Hedis Review Nurse $60,000 jobs

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Travel Case Manager RN/Case Manager Registered Nurse
Medical Staffing Network 324 reviews - Roanoke, VA
Current state registered nurse license. Hospital case management utilization review experience. Travel Case Manager RN/Case Manager Registered Nurse....
Sponsored by Medical Staffing Network - 8 days ago
Performance Improvement Clinical Specialist I - Telework
Partnership HealthPlan of California 11 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
Molina Healthcare 142 reviews - West Allis, WI
2-3 years working with HEDIS - MUST HAVE HEDIS EXPERIENCE!!! Experience working with Measures to improve our HEDIS scores....
Sponsored by Molina Healthcare - 4 days ago


Anthem, Inc. 582 reviews - Tampa, FL
Perform monthly, quarterly, annual and ad hoc medial record reviews such as HEDIS and CPG compliance; HEDIS Nurse/Clinical Quality Audit Analyst Sr....

Quality Improvement Specialisit

Molina Healthcare 142 reviews - Long Beach, CA
Assists in the HEDIS medical record review scheduling project. Organizes review of required practitioners, and chart review process....

Utilization Manager (Inpatient)

Centene Corporation 206 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...

QI Compliance Specialist II RN

Molina Healthcare 142 reviews - Pomona, CA - +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) Case Mgr II (Nursing Facility; Remote)

Molina Healthcare 142 reviews - Houston, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Nurse, BSN, MSN, ADN, NCSN, PNP, Field RN, field nurse, telephonic nurse, LPN, LVN,...

RN Review Analyst

ICONMA - Detroit, MI
Registered Nurse, Review Analyst, Acute Care, HEDIS:. Audit and medical chart review experience preferred. RN with HEDIS experience but will interview qualified...
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BHMG - Perf Improvement Quality Analyst

Baptist Healthcare System 216 reviews - Louisville, KY
Assist the manager in coordinating and aligning various types of metrics (PQRS/ HEDIS/ BAPTIST Health system/Payor pay for performance/ etc.)....

Nurse Reviewer (Part-time thru August)

Arch Systems - Baltimore, MD
Must be a registered nurse (RN). The successful PQRS Nurse Reviewer can perform the following critical job duties:....
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RN Analyst/Auditor

Strategic Staffing Solutions 86 reviews - Detroit, MI 48226 (Downtown area)
Audit and medical chart review experience preferred. RN with HEDIS experience but will interview qualified RNs....

Population Health Management Nurse RN - Kansas City, MO

Humana 916 reviews - Overland Park, KS - +2 locations
Current RN license in the state in which the nurse will be required to practice. You will collaborate with other health care givers in reviewing actual and...
RN, Director of QI/HEDIS
HealthCare Support Staffing 53 reviews - City of Sunrise, FL
Registered Nurse, Director of QI/HEDIS. Are you an experienced Registered Nurse with HEDIS experience looking for a new opportunity with a prestigious...
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Sponsored by HealthCare Support Staffing - 30+ days ago
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 - 30+ days ago

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Company with Hedis Review Nurse $60,000 jobs
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