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 332 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
Director of Quality Improvement and Program Management
BMC HealthNet Plan and Well Sense - Boston, MA
Reviews and edits documentation (e.g. Including HEDIS, P4P, CAHPS, and CMS is required. Provides leadership for all activities relating to the development and...
Sponsored by Boston Medical Center HealthNet Plan

Quality Improvement Specialist

Healthfirst 102 reviews - New York, NY
NYS Registered Nurse, Masters of Public Administration, Masters of Public Health. Reviews data to determine whether satisfactory improvement occurred and in...

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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Registered Nurse Case Manager

Medical Staffing Network Care Management - New York, NY - +7 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...

Quality Improvement Specialist - RN

Federal Contract Holder - Timonium, MD
Assists the Quality Management Department with the coordination and preparation of HEDIS medical record reviews, which includes ongoing review of medical...
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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....

Performance Improvement Clinical Specialist

Green Key Resources 22 reviews - New York, NY
Participates in the evaluation of procedures, tools and protocols for clinical review processes, including proposal of design, revision and implementation of...

Full Time – Clinic Manager – Houston – 24917 FM 1314 Rd Port...

Take Care Health Systems 10 reviews - Porter, TX
O Completion of mid-year and year-end reviews,. Valid accreditation from the AANP or ANCC as a Family Nurse Practitioner....

Registered Nurse ED Case Manager

Medical Staffing Network Care Management - New York, NY - +2 locations
A premiere New York Health System has an immediate need for an Registered Nurse ED Nurse Case Manager . Please be advised that we are only considering nurses...

QA Management Coodinator

Professional Placement Associates Inc - New York, NY
OCS, MDS, FIMS, EQUIP, HEDIS). Concurrent medical record review, environmental rounds/inspections, PI initiatives)....

Licensed Health Care Quality Management (QM) Consultant (RN,...

Aetna 507 reviews - Shelton, CT
Nursing/Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN) is required. Nursing/Registered Nurse (RN) is preferred....
RN, Director of HEDIS
HealthCare Support Staffing 54 reviews - City of Sunrise, FL
Registered Nurse, Director of QI/HEDIS. Are you an experienced Registered Nurse with HEDIS experience looking for a new opportunity with a prestigious...
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Sponsored by HealthCare Support Staffing
Quality Management Nurse
Dignity Health Med Grp Inland Empire 537 reviews - Redlands, CA
Greivances and complaints) to appropriate forum for review (i.e., IPA Peer Review, QM Committee, Department/Groups)....
Sponsored by Dignity Health

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