Hedis Review Nurse jobs in Buffalo, NY

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Medical Services Program Manager

Univera Healthcare - 10 reviews - Buffalo, NY
The Program Manager conducts ongoing review of Utilization Management/Case Management literature and current clinical evidence of effectiveness....

Medical Services Program Manager

Excellus BlueCross BlueShield - 28 reviews - Buffalo, NY
The Program Manager conducts ongoing review of Utilization Management/Case Management literature and current clinical evidence of effectiveness....

Quality Practice Advisor

WellCare - 677 reviews - Buffalo, NY 14202 (Central Business District area)
Required 2 years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in data and chart reviews to provide...

Supv Clin Qlty Measurement

Excellus BlueCross BlueShield - 28 reviews - Buffalo, NY
HEDIS experience preferred. Oversees clinical studies for HEDIS QARR QRS measures. Medical record reviews and clinical studies required by the Health Plan in...

Supv Clin Qlty Measurement

Univera Healthcare - 10 reviews - Buffalo, NY
HEDIS experience preferred. Oversees clinical studies for HEDIS QARR QRS measures. Medical record reviews and clinical studies required by the Health Plan in...

RN Manager UM Utilization Management

Anthem, Inc. - 2,158 reviews - Buffalo, NY
Reviews benefit systems and cost benefit analysis. Able to review, track and report on metrics/data relating to inpatient and outpatient utilization management....

Supervisor of Utilization Management

CareNational Healthcare Services (CNHS) - Buffalo, NY
Registered Nurse (RN). Monitors reports and ensures that chart reviews, pending claims reviews and documentation are completed as required per policy....
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Registered Nurse (RN) - Supervisor of Utilization Management

CareNational - Amherst, NY
Knowledge of health care delivery system, utilization review and case review procedures. Monitors reports and ensures that chart reviews, pending claims reviews...

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