Hedis Review Nurse jobs in Roselle, IL

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Quality and Utilization Nurse
Advanced Resources - 36 reviews - Chicago, IL 60604
Nurse (RN) with active Illinois license. Perform telephonic admission/concurrent review on hospital/SNF patients....
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Registered Nurse - RN HEDIS
Maxim is hiring Nurses with HEDIS, Quality Nursing, NCQA, and Medical Record Review experience. Current Registered Nurse (RN) License for the state in which the...
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Manager, Case Management
Reviews Healthways billing file for accuracy and submission in a timely fashion. Reviews training materials and monitor updates at regular intervals or as...
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HEDIS reviewer Nurse

Acclaim Systems - Downers Grove, IL
The assignment will encompass medical record review, including data collection from provider offices and abstraction of those records....
Easily apply

HEDIS Specialist

Molina Healthcare - 285 reviews - Oak Brook, IL
Annual HEDIS medical record review. Review which includes ongoing review of records submitted by providers and the. Required by HEDIS specifications....

HEDIS Nurse Medical Record Reviewer

Acclaim Systems - Downers Grove, IL
The assignment will encompass medical record review, including data collection from provider offices and abstraction of those records....
Easily apply

Utilization Management (UM) Lead

Innovista Health Solutions - Westchester, IL
Quality chart reviews:. Medicare/Medicaid and HEDIS criteria:. Experience in quality chart reviews. Registered Nurse (RN) with active Illinois license....
Easily apply

Sr Mgr Behavioral Health Utilization Mgmt Services

Blue Cross Blue Shield of IL, MT, NM, OK & TX - 6 reviews - Chicago, IL
Knowledge of UM Metrics, HEDIS, NCQA and URAC. This position is responsible for managing the development, implementation and administration of daily Behavioral...

Quality and Utilization Nurse

Advanced Resources - 36 reviews - Chicago, IL 60604 (Loop area)
Nurse (RN) with active Illinois license. Perform telephonic admission/concurrent review on hospital/SNF patients....

HEDIS Nurse - URGENT

QSA - Chicago, IL
High functioning LPN with HEDIS medical record review experience. Previous HEDIS experience. Have excellent clinical and critical thinking skills....
Easily apply

Supv Quality Improvement

Molina Healthcare - 285 reviews - Oak Brook, IL
Registered Nurse with current State License. Education, incorporating NCQA, HEDIS and HHSC/TDI standards and regulations....

Associate Quality Practice Advisor

WellCare - 574 reviews - Chicago, IL 60606 (Loop area)
Required Licensed Practical Nurse (LPN). Required Acute Care Nurse Practitioner (APRN) (ACNP-BC). Under general guidance form Senior Quality Practice Advisors...

HEDIS NURSE Clinical Oversight Role

Equity Staffing - Chicago, IL
Clinical licensure in healthcare (RN, LPN, RT, RD, etc) min 3 years HEDIS experience. Clinical Oversight o Oversee vendor abstraction o Provide Over-reads on...
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