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May 19 QI Nurse Field Reviewer Coventry Healthcare Fort Lauderdale, FL

activities, utilization patterns, audits, HEDIS results,appeals, etc.- Identifies ... SPECIFICATIONS- Licensed Practical Nurse (LPN) or Registered Nurse (RN) with... more

Apr 11 RN - HEDIS Project Manager - Managed Care Nurse Resolutions Texas

The Manager, HEDIS Medical Record Review (MRR) is responsible for developing strategies ... assurance processes; oversight of the annual HEDIS medical record review project,... more

Oct 25 RN-Quality Analyst & Clinical Educator Nurse Resolutions San Antonio, TX

will further have responsibility for HEDIS quality chart review. Accountable for ... processes and guidelines. 6. Performs annual HEDIS chart reviews as determined by Director... more

More Job Postings from the Web
May 22 Manager, HEDIS Clinical Caresource Dayton, OH

medical record review vendor during the HEDIS Hybrid medical record review season. ... during the HEDIS Hybrid medical record review season * In conjunction with the HEDIS... more

May 18 RN - Utilization Review Nurse - Managed Care Nurse Resolutions Seattle, WA

* Performs onsite and/or telephonic review of acute and subacute services ... review, utilization management, concurrent review, medical review, HEDIS, CCM, CPUR,... more

May 17 Facility Site Reviewer RN Kaiser Permanente Oakland, CA

Regional Master Trainer and Regional Site Review Trainer to develop and give training ... on the requirements of the Medi-Cal Site Review process. This position will require... more

May 16 Billing and Coding Specialist,HEDIS Abstractor Randstad Healthcare [clinical One] Las Vegas, NV

Candidates needed for Las Vegas NV Nurse Auditor positions. Conduct medical record reviews ... medicare submission. Performs medical record review of charts comparing ICD-9 codes for... more

May 16 RN - Onsite Review Nurse Humana Dunwoody, GA

Role: RN - Onsite Review Nurse Assignment: Medicare Location: Atlanta, GA Are you a fit? ... Capsule This is an Onsite Utilization Review Role supporting Acute Care Facilities... more

May 15 Clinical Quality RN - HEDIS experience UnitedHealth Group Las Vegas, NV

peer reviews. Responsibilities: * Perform HEDIS medical record review in physician ... * Previous HEDIS data collection and medical record/chart review experience highly preferr... more

May 11 Nurse Reviewer Specialist Meridian Health Plan Detroit, MI

information Conduct tasks as assigned by nurse reviewer, i.e., follow-up calls to ... to practice as a Licensed Practical Nurse or Registered Nurse in the State of... more

May 09 Utilization Review /Care Coordinator-RN (UR/CC-RN) Family Health Centers of San Diego San Diego, CA

Under the supervision of the Care Coordination Services Manager, the Utilization Review/Ca ... The UR/CC-RN provides utilization review of EHR collaborating with medical providers, clin... more

May 08 HN89- HEDIS Review Nurse Kelly Services Palm Beach, FL

patient chart review in accordance with HEDIS metrics, to include some telephonic ... review experience required; knowledge of and \ or HEDIS review experience... more

May 03 HEDIS Project Manager Job AMERIGROUP Seattle, WA

SUMMARY :The Manager, HEDIS Medical Record Review (MRR) is responsible for developing ... assurance processes; oversight of the annual HEDIS medical record review project,... more

May 01 HN89 - HEDIS Review Nurse Kelly Services Columbia, MD

an RN/HEDIS NURSE or a Licensed Practical Nurse / HEDIS Nurse in Columbia, MD. This is ... Registered Nurse or Licensed Practical Nurse license in Maryland required In... more

May 01 HEDIS Review Nurse Kelly Services Los Angeles, CA

Needs:Currently seeking an experienced HEDIS Review Nurse in Los Angeles, ... lead by conducting overreads * Conducts HEDIS audits at provider sites... more

May 01 Registered Nurse (RN) HEDIS/Quality Virginia Premier Health Plan Richmond, VA

Primary Function: HEDIS Duties may include: Coordination and collection of HEDIS data remo ... Registetred Nurse with active and valid license in VA 2-3 years of HEDIS experienc... more

Apr 20 Hedis Reporting - Sr Manager WellCare Florida

and developing Quality Improvement measures (HEDIS type measures), performing intervention ... 5+ years experience in health care industry with a focus on QI and/or HEDIS analytics repo... more

Apr 17 QI Nurse Field Reviewer Job Coventry Health Care Florida

relate to trends identified via utilization review activities, utilization patterns, ... Licensed Practical Nurse (LPN) or Registered Nurse (RN) with active state license... more

Apr 05 LPN/Medical Professional Job requiring HEDIS Soliant Staffing California

with chart review **Medical Record Review / plus previous Admin experience ... project **Duties include medical record review, data collection, chart abstraction... more

Mar 28 RN- Utilization Review Nurse - Managed Care Nurse Resolutions Seattle, WA

Performs on-site and/or telephonic review of acute and subacute services ... review, utilization management, concurrent review, medical review, HEDIS, CCM, CPUR,... more

Mar 09 HEDIS Nurse Kelly Healthcare Resources Tampa, FL

or LPN as long as they have previous HEDIS review and clinical abstraction experience. ... The 2012 HEDIS measures will be: Adult BMI, Chronic Hypertention, Comprehensive Diabetes,... more

Mar 04 HEDIS Project Manager AMERIGROUP Seattle, WA

The Manager, HEDIS Medical Record Review (MRR) is responsible for developing strategies ... assurance processes; oversight of the annual HEDIS medical record review project,... more

Feb 28 NY HEDIS Program Lead RN Carenational Healthcare Services Garden City, NY

Job Summary: The Quality Management HEDIS Review Nurse coordinates and performs ... The HEDIS Review Nurse will conduct their medical record review by first identifying the e... more

Oct 25 Records Review Nurse, RN Summacare Akron, OH

an RN to perform medical record reviews for HEDIS, CMS, and other quality studies, as ... Required Licenses and/or Certificates: Registered Nurse (RN)... more

Oct 10 QARR/HEDIS Nurses Hospital New York, NY

QualificationsThe candidate must hold a valid NY license, and have QARR/HEDIS experience.J ... and visiting physician offices for chart review, as well as reading medical records. more

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