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HEDIS Abstractor Nurse (RN)
The HEDIS Abstractor Nurse (RN):. Reviews and abstracts paper and electronic medical records utilizing NCQA HEDIS Technical specifications to optimize Plan...
Sponsored
Quality, Compliance and Accreditation - Clinical Advisor, RN
Humana - 1,959 reviews - Miramar, FL
Review medical records for appropriate and timely health care and service. Collect and review medical record data (HEDIS) to show compliance and improvement...
Sponsored by InsuranceJobs.com
DIRECTOR OF CLINICAL SUPPORT SERVICES
FIU - Herbert Wertheim College of Medicine - Miami, FL
Registered Nurse (RN) degree preferred. Work experience as a Registered Nurse (RN) preferred. Experience in dashboard development, utilization review and...
Sponsored by HEALTHeCAREERS Network

HEDIS MEDICAL Record Review Project Nurse

Freedom Health - 28 reviews - Tampa, FL 33614
The HEDIS ® Medical Record Review Project Nurse is responsible for reviewing medical records for the HEDIS ® Project and auditing the HEDIS ® provider portal....

Population Healthcare Manager/RN

Community Care Plan - City of Sunrise, FL 33323
Registered nurse licensure in the state of Florida. Review daily census for any enrollee in their panel admitted to the hospital;...

Quality Specialist

Magellan Health - 60 reviews - Orlando, FL 32812
Defines, reviews and validates quality reports for internal and external customers. Monitoring of performance guarantees, provider profiling support, and CAPs...

High Intervention Team (RN Case Manager or LPN Care Coordina...

Family Physicians Group - 21 reviews - Orlando, FL
Chart review experience. Knowledges of HEDIS and its guidelines. Professional requirements for this job include a degree on the medical field-Registered Nurse,...
Easily apply

RN Utilization Review Nurse

Allstaff Technical Solutions - Tampa, FL
Medical Chart Review or HEDIS experience:. Utilization Review Nurse to work for a National Managed Care Company in Tampa*....
Easily apply

Population Health Nurse

Holy Cross Hospital - 110 reviews - Fort Lauderdale, FL
Review medical records for patients identified by health plans, providers or HCPP as needing review. Conduct targeted reviews of medical documentation....

Embedded Quality/STARS Case Manager RN (Polk County)

Florida Blue - 179 reviews - Lake Mary, FL 32746  +2 locations
Assist in medical chart review and data collection during HEDIS season. Participate in meetings with concurrent review nurses, transitions of care nurses,...

Utilization Case Manager

Family Physicians Group - 21 reviews - Orlando, FL
Chart review experience. Knowledges of HEDIS and its guidelines. Professional requirements for this job include a degree on the medical field-Registered Nurse,...
Easily apply

RN Case Manager

Family Physicians Group - 21 reviews - Orlando, FL  +1 location
Chart review experience. Knowledges of HEDIS and its guidelines. Professional requirements for this job include a degree on the medical field-Registered Nurse,...
Easily apply

Case Manager/Utilization Review Nurse

COMMUNITY HEALTH CENTERS OF PINELLAS, INC. - Saint Petersburg, FL 33712
CHCP is currently interviewing for experienced *Case Manager/Utilization Review Nurse*. Schedule and perform on-site medical record reviews at center offices,...
Easily apply
Continucare - MRA Certified Medical Coder -CNU South Tampa C...
Humana - 1,959 reviews - Tampa, FL
Knowledge of MRA or HEDIS. Review medical record information to identify all appropriate coding based on CMS HCC categories....
Sponsored by InsuranceJobs.com
HEDIS Abstractor Nurse (RN)
HEDIS Abstractor Nurse (RN) Location:. Company Description Insurance Company Job Description The HEDIS Abstractor Nurse (RN):....
Sponsored by Nurse.com

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