Hedis Review Nurse $80,000 jobs

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IL TANF Quality Management Nurse
Aetna 344 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 - 5 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
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Sponsored by CareNational Healthcare Services, LLC - 30+ days ago

Clinical Quality RN Sr (83991)

WellPoint 436 reviews - Iselin, NJ 08830
The Clinical Quality Nurse participates in on site quality external audits such as NCQA, AAHC and EQRO, and prepares audits of required documents....
7 days ago - save job - block - email - more...

Clinical Quality Program Consultant

Humana 662 reviews - Cincinnati, OH
The role will participate and contribute to readiness reviews and audits. This role requires a strong understanding of the healthcare industry and works to...
4 hours ago - save job - block - email - more...

Quality Improvement Specialist

Healthfirst 69 reviews - New York, NY
Reviews data to determine whether satisfactory improvement occurred and in order to drive continuous performance improvement....
9 days ago - save job - block - email - more...

HEDIS Nurse

Pathway Medical Staffing - New York, NY - +2 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...
1 day ago - save job - block - email - more...

Registered Nurse, Clinical Quality Analyst (RN)

Community Health Network of CT 2 reviews - Wallingford, CT 06492
· Supports the HEDIS team as necessary. · Performs chart abstractions to support DSS reporting requirements;. conducts chart reviews as part of CHNCT’s Quality...
Monster - 2 days ago - save job - block - email - more...

Registered Nurse Utilization Review

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

Quality Manager

Community Health Alliance - Chattanooga, TN 37415 - +3 locations
The Quality Manager is responsible for direction and guidance on clinical quality improvement and management programs through management of business processes...
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6 days ago - save job - block - email - more...

Manager of Care Coordination – CSHCS

Meridian Health Plan 25 reviews - Michigan
Review care coordination processes to provide Director/Deputy Director with an individual assessment of compliance risk, internal control and the overall...
7 days ago - save job - block - email - more...

Field Case Manager II (Remote)

Molina Healthcare 100 reviews - Edinburg, TX
Nurse, BSN, MSN, ADN, Field RN, field nurse, telephonic nurse, LPN, LVN, ACSW, AACN, SIU, LSW, LBSW, LCSW, LMSW, MSW, CCM, ANNC, MDS, CPHQ, CHPN, PHN, CHES,...
8 days ago - save job - block - email - more...

Director of Quality Improvement and Program Management

BMC HealthNet Plan and Well Sense - Boston, MA
Reviews and edits documentation (e.g. request for proposals) on behalf of the Senior Director of Clinical and Quality Management as directed....
Boston Medical Center HealthNet Plan - 8 days ago - save job - block - email - more...

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