Hedis Review Nurse $80,000 jobs

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Quality Improvement Nurse - Managed Care
MJ Morgan Group - 7 reviews - Lutherville-Timonium, MD
$85,000 - $92,000 a year
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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Manager, Nursing (RN) Vacancies - Mhttn, Bklyn, Qns
Reviews Facility Codes/Disaster plans. The Nurse Manager is accountable for incorporating the nursing process into all interactions involving nurses and medical...
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Nurse Manager
Altus Accountable Care Entity - Pearland, TX
Nurse Managers are registered nurses who manage the day to day activities of the Interdisciplinary Care Team (ICT) team....
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Quality/Risk RN FT (1.0) Days The Physician Network

Catholic Health Initiatives - 180 reviews - Lincoln, NE
Registered Nurse degree required. Registered Nurse licensure in the State of Nebraska required. Knowledge of local and national quality management and...

Quality RN Practice Consultant (NE Indiana) - 112641SK

Anthem, Inc. - 674 reviews - Delphi, IN
Assesses quality performance of the primary care practice, identify opportunities for improvement, asses current practice patterns, assets and challenges, NCQA...

Quality Management Consultant

Wellmark - 12 reviews - Des Moines, IA
The incumbent will also prepare onsite Inter-rater review records and is responsible for data extraction in physician offices and clinics as well as training...

Compliance Liaison

CareSource - 55 reviews - Dayton, OH
Support accreditation initiatives, including URAC, NCQA and HEDIS. Performs quality monitoring/case review in coordination with Quality Improvement staff....

Consultant, Clinical HEDIS Sr

CareFirst BlueCross BlueShield - 65 reviews - Baltimore, MD
Review and revise the HEDIS work plan. HEDIS Quality Improvement/Project Teams:. Confer with QI Director, Clinical HEDIS Manger, and workgroups as applicable,...

Clinical Compliance Liaison

CareSource - 55 reviews - Dayton, OH
Support accreditation initiatives, including URAC, NCQA and HEDIS. Performs quality monitoring/case review in coordination with Quality Improvement staff....

Quality Performance Specialist Clinical RN

AmeriHealth Caritas - 83 reviews - Des Moines, IA
In addition, responsibilities also include supporting the annual medical record review activities including HEDIS and, Clinical Practice Guidelines....

Clinical Service Manager

PopHealthCare - Providence, RI
Strong understanding of HEDIS and other Quality metrics. Completes hospitalization reviews to identify root cause and develop an action plan....
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HEDIS Nurse

MJ Morgan Group - 7 reviews - Lutherville-Timonium, MD
$80,000 a year
Currently seeking an Registered Nurse to fill a HEDIS Nurse position working within a managed care organization just outside of Baltimore....
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Health Services Quality Compliance & Accreditation - Senior...

WellCare - 151 reviews - Tampa, FL 33612
Licensed Registered Nurse Special Skills (e.g. Translates standard requirements into action plans to achieve positive survey/audit reviews and renewed contracts...
Assoc VP Quality Programs
Interfaces with HEDIS Operations for QI improvement activities. Participate in Nurse Advice Quality Committee and provide support for meeting URAC Accreditation...
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Chief Medical Officer
Familiarity with HEDIS 3 indicators for quality. Review of applications will begin immediately and continue until the position is filled....
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