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Hedis Review Nurse $80,000 jobs in Ohio

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AVP - Healthcare Services
Healthcare, Columbus, OH - Columbus, OH
Manage implementation of analytical studies that clearly quantify the benefits of Healthcare Services Medical Claims Review and Delegation Oversight Review...
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Compliance Liaison

CareSource - 69 reviews - Dayton, OH 45402 (Downtown area)
Support accreditation initiatives, including URAC, NCQA and HEDIS. Performs quality monitoring/case review in coordination with Quality Improvement staff....

Director, Healthcare Quality Management

Aetna - 1,632 reviews - New Albany, OH 43054
Nurse preferred but not mandatory. Strong understanding and experience with HEDIS and NCQA. Provides direction setting and leadership, with accountability for...

Director, Health Care Quality Management

Aetna - 1,632 reviews - New Albany, OH
Ensures maintenance of accurate documentation for quality improvement activities such as HEDIS reporting, surveys, audits, peer reviews, etc....

Mgr, Maternal Child Health Outcomes

CareSource - 69 reviews - Dayton, OH 45402 (Downtown area)
HEDIS initiatives as asigned. Current, unrestricted Registered Nurse (RN) licensure in state of practice is preferred....

Medical Dir

Molina Healthcare - 239 reviews - Columbus, OH
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

Medical Director

Arrow Passage Recovery - Massillon, OH
Reviews cases with nurses and therapists. Reviews quality referred issues, focused reviews and recommends corrective actions....
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