Hedis Review Nurse $60,000 jobs in Ohio

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East Central Regional Medical Director
Humana 912 reviews - Dublin, OH
We strive to ensure we provide perfect service with one-on-one member interactions as a coach, personal nurse, or clinical advisor....
Sponsored by Resume-Library - 10 days ago

Full–Time – Clinic Manager – Cleveland – 100 Cleveland St. E...

Take Care Health Systems 109 reviews - Elyria, OH
O Completion of mid-year and year-end reviews,. Valid accreditation from the AANP or ANCC as a Family Nurse Practitioner....

Full–Time – Clinic Manager – Columbus – 4530 Kenny Rd. Colum...

Take Care Health Systems 109 reviews - Columbus, OH
O Completion of mid-year and year-end reviews,. Valid accreditation from the AANP or ANCC as a Family Nurse Practitioner....

Coord Quality Mgmt - MediGold

Mount Carmel Health - Columbus, OH
Directors, Peer Review Panel and/or external review process. Concern monitoring, peer review, clinical studies, HEDIS data collection, compliance and....

East Central Regional Medical Director

Humana 912 reviews - Dublin, OH
Oversee Quality Improvement Department with QI Director as direct report and monitor QI Nurses on HEDIS/STARS metrics improvement with PCP offices and IPAs....

Medical Director

Molina Healthcare 141 reviews - Columbus, OH
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

Registered Nurse Supervisor of Case Management

Medical Staffing Network Care Management - Toledo, OH
Please be advised that we are only considering nurses with the following:. We will review your resume to make certain it emphasizes the important skills and...

Columbus REMOTE Utilization Management Representative (RN or...

CareNational Healthcare Services, LLC - Columbus, OH - +2 locations
Requires a valid, unrestricted state Registered Nurse (R.N.). You will perform prospective, concurrent & retrospective review of inpatient, outpatient,...
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HEDIS - LPN/RN Quality Improvement Coordinator

Maxim Healthcare Services 796 reviews - Columbus, OH
Current Registered Nurse License for the state in which the nurse practices. Evaluate and analyze HEDIS rates....

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