Hedis Review Nurse $80,000 jobs

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Director of Quality Improvement and Program Management
BMC HealthNet Plan and Well Sense - Boston, MA
Registered nurse with active license. Including HEDIS, STARs, CAHPS, and CMS is required. Drafts as well as reviews and edits documentation (e.g....
Sponsored by Boston Medical Center HealthNet Plan
Vice President of Nursing, Quality and Safety
USMD - Irving, TX
Measures and reviews system performance. Reviews training at least annually and makes modifications as needed....
Easily apply
Sponsored by USMD

RN-Network Performance Improvement Consultant-Grand Rapids-B...

Provider Contracting, West & Mid - Grand Rapids, MI
Registered nurse with unrestricted current Michigan license required. Demonstrated ability to review and understand patient medical records....

Utilization Manager

Centene Corporation 238 reviews - Des Moines, IA  +1 location
Masters degree in Behavioral Health or Registered Nurse required. Ensure compliance with all performance measures in regards to appeals, denials, higher level...

Hedis RN- 5 positions

Solomon Page Group 10 reviews - New York, NY
The HEDIS Nurse will be responsible for completing auditing and/or medical records review projects. Supports the HEDIS medical record chase to support optimum...

Utilization Review Nurse

All's Well 12 reviews - Oakland, CA
$90,000 a year
Apply for this great position as a Utilization Review Nurse today! We are in search for nurses with utilization review, discharge planning and Interqual/HEDIS...

San Francisco Utilization Review Nurse (RN) - Managed Care

CareNational Healthcare Services, LLC - San Francisco, CA
$90,000 - $100,000 a year
The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review....
Easily apply

Appeals Registered Nurse

Medical Staffing Network Care Management - New York, NY
Perform medical record review for cases submitted for retrospective review, appeal or quality measurement....

St. Louis Manager of Quality Improvement - Managed Care

CareNational Healthcare Services, LLC - St. Louis, MO
$75,000 - $90,000 a year
STARS, HEDIS, and/or CAHPS. Valid, unrestricted state Registered Nurse (R.N.). Minimum of 4-5 years Quality Improvement or Utilization Review experience (mix of...
Easily apply

Travel Registered Nurse Case Manager

Medical Staffing Network Care Management - Gainesville, FL  +9 locations
Please be advised that we are only considering nurses with the following:. Bring your case management and utilization review experience to Gainsville, Florida...

Sr Manager Behavioral Health Utilization Mgmt Svc

Blue Cross Blue Shield of IL, MT, NM, OK & TX - Albuquerque, NM
Knowledge of UM Metrics, HEDIS, NCQA and URAC. This position is responsible for managing the development, implementation and administration of daily Behavioral...

Vice President - Clinical Services - Work Remotely

Gorman Health Group - United States
Must have at least 10 years of clinical experience as a licensed vocational orregistered nurse in addition to the requirements below....
Easily apply

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