Hedis Review Nurse jobs in Houston, TX

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Medicare Risk Adjustment Coder - In office or Work at Home (...
Humana 827 reviews - United States
Prefer knowledge of NCQA HEDIS measures. Review medical record information to identify all appropriate coding based on CMS HCC categories....
Sponsored by HEALTHeCAREERS Network - 1 day ago
Manager, Medical Clinical Operations, RN Required - Houston,...
UnitedHealth Group 1,824 reviews - Houston, TX
RN, Registered Nurse, DON, Director of Nursing, Clinical Manager, Management, Home Health Nurse, Field Nurse, Clinical, Work from home, Texas, Houston, Sugar...
Sponsored by UnitedHealth Group - 2 days ago
HEDIS Clinical Practice Consultant RN - Telecommute - Harris...
UnitedHealth Group 1,824 reviews - Houston, TX
Supports the HEDIS medical record chase to support optimum HEDIS and quality metric reporting. Previous quality improvement experience, or other related managed...
Sponsored by UnitedHealth Group - 15 days ago

Manager, Medical Clinical Operations, RN Required - Houston,...

UnitedHealth Group 1,824 reviews - Houston, TX
RN, Registered Nurse, DON, Director of Nursing, Clinical Manager, Management, Home Health Nurse, Field Nurse, Clinical, Work from home, Texas, Houston, Sugar...

Medical Record Field Reviewer

Altegra Health 62 reviews - Houston, TX
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

Utilization Manager (Part time- Weekend Only)

Centene Corporation 182 reviews - Houston, TX
Masters degree in Behavioral Health or Registered Nurse required. Ensure compliance with all performance measures in regards to appeals, denials, higher level...

HC - Special Projects Nurses/Medical Professional - Senior

Ewings Associates - Sugar Land, TX 77478
HEDIS Special Projects Nurse **. Minimum 1 year HEDIS experience and/or knowledge. Successfully completes HEDIS technical specification training and testing....

Houston REMOTE Utilization Management Representative (RN or...

CareNational Healthcare Services, LLC - Houston, TX
Requires a valid, unrestricted state Registered Nurse (R.N.). You will perform prospective, concurrent & retrospective review of inpatient, outpatient,...
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HEDIS Nurse/LPN - NW Houston

Kelly Services 2,986 reviews - Houston, TX 77070
HEDIS nurse, HEDIS coordinator, HEDIS review nurse, HEDIS LPN, HEDIS licensed vocational nurse, LPN HEDIS, nurse case review (HEDIS). HEDIS NURSE/ LPN....

Utilization Manager (Part time- Weekdays)

Centene Corporation 182 reviews - Houston, TX
Masters degree in Behavioral Health or Registered Nurse required. Ensure compliance with all performance measures in regards to appeals, denials, higher level...

Utilization Manager - Part-time / Flexible Texas, Austin and...

Centene Corporation 182 reviews - Houston, TX
Master’s degree in Behavioral Health or Registered Nurse required. Ensure compliance with all performance measures in regards to appeals, denials, higher level...

HEDIS Clinical Practice Consultant RN - Telecommute - Harris...

UnitedHealth Group 1,824 reviews - Houston, TX
Supports the HEDIS medical record chase to support optimum HEDIS and quality metric reporting. Previous quality improvement experience, or other related managed...

Registered Nurse (RN) Case Assessments (Remote)

- Houston, TX
The Case Management Assessment Nurse will be responsible for calling client members and completing functional, pain management and other assessments required...
Registered Nurse (RN) Case Assessments (Remote)
- Houston, TX
The Case Management Assessment Nurse will be responsible for calling client members and completing functional, pain management and other assessments required...
Sponsored by CareerBuilder - 20 days ago
RN - Supervisor Case Management (LTC)
Molina Healthcare 118 reviews - Houston, TX
Concurrent review, utilization review, case manage, ambulance, ambulatory,. Functions as hands-on supervisor for daily Case Management activities including...
Sponsored by Molina Healthcare - 30+ days ago

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Company with Hedis Review Nurse jobs
1,824 reviews
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