI
HEDIS Review RN:. Past experience working in HEDIS Review. We are currently looking for *EXPERIENCED HEDIS REVIEW RN's*....
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15 days ago - save job - email - more...

Director, Utilization Management Regulatory Compliance

Evolent Health - Arlington, VA
Registered Nurse with current unrestricted license preferred. Responsible for leading utilization management readiness reviews and government audits....
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7 days ago - save job - email - more...

Medicare Risk Adjustment Nurse

Aetna 422 reviews - Morrisville, NC 27560
Registered Nurse (RN) license is required. Determines if referrals to case management require further review. Click here to review the benefits associated with...
6 days ago - save job - email - more...

HEDIS Coordinator - UPMC Health Plan

UPMC 239 reviews - Pittsburgh, PA
HEDIS tool for HEDIS measure compliance. Request and review member medical records for potential exclusions from HEDIS measure....
13 hours ago - save job - email - more...

Health Care Quality Management Manager

Aetna 422 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...

Utilization Manager (Inpatient)

Centene Corporation 173 reviews - Westmont, IL
Masters degree in Behavioral Health or Registered Nurse required. Ensure compliance with all performance measures in regards to appeals, denials, higher level...
5 days ago - save job - email - more...
Baltimore Quality Improvement RN- Managed Care
CareNational Healthcare Services, LLC - Baltimore, MD
$75,000 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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Sponsored by CareNational Healthcare Services, LLC - 8 days ago
HEDIS Nurse (RN / LPN)
Execu | Search 38 reviews - Manhattan, NY
The HEDIS Nurse (RN / LPN ) will be responsible for:. NYS Registered Nurse (RN) or Licensed Practical Nurse ( LPN ). Prior HEDIS experience....
Sponsored by Execu | Search - 27 days ago
Registered Nurse / RN / HEDIS Nurse / Nurse Abstractor / Med...
Kelly Services 2,888 reviews - Fargo, ND
HEDIS nurse, HEDIS coordinator, HEDIS review nurse, HEDIS RN, HEDIS registered nurse, RN HEDIS, nurse case review (HEDIS)....
Sponsored by Kelly Services - 30+ days ago

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