Hedis Review Nurse $60,000 jobs

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Director of Quality Review - Nurse
MJ Morgan Group - 10 reviews - New York, NY
Looking for a Director of Quality Review to direct and coordinate the daily operations of all Retrospective accounts, Cost Outlier unit and the QARR/ HEDIS...
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RN / Nurse Navigator / Quality Improvement Nurse
Kelly Services - 8,790 reviews - Columbia, SC 29229
Coordinates HEDIS data collection. RN / Nurse Navigator / Quality Improvement Coordinator. Conducts quality medical record reviews to monitor quality of care...
Quality Improvement Project Manager - Senior
Wellcare - 681 reviews - Tampa, FL 33634
Preferred Licensed Registered Nurse (RN). Intermediate Other Knowledgeable of JCAHO, NCQA, HEDIS and CAHPS requirements....


$90,000 a year
Performing chart review HEDIS records. Reviewing and abstracting paper and electronic medical records utilizing NCQA HEDIS Technical specifications to optimize...
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Utilization Review Nurse (RN) - Managed Care

CareNational Healthcare Services (CNHS) - Scotts Valley, CA 95066
$110,000 a year
Utilization Review Nurse (RN) - Managed Care*. The Utilization Review Nurse is responsible for utilization management and utilization review for prospective,...
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Quality Nurse Liaison

BlueCross BlueShield of Kansas City - 4,249 reviews - Kansas City, MO 64108 (Crown Center area)
HEDIS abstraction experience. Responsible for Quality of Care review processes with development of timelines for Peer Review Committee, and review visits to...

RN- Site Review- Nurse Consultant- Registered Nurse

Aetna - 2,290 reviews - Sacramento, CA  +1 location
The Site Review Nurse Consultant position is responsible for the review and evaluation of clinical information and documentation and QM FSR(Facility Site...

QM Nurse Consultant

Aetna - 2,290 reviews - Phoenix, AZ
Nursing/Registered Nurse (RN). Functional - Nursing/Clinical claim review and coding/1-3 Years. Click here to review the benefits associated with this position....

HEDIS Manager

Aetna - 2,290 reviews - Arlington, TX 76011 (East area)
Experienced HEDIS Manager needed to successfully manage HEDIS and the HEDIS Medical Record Review (MRR) process for a large health plan....

Clinical Quality Nurse

Medix - 68 reviews - Shavano Park, TX
Lead weekly, monthly, bi-monthly, quarterly, and annual business review meetings related to STAR activities in order to summarize provider performance in the...

QI Nurse

Health Plan of San Joaquin - 25 reviews - French Camp, CA 95231
FACILITY SITE REVIEW. Under general supervision, performs quality improvement activities related to HEDIS, facility site review, and compliant/grievance...

Quality Improvement Nurse

Abacus Solutions Group - 12 reviews - Timonium, MD
$90,000 a year
Assist the Quality Management Department with the coordination and preparation of HEDIS medical record reviews, which includes ongoing review of medical records...
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Directorof Health Care Qaulity Management

Aetna - 2,290 reviews - Kenner, LA
Nurse Practitioner License. Ensures maintenance of accurate documentation for quality improvement activities such as HEDIS reporting, surveys, audits, peer...
Clinical Qual Imprv Spc RN-SFL
Florida Blue - 248 reviews - Miami, FL 33101
HEDIS Quality Improvement experience. Support retrospective HEDIS by being a subject matter expert in HEDIS clinical measures to include retrieval, abstraction,...
HEDIS - Registered Nurse - RN
Other Registered Nurse (RN) HEDIS Program Manager duties as assigned. At least four years Registered Nurse (RN) HEDIS Program experience preferred....
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