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Hedis Review Nurse jobs in Newark, NJ

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Registered Nurse - Qualily Improvement - Government Programs
Current license to practice as a Registered Professional Nurse in New York State. Performs review of patient medical records for monitoring and evaluation of...
Sponsored
Director, Care & Utilization Management
Manages pre-authorization, concurrent review, and retrospective review processes for inpatient, outpatient and LTSS services....
Sponsored
Korean Speaking RN Practice Performance Coordinator- Bergen...
RN, Registered Nurse, Case Manager, Nursing, HEDIS, EMR, Managed Care, Medicare, New Jersey, NJ, Bergen County, Korean, Stars....
Sponsored by CallCenterJobs.com

Telephonic Diabetes RN Case Manager - Iselin, NJ

UnitedHealth Group - 3,958 reviews - Iselin, NJ
RN, Registered Nurse, Case Manager, Nursing, HEDIS, EMR, Managed Care, Medicare, Iselin, NJ, New Jersey. Experience with HEDIS and EMR (electronic medical...

Nurse Manager (RN) Vacancies - Mhttn, Bklyn, Qns, SI

AdvantageCare Physicians - New York, NY
Reviews Facility Codes/Disaster plans. The Nurse Manager is accountable for incorporating the nursing process into all interactions involving nurses and medical...

Senior Quality Nurse Reviewer-MLTC

Magellan Health - 53 reviews - Brooklyn, NY 11201
The nurse who fills this role will be responsible for assisting in the review of MLTC enrollments, outsourced reassessments, Quality of Care reviews and...

Clinical Documentation Improvement Specialist

Weill Cornell Medical College - 131 reviews - New York, NY
Registered Health Information Administrator (RHIA) or Registered Nurse (RN) licensure. 60-75% of time will be spent at work station performing computer work...

QA Management Coodinator

Professional Placement Associates Inc - New York, NY
OCS, MDS, FIMS, EQUIP, HEDIS). Concurrent medical record review, environmental rounds/inspections, PI initiatives)....

Registered Nurse (RN) - Long Island

AdvantageCare Physicians - New York, NY
Reviews and updates medication list, documents known allergies in EPIC. The position works under the supervision of a Clinical Nurse Manager....

Director, Care & Utilization Management

VISITING NURSE SERVICE OF NEW YORK - 167 reviews - Brooklyn, NY 11229 (Gravesend-Sheepshead Bay area)
Manages pre-authorization, concurrent review, and retrospective review processes for inpatient, outpatient and LTSS services....

AVP

Green Key Resources - 26 reviews - New York, NY 10016 (Gramercy area)
NYS Registered Nurse license. Oversee the quality review and remediation processes for member assessments. Oversee and manage HEDIS data submission, audit, and...

MD, DO, NP, PA/ Collaborating Physician/ Travel Nurse Practi...

Cozeva - Newark, NJ
Responsibility, Skills, and Difficulty of work Proficient with internet technology and healthcare software including Outlook, Excel, and text files Excellent...

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