Hedis Review Nurse $60,000 jobs

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AVP, Organizational Culture and Quality
Brightpoint Health - New York, NY
A clinical background either as a Nurse or Nurse Practitioner preferred, but not required. Knowledge of clinical metrics such as HEDIS measures, NQF, etc....
Sponsored by Brightpoint Health - 9 days ago
RN QI Specialist- HEDIS
Healthcare Support 51 reviews - Brentwood, TN
Are you an experienced Registered Nurse with Quality Improvement or HEDIS experience looking for a new opportunity with a prestigious healthcare company?...
Sponsored by Healthcare Support - 17 days ago
RN Operating Room
U.S. Got People - Eglin AFB, FL
The OR Nurse will be required to consult with other OR Nurses, physicians, Physician assistants, or other Healthcare Specialists for continuation of care....
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Sponsored by U.S. Got People - 19 days ago

HEDIS Quality Consultant

Aetna 460 reviews - Linthicum, MD
Nursing/Licensed Practical Nurse (LPN) is desired. Additional responsibilities will include support of ongoing HEDIS project initiatives such as medical record...

RN - Appeals/Denials Spec II

Molina Healthcare 129 reviews - San Antonio, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Active, unrestricted State Licensed Register Nurse, Vocational Nurse or Licensed...

Registered Nurse (RN) Quality Management Nurse Consultant

Aetna 460 reviews - Downers Grove, IL 60515
As the Registered Nurse (RN) Quality Management Nurse Consultant, you will be responsible for the review and evaluation of clinical information and...

Registered Nurse Utilization Review

Medical Staffing Network Care Management - Philadelphia, PA
Reviews admissions for appropriateness. Performs concurrent review for medical necessity using Milliman guidelines....

RN Staff Nurse - Primary Care Job

Group Health 59 reviews - Burien, WA
RN Staff Nurse - Primary Care-150536. Document in EPIC– review and complete work in EPIC In-baskets. Act as clinical resource for team members – review patient...

QI Compliance Specialist II RN

Molina Healthcare 129 reviews - Columbus, OH - +1 location
HEDIS reporting or collection. Gather and review medical records from providers and facilities to complete activities related to quality of care issues, HEDIS...

Registered Nurse (RN) HCS Clinical Trainer

Molina Healthcare 129 reviews - Irving, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Nurse, BSN, MSN, ADN, Field RN, field nurse, telephonic nurse, LPN, LVN, ACSW, AACN,...

Utilization Management Inpatient Review Nurse - IL

Meridian Health Plan 38 reviews - Chicago, IL - +4 locations
Current license (without restriction) to practice as a Licensed Practical Nurse or Registered Nurse in the designated State is required....

Utilization Management Pre-Service Review Nurse - IL

Meridian Health Plan 38 reviews - Chicago, IL - +4 locations
Current license (without restriction) to practice as a Licensed Practical Nurse or Registered Nurse in the designated State is required....

Registered Nurse Quality Management Coordinator

Medical Staffing Network Care Management - Philadelphia, PA
Perform medical record reviews, quality of care reviews and clinical abstraction. Please be advised that we are only considering nurses with the following:....
Performance Improvement Clinical Specialist I - Telework
Partnership HealthPlan of California 10 reviews - Fairfield, CA
Facility Site Review. HEDIS and Title 22. Current California Registered Nurse license. Performs medical record reviews for all Quality Improvement activities...
Sponsored by Partnership HealthPlan of California - 30+ days ago
HEDIS NURSE
Healthcare Scouts - Cypress, CA
The HEDIS Registered Nurse RN will need to be extremely detailed oriented with exceptional medical record review skills....
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Sponsored by Healthcare Scouts - 2 days ago

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Company with Hedis Review Nurse $60,000 jobs
51 reviews
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