Hedis Review Nurse jobs in Ohio

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Medical Director – Clinical Health Plan (Behavioral Health)...
Molina Healthcare 190 reviews - Columbus, OH
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....
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Associate Dir. Perinatal Health Services - UHC Community Pla...
UnitedHealth Group 2,439 reviews - Columbus, OH
Registered nurse, Nurse Practitioner , or any related advanced clinical degree having at least 5 years of experience providing direct care or care coordination...
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Medical Record Field Reviewer

Altegra Health 114 reviews - Tiffin, OH  +10 locations
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

Medical Chart Reviewer

Altegra Health 114 reviews - Lucas, OH  +2 locations
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

Associate Dir. Perinatal Health Services - UHC Community Pla...

UnitedHealth Group 2,439 reviews - Columbus, OH 43229 (Northland area)
Registered nurse, Nurse Practitioner , or any related advanced clinical degree having at least 5+ years of experience providing direct care or care coordination...

Medical Dir

Molina Healthcare 190 reviews - Cincinnati, OH  +1 location
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

Director Quality and Productivity

EnvisionRx - Twinsburg, OH
Clinical experience in a medical profession, such as pharmacist, nurse or physician preferred. Review regulatory and contractual requirements and accreditation...
Easily apply

Senior Quality Improvement Coordinator, RN

Promedica 42 reviews - Maumee, OH
Performs audits of primary care and specialist medical records to support compliance with NCQA Standards, ODM, QHP, CMS and HEDIS reporting requirements....
Easily apply

Columbus Quality Improvement Initiatives RN (STAR/P4P/HEDIS)...

CareNational Healthcare Services, LLC - Columbus, OH 43219 (Northeast area)
Current, valid, and unrestricted state Registered Nurse (R.N.). Must have strong skills in medical assessment / medical record review;...

Full–Time – Clinic Manager – Cleveland – 100 Cleveland St. E...

Take Care Health 117 reviews - Elyria, OH
Valid accreditation from the AANP or ANCC as a Family Nurse Practitioner. Healthstream, HEDIS, etc…) Deliver counseling or other discipline to colleagues who...

Medical Director – Clinical Health Plan (Behavioral Health)...

Molina Healthcare 190 reviews - Columbus, OH
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

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