Hedis Review Nurse $80,000 jobs

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Registered Nurse Hedis Auditor
Adecco USA 4,298 reviews - Buffalo, NY
Registered Nurse Hedis Auditor job responsibilities include:. Provide quarterly quality reviews of UM nurse determinations in the UM tracking system;...
Sponsored by Adecco USA - 24 days ago
Pre-Service Review Nurse RN –
United Health Group 1,914 reviews - Phoenix, AZ
RN, Registered Nurse, UR, UM, Pre-Authorization, Utilization Review, Utilization Management, Concurrent Review, Milliman, Interqual, Managed Care, Insurance,...
Sponsored by NurseJobsNationwide.com - 13 days ago
REGISTERED NURSE / RN / LPN / HEDIS / CASE MANAGEMENT
General Healthcare Resources 29 reviews - Philadelphia, PA
HEDIS REVIEW / CASE MANAGEMENT. REGISTERED NURSE / RN. LICENSED PRACTICAL NURSE / LPN. General Healthcare Resources , an established leader in the professional...
Sponsored by Miracle Workers - 3 days ago

Registered Nurse (RN) HCS Clinical Trainer

Molina Healthcare 129 reviews - Irving, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Nurse, BSN, MSN, ADN, Field RN, field nurse, telephonic nurse, LPN, LVN, ACSW, AACN,...

Quality Management Nurse

Dignity Health 500 reviews - Redlands, CA 92374
Greivances and complaints) to appropriate forum for review (i.e., IPA Peer Review, QM Committee, Department/Groups)....

Medical Director - BH

Molina Healthcare 129 reviews - Bothell, WA
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

Director, Quality Management

Centene Corporation 193 reviews - Tucson, AZ
Manage all aspects of HEDIS improvement activities, including outreach, incentives, data integrity and chart review....

Quality Manager- Government Programs (Cigna Medical Group)

Cigna 862 reviews - Phoenix, AZ
Licensed Registered Nurse preferred. Demonstrated understanding of NCQA and HEDIS requirements. Reviews, maintains and updates MAP Quality P&Ps and Job Aids in...

East Central Regional Medical Director

Humana 884 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....

South Seattle Manager of Quality Improvement - Managed Care

CareNational Healthcare Services, LLC - South Seattle, WA - +1 location
Registered Nurse (R.N.). Knowledge of NCQA HEDIS, CMS Stars, Quality Operations, Risk Adjustment is required....
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Medical Director

Molina Healthcare 129 reviews - San Juan, PR - +4 locations
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

Registered Nurse Case Manager

Medical Staffing Network Care Management - Philadelphia, PA - +3 locations
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...

Registered Nurse Assessment Supervisor

Medical Staffing Network Care Management - Staten Island, NY
Please be advised that we are only considering nurses with the following:. A premiere New York MLTC is searching for a Registered Nurse Assessment Supervisor:....
HEDIS NURSE
HealthCare Scouts, Inc. - Cypress, CA
The HEDIS Registered Nurse RN will need to be extremely detailed oriented with exceptional medical record review skills....
Sponsored by Miracle Workers - 3 days ago
Utilization Review HEDIS Registered Nurse RN
Favorite Healthcare Staffing 133 reviews - Kansas City, MO
UR HEDIS Registered Nurse Requirements:. Utilization Review Registered Nurse RN Contract Available in Kansas City MO Must have 1 years of recent relevant RN...
Sponsored by CareerVitals.com - 17 days ago

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