Hedis Review Nurse $60,000 jobs

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Execu | Search 33 reviews - Garden City, NY
seeking a Registered Nurse (RN) and/or Licensed Practical Nurse ( LPN ), with a HEDIS / QARR background... QARR Nurse will be responsible for: Chart review of... $30 - $32 an hour
Sponsored by Execu | Search - 18 days ago
Area Medical Director
MedExpress 91 reviews - Trenton, NJ
Participate in site review by State, Federal, or... Participate in review of patient satisfaction surveys. Participate in Peer Review and Root Cause Analyses...
Sponsored by MedExpress - 30+ days ago
Registered Nurse - MCO Care Coordinator Supervisor
North Shore Senior Center 2 reviews - Evanston, IL
improvement for HEDIS/STARS. Utilizes medical necessity criteria when performing reviews, and refers to medical director at BCBS as needed. Reviews cases to...
Sponsored by CareerBuilder - 8 days ago

Registered Nurse (RN) - Quality Management Nurse Consultant

Aetna 336 reviews - Omaha, NE 68118
The Quality Management Nurse Consultant is responsible for the review and evaluation of clinical information and documentation....
4 days ago - save job - email - more...


Epic Management 4 reviews - Redlands, CA
The QI Nurse is responsible for maintaining the quality management program under the direction of the QI Chair and assists in providing patients and internal...
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6 days ago - save job - email - more...

RN, Clinical Claims Review

HealthCare Partners 62 reviews - Torrance, CA
We are currently seeking a RN, Clinical Claims Review:. Responsible for review, research and complete retrospective clinical claims review for Commercial,...
3 days ago - save job - email - more...

HEDIS Nurse McAllen TX

Kaztronix LLC - McAllen, TX - +1 location
This position will be going into offices, reviewing the charts and either copying or scaning the records for data entry needs to be computer literate, can teach...
Monster - 3 hours ago - save job - email - more...


Pathway Medical Staffing - Philadelphia, PA - +1 location
One of the largest Pennsylvania managed care organizations is looking for a HEDIS NURSE . This temporary assignment is a great opportunity to enhance your...
4 days ago - save job - email - more...

Quality Improvement Nurse (RN) - Dublin, OH

Humana 634 reviews - Dublin, OH
The Quality Improvement Nurse will facilitate and work collaboratively with provider groups focused on Senior Products, Commercial and Medicaid plans to...
6 days ago - save job - email - more...

QI Compliance Spec III RN

Molina Healthcare 99 reviews - Bothell, WA - +1 location
Conduct review and investigation of potential quality of care issues in collaboration with dedicated clinical and non-clinical health plan staff in the Quality...
13 days ago - save job - email - more...

Utilization Manager (Sign-On Bonus)

Centene Corporation 144 reviews - Jacksonville, FL - +2 locations
Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care...
6 days ago - save job - email - more...

Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypre...

WellCare 78 reviews - Cypress, CA - +3 locations
*Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypress, CA. Care Health Plans, Inc. provides managed care services targeted to government-sponsored...
7 days ago - save job - email - more...


The Judge Group 31 reviews - Marlton, NJ - +1 location
Judge Healthcare is currently seeking a Nurse (RN or LPN) who is experienced in HEDIS and clinical data abstraction for an excellent opportunity in Marlton, NJ!...
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1 day ago - save job - email - more...
Baltimore Utilization Review Nurse -- Managed Care
CareNational Healthcare Services, LLC - Baltimore, MD
Review Nurse (RN) - Managed Care Baltimore, MD Job Summary: The Utilization Review Nurse is... review. The UR Nurse will performs reviews of current... $70,000 - $80,000 a year
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Sponsored by CareNational Healthcare Services, LLC - 4 days ago

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