Hedis Review Nurse jobs in Florida

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Allied - Registered Nurse
Wellcare 74 reviews - Tampa, FL
care complaint/adverse event review and assessment of medical record review results and recommend actions... through medical record review. Fields annual member...
Sponsored by NicheMedicalJobs.com - 7 days ago
Jacksonville Supervisor of Utilization Management (RN or LPN...
CareNational Healthcare Services, LLC - Jacksonville, FL
The Nurse Supervisor will oversee the review of... reviews with staff and provides feedback to the Manager. Monitors reports and ensures that chart reviews... $75,000 - $78,000 a year
Easily apply
Sponsored by CareNational Healthcare Services, LLC - 16 days ago
Care Manager (Sign-On Bonus)
Centene Corporation 135 reviews - Maitland, FL
review timeliness, Outpatient Treatment Report review... of care and adherence to HEDIS standards. Compile and report daily review activity and facility...
Sponsored by Centene Corporation - 23 days ago

Clinical HEDIS Practice Advisor, RN (Registered Nurse) Jacks...

WellCare 74 reviews - Jacksonville, FL
Clinical HEDIS Practice Advisor, RN (Registered Nurse... HEDIS medical record review and/or Quality Improvement with experience in clinical data/chart reviews and...
2 days ago - save job - block - email - more...

Quality Improvement Nurse - Miami-Dade, FL

Humana 604 reviews - Doral, FL - +1 location
The Quality Improvement Nurse in Miami-Dade will... providing support Review medical records and identify needed improvements that impact HEDIS measures or...
2 days ago - save job - block - email - more...

Clinical HEDIS Practice Advisor, RN (Registered Nurse) Orlan...

WellCare 74 reviews - Orlando, FL - +1 location
Clinical HEDIS Practice Advisor, RN (Registered Nurse... HEDIS medical record review and/or Quality Improvement with experience in clinical data/chart reviews and...
28 days ago - save job - block - email - more...

Medical Record Field Reviewer

Outcomes Health Information Solutions 34 reviews - Miami-Dade County, FL
2. HEDIS 3. Medical Record Reviews (Accreditation) 4... record review services 2. Scan relevant components of the medical record to support reviews performed 3...
Easily apply
22 days ago - save job - block - email - more...

Quality Improvement Project Manager, Tampa, FL - Corporate H...

WellCare 74 reviews - Tampa, FL
care complaint/adverse event review and assessment of medical record review results and recommend actions... through medical record review. Fields annual member...
2 days ago - save job - block - email - more...

Care Manager (Sign-On Bonus)

Centene Corporation 135 reviews - Maitland, FL - +2 locations
review timeliness, Outpatient Treatment Report review... of care and adherence to HEDIS standards. Compile and report daily review activity and facility...
23 days ago - save job - block - email - more...

Quality Improvement Coordinator

Borinquen Health Care Center Inc. - Miami, FL
care, understanding of HEDIS, UDS and Clinical... electronic health record reviews/audits Facilitate the completion of periodic peer review audits and other... $55,000 - $65,000 a year
CareerBuilder - 2 days ago - save job - block - email - more...

Quality Improvement Nurse -Medical Record Review focus - Pen...

Humana 604 reviews - Pensacola, FL
The Quality Improvement Nurse with medical record... for Humana members Review medical records and identify needed improvements that impact HEDIS measures or...
14 days ago - save job - block - email - more...

Clinical Resource Specialist

Centene Corporation 135 reviews - Jacksonville, FL - +1 location
Review quality of care concerns and determine appropriateness for further follow-up Work closely with Concurrent Review Nurses in discharge planning activities...
30+ days ago - save job - block - email - more...

Chronic Care Management Nurse

Prestige Health Choice - Orlando, FL - +2 locations
telephonic concurrent reviews and discharge planning... setting. § Minimum of three (3) years of utilization review and case management § Current and unrestricted...
30+ days ago - save job - block - email - more...
Medical Record Field Reviewer
Outcomes Health Information Solutions 34 reviews - Miami-Dade County, FL
2. HEDIS 3. Medical Record Reviews (Accreditation) 4... record review services 2. Scan relevant components of the medical record to support reviews performed 3...
Easily apply
Sponsored by Outcomes Health Information Solutions - 22 days ago
Operating Room RN, Federal Contract, Eglin, AFB
U.S. Got People - Eglin AFB, FL
REGISTERED NURSE 1.1.1. SPECIFIC TASKS The OR Nurse... Data and Information Set (HEDIS) measures. The OR Nurse will be required to consult with other OR Nurses...
Easily apply
Sponsored by U.S. Got People - 30+ days ago
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