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Director of Quality Review - Nurse
MJ Morgan Group - 10 reviews - New York, NY
Looking for a Director of Quality Review to direct and coordinate the daily operations of all Retrospective accounts, Cost Outlier unit and the QARR/ HEDIS...
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HEDIS Manager
Prior HEDIS project management experience is required. This position will monitor HEDIS data collection, conduct data analysis, coordinate medical record review...
Chief Medical Office - Health Plan
Wapiti Medical Staffing - Sioux Falls, SD
$200,000 - $250,000 a year
Review and interpret the medical and social history of members; Supervises nurse practitioners to ensure coordination/continuity of care to ensure access to...
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HEDIS NURSE / CHART REVIEW NURSES

NEXT LEVEL HEALTHCARE TI - Jamaica, NY 11434
$75,000 - $90,000 a year
Performing chart review HEDIS records. Reviewing and abstracting paper and electronic medical records utilizing NCQA HEDIS Technical specifications to optimize...
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Manager, Quality Management

MemorialCare - 63 reviews - Long Beach, CA
RN (Registered Nurse) license OR Licensed Vocational Nurse (LVN) license. The Manager of Quality is an experienced healthcare professional responsible for...

Quality Manager - Healthcare

KePRO - 23 reviews - United States
Minimum 5 years clinical experience as a Registered Nurse. Performs quality review activities and presents findings, conclusions, and recommendations....

Directorof Health Care Qaulity Management

Aetna - 2,210 reviews - Kenner, LA
Nurse Practitioner License. Ensures maintenance of accurate documentation for quality improvement activities such as HEDIS reporting, surveys, audits, peer...

Quality Improvement - Manager

WellCare - 672 reviews - Chicago, IL 60606 (Loop area)  +1 location
Maintains a knowledge base of HEDIS requirements and implementing clinical performance methods to improve HEDIS performance....

Quality Assurance Nurse, LVN

MemorialCare - 63 reviews - Long Beach, CA
Assist Quality Manager and/or Chief Medical Officer with analysis on any gaps in processes and review of potential quality of care issues or other activities...

Quality Improvement Manager Registered Nurse

TotalMed - Chicago, IL
$100,000 a year
Registered Nurse (RN). Maintains a knowledge base of HEDIS requirements and implementing clinical performance methods to improve HEDIS performance....
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HEDIS Quality Practice Consultant (Nurse) - San Francisco

Anthem, Inc. - 2,103 reviews - San Francisco, CA
2 years HEDIS experience preferred. During HEDIS season conduct provider medical record reviews and abstract information as part of the data collection process...

Manager Quality Assurance Audit ERA Job

Blue Cross and Blue Shield of Minnesota - Eagan, MN 55122
Perform quality assurance reviews of audit findings and provide guidance on medical record review issues. HEDIS or Stars experience....

Quality Nurse Auditor

Community Health Choice - 18 reviews - Houston, TX 77054 (Medical area)
Partner as needed with the HEDIS Manager and Performance Excellence Specialist to ensure compliance with timeliness of reviews, audits, and reporting...
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RN Manager UM Utilization Management - Buffalo, NY - 129931
Reviews benefit systems and cost benefit analysis. Able to review, track and report on metrics/data relating to inpatient and outpatient utilization management....
Senior HEDIS Nurse
Serves as liaison with key vendors supporting HEDIS; If required, supports state specific medical record collection and abstraction processes to drive optimum...

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