Hedis Review Nurse $80,000 jobs

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Registered Nurse (RN) - HEDIS / QARR Project
Execu | Search 44 reviews - Manhattan, NY
Managed Care, Quality Improvement, Performance Improvement, Case Management, Chart Review, Utilization Review, and/or Pre-certification/Authorization....
Sponsored by Execu | Search
Travel Case Manager RN/Case Manager Registered Nurse
Medical Staffing Network 340 reviews - Apple Valley, CA
Current state registered nurse license. Hospital case management utilization review experience. Travel Case Manager RN/Case Manager Registered Nurse....
Sponsored by Medical Staffing Network
Licensed Practical Nurse (LPN) - HEDIS / QARR Project
Execu | Search 44 reviews - New York, NY
Managed Care, Quality Improvement, Performance Improvement, Case Management, Chart Review, Utilization Review, and/or Pre-certification/Authorization....
Sponsored by Execu | Search

Clinical Quality Consultant, Hedis RN - $3000 SIGN ON BONUS

WellMed Medical Mgmt, Inc - San Antonio, TX
Clinical Quality Consultant, RN, Registered Nurse, HEDIS, STARS, San Antonio, TX, Texas. Registered Nurse with Undergraduate degree or equivalent experience....

Medical Director - Remote

Molina Healthcare 155 reviews - Long Beach, CA
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

South Seattle HEDIS Project Manager - Managed Care

CareNational Healthcare Services, LLC - Seattle, WA
Manage medical record review process for HEDIS and provide daily coordination of Reviewers. HEDIS duties include oversight of medical record review done by...
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Quality Management Nurse

Dignity Health Med Grp Inland Empire 555 reviews - Redlands, CA 92374
Greivances and complaints) to appropriate forum for review (i.e., IPA Peer Review, QM Committee, Department/Groups)....

Senior Director Medical Management and Care Coordination

ArchCare - New York, NY
Education Desired— Master’s degree in Nursing or Public Health preferred (if nurse); Provide leadership to the Director of Medical Management and Care...

Director of Quality Improvement

Magellan Health Services 153 reviews - West Des Moines, IA 50266
5 – 8 years of experience with management level and supervisory experience Must be an Iowa-licensed registered nurse, physician or physician’s assistant or a...

Field Health Services - Vice President

WellCare 124 reviews - Des Moines, IA
Ability to create, review and interpret treatment plans. State Licensed Registered Nurse (RN) or valid compact state licensure, no restrictions is required....

Grievance and Appeals Manager

Trusted Health Plan - Washington, DC 20003 (Capitol Hill area)
We are looking for an experienced Grievance/ Appeals Nurse Manager. Demonstrate an understanding of each case and prepared a review for each case....
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Travel Registered Nurse Case Manager

Medical Staffing Network Care Management - San Antonio, TX  +11 locations
Please be advised that we are only considering nurses with the following:. Bring your case management and utilization review experience to San Antonio, Texas...

Director, Practice Optimization

Evolent Health 6 reviews - Arlington, VA
Bachelors prepared Registered Nurse. Knowledge of RAF, HEDIS, STARS, payer partnerships, and practice workflows....
Quality Management Nurse
Dignity Health Med Grp Inland Empire 555 reviews - Redlands, CA
Greivances and complaints) to appropriate forum for review (i.e., IPA Peer Review, QM Committee, Department/Groups)....
Sponsored by Dignity Health
Senior Manager, HOA Quality Performance Management
L.A. Care Health Plan 16 reviews - Los Angeles, CA
The Senior Manager, Quality Performance Management is responsible for managing the HEDIS and CAHPS data and operations staff which includes overseeing the HEDIS...
Sponsored by L.A. Care Health Plan

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Company with Hedis Review Nurse $80,000 jobs
Dignity Health is one of the nation’s leading hospital networks with opportunities available at 40 hospitals in AZ, CA, and NV.