Hedis Review Nurse $80,000 jobs

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HEDIS REVIEW NURSE
Presbyterian Healthcare Services 40 reviews - Albuquerque, NM
Previous HEDIS Medical Record Review experience preferred. Performs Medical Record Reviews necessary to support quality initiatives and regulatory reporting,...
Sponsored by Presbyterian Healthcare Services - 30+ days ago
Santa Monica Utilization Review Nurse (RN) - Managed Care
CareNational Healthcare Services, LLC - Santa Monica, CA
$83,000 a year
Utilization Review Nurse (RN) - Managed Care. The Utilization Review Nurse is responsible for utilization management and utilization review for prospective,...
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Sponsored by CareNational Healthcare Services, LLC - 18 days ago

RN-Engagement/Quality Consultant -Greenville/Spartanburg, SC

Humana 758 reviews - Greenville, SC
Review medical records and identify needed improvements that impact HEDIS measures or coding (i.e. RN Quality Improvement Nurse Consultant....
5 days ago - save job - email - more...

Mgr, Health Care QM

Aetna 402 reviews - Beachwood, OH - +1 location
Nursing/Registered Nurse is required. HEDIS and STARs experience is required. Supplemental HEDIS data IT background experience preferred....
6 days ago - save job - email - more...

RN Provider Educator

WellMed Medical Mgmt, Inc - San Antonio, TX
Chart review, registered nurse, CPC, san antonio, tx, educator, provider education, sign-on bonus. Performs annual HEDIS chart reviews as determined by Clinical...
WellMed Medical Group - 9 days ago - save job - email - more...

RN, Clinical Claims Review

HealthCare Partners 68 reviews - Torrance, CA
Responsible for review, research and complete retrospective clinical claims review for Commercial, Senior and Medi-Cal products....
6 days ago - save job - email - more...

Special Project HEDIS Nurse

Adecco 3,783 reviews - Baton Rouge, LA
HEDIS RN or LPN job responsibilities include:. This position is responsible for HEDIS data collection. Responsible for completing auditing and/or medical...
5 days ago - save job - email - more...

QUALITY REVIEW SPECIALIST

Presence Health 40 reviews - Illinois
Complete ambulatory medical record reviews against internal and external performance measures and accreditation standards to ensure they are complete and meet...
3 days ago - save job - email - more...

Health Care QM Consultant

Aetna 402 reviews - Trenton, NJ
Accreditation and HEDIS data). Qualified candidates must have a Nursing/Licensed Practical Nurse (LPN) or a Nursing/Registered Nurse (RN) license....
9 days ago - save job - email - more...

RN Provider Educator for WellMed - SIGN ON BONUS

WellMed Medical Mgmt, Inc - San Antonio, TX
Performs annual HEDIS chart reviews as determined by Clinical Process Quality Manager or contracted plan. RN, Educator, Instructor, Case Management, Registered...
WellMed Medical Group - 19 days ago - save job - email - more...

Quality Improvement Nurse- Tallahassee

Humana 758 reviews - Tallahassee, FL
Review medical records and identify needed improvements that impact HEDIS measures or coding (i.e. This will be a market facing position, working from home...
20 days ago - save job - email - more...

Director of Quality Improvement

Meridian Health Plan 30 reviews - Detroit, MI - +1 location
Analyze and review data to identify opportunities for HEDIS improvement. Develop a comprehensive strategy for HEDIS improvement, including action plans for all...
17 days ago - save job - email - more...
Quality Assessment Manager
Chinese Community Health Plan - San Francisco, CA
 Registered Nurse with current CA California license. Monitors member access to provider network through HEDIS practitioner turnover measures;...
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Sponsored by Chinese Community Health Plan - 5 days ago
HEDIS RN OR LPN
Adecco 3,783 reviews - Chicago, IL
HEDIS RN or LPN job responsibilities include:. This position is responsible for HEDIS data collection. Responsible for completing auditing and/or medical...
Sponsored by Adecco - 13 days ago
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 - 30+ days ago

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