Hedis Review Nurse $60,000 jobs

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IL TANF Quality Management Nurse
Aetna 343 reviews - Chicago, IL
Responsible for the review and evaluation of clinical information and documentation. Reviews documentation... chart reviews, provider communication, HEDIS, and...
Sponsored by Aetna - 4 days ago
Medical Record Field Reviewer
Outcomes Health Information Solutions 35 reviews - Albany County, NY
2. HEDIS 3. Medical Record Reviews (Accreditation) 4... record review services 2. Scan relevant components of the medical record to support reviews performed 3...
Easily apply
Sponsored by Outcomes Health Information Solutions - 30+ days ago
Phoenix Utilization Management Nurse (RN or LPN) – Managed C...
CareNational Healthcare Services, LLC - Phoenix, AZ
The Utilization Review Nurse is responsible for... review for prospective, concurrent, or retrospective review. The UR Nurse will performs reviews of current... $63,000 - $75,000 a year
Easily apply
Sponsored by CareNational Healthcare Services, LLC - 30+ days ago

Utilization Management Review Nurse

AlohaCare 6 reviews - Honolulu, HI
The primary responsibility of this position is to manage utilization, prior authorization, and perform clinical review of hospitalized members to verify level...
7 hours ago - save job - email - more...

HEDIS Nurse

Pathway Medical Staffing - New York, NY - +3 locations
One of the largest New York managed care organizations is looking for a HEDIS NURSE .for the folowing areas:. Brooklyn, Queens, Manhattan, Bronx , Staten Island...
5 hours ago - save job - email - more...

Navigator - RN (New Orleans Market)

Peoples Health, Inc. 9 reviews - New Orleans, LA - +1 location
The Navigator will review, plan and coordinate health care services in order to utilize appropriate processes and appropriate resources to improve members'...
7 days ago - save job - email - more...

Registered Nurse Utilization Review

Pathway Medical Staffing - Zion, IL - +2 locations
The Registered Nurse Utilization Review provides professional assessment, coordination, and utilization review in accordance with all state mandated regulations...
1 day ago - save job - email - more...

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

WellCare 81 reviews - Albany, NY - +1 location
Clinical HEDIS Practice Advisor, RN (Registered Nurse) Albany, NY. Care Health Plans, Inc. provides managed care services targeted to government-sponsored...
12 days ago - save job - email - more...

HEDIS Review Nurse

Verisk Health 25 reviews - Ephraim, UT - +5 locations
Nurses – learn a new skill and earn extra $$!. HEDIS review nurses needed, experience preferred but not required – we will train....
Miracle Workers - 12 days ago - save job - email - more...

Supervisor Field Case Management

Molina Healthcare 100 reviews - San Antonio, TX
• Functions as hands-on supervisor for daily Case Management activities including medical necessity review, initital assessments, continued stay review,...
11 days ago - save job - email - more...

Quality Manager- Government Programs (Cigna Medical Group)

CIGNA 680 reviews - Phoenix, AZ
Oversees the CMS Quality Program audit process, HEDIS reporting and ensures that SNP quality and performance measures are being met....
15 hours ago - save job - email - more...

Navigator - RN (New Orleans Team)

Peoples Health, Inc. 9 reviews - New Orleans, LA
The Navigator will review, plan and coordinate health care services in order to utilize appropriate processes and appropriate resources to improve members’...
28 days ago - save job - email - more...

RN- Engagement Quality Consultant -Athens, GA

Humana 662 reviews - Macon, GA
This will be a market facing position, working from home traveling to provider offices on a regular and ongoing basis in an assigned market territory to go over...
11 days ago - save job - email - more...
Baltimore Utilization Review Nurse (RN) - 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
Easily apply
Sponsored by CareNational Healthcare Services, LLC - 24 days ago
San Francisco Utilization Review RN - Managed Care
CareNational Healthcare Services, LLC - San Francisco, CA
review, or concurrent review (telephonic inpatient care management). The UM Nurse will performs reviews of... their needs. The UM Review Nurse will evaluate the... $90,000 - $100,000 a year
Easily apply
Sponsored by CareNational Healthcare Services, LLC - 30+ days ago

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