Hedis Review Nurse jobs
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Featured Job Postings from the Web
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| May 19 | QI Nurse Field Reviewer | Coventry Healthcare | Fort Lauderdale, FL |
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activities, utilization patterns, audits, HEDIS results,appeals, etc.- Identifies ... SPECIFICATIONS- Licensed Practical Nurse (LPN) or Registered Nurse (RN) with... more |
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| Apr 11 | RN - HEDIS Project Manager - Managed Care | Nurse Resolutions | Texas |
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The Manager, HEDIS Medical Record Review (MRR) is responsible for developing strategies ... assurance processes; oversight of the annual HEDIS medical record review project,... more |
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| Oct 25 | RN-Quality Analyst & Clinical Educator | Nurse Resolutions | San Antonio, TX |
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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 |
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| May 22 | Manager, HEDIS Clinical | Caresource | Dayton, OH |
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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 |
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| May 18 | RN - Utilization Review Nurse - Managed Care | Nurse Resolutions | Seattle, WA |
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* Performs onsite and/or telephonic review of acute and subacute services ... review, utilization management, concurrent review, medical review, HEDIS, CCM, CPUR,... more |
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| May 17 | Facility Site Reviewer RN | Kaiser Permanente | Oakland, CA |
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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 |
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| May 16 | Billing and Coding Specialist,HEDIS Abstractor | Randstad Healthcare [clinical One] | Las Vegas, NV |
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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 |
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| May 16 | RN - Onsite Review Nurse | Humana | Dunwoody, GA |
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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 |
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| May 15 | Clinical Quality RN - HEDIS experience | UnitedHealth Group | Las Vegas, NV |
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peer reviews. Responsibilities: * Perform HEDIS medical record review in physician ... * Previous HEDIS data collection and medical record/chart review experience highly preferr... more |
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| May 11 | Nurse Reviewer Specialist | Meridian Health Plan | Detroit, MI |
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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 |
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| May 09 | Utilization Review /Care Coordinator-RN (UR/CC-RN) | Family Health Centers of San Diego | San Diego, CA |
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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 |
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| May 08 | HN89- HEDIS Review Nurse | Kelly Services | Palm Beach, FL |
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patient chart review in accordance with HEDIS metrics, to include some telephonic ... review experience required; knowledge of and \ or HEDIS review experience... more |
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| May 03 | HEDIS Project Manager Job | AMERIGROUP | Seattle, WA |
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SUMMARY :The Manager, HEDIS Medical Record Review (MRR) is responsible for developing ... assurance processes; oversight of the annual HEDIS medical record review project,... more |
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| May 01 | HN89 - HEDIS Review Nurse | Kelly Services | Columbia, MD |
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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 |
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| May 01 | HEDIS Review Nurse | Kelly Services | Los Angeles, CA |
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Needs:Currently seeking an experienced HEDIS Review Nurse in Los Angeles, ... lead by conducting overreads * Conducts HEDIS audits at provider sites... more |
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| May 01 | Registered Nurse (RN) HEDIS/Quality | Virginia Premier Health Plan | Richmond, VA |
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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 |
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| Apr 20 | Hedis Reporting - Sr Manager | WellCare | Florida |
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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 |
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| Apr 17 | QI Nurse Field Reviewer Job | Coventry Health Care | Florida |
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relate to trends identified via utilization review activities, utilization patterns, ... Licensed Practical Nurse (LPN) or Registered Nurse (RN) with active state license... more |
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| Apr 05 | LPN/Medical Professional Job requiring HEDIS | Soliant Staffing | California |
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with chart review **Medical Record Review / plus previous Admin experience ... project **Duties include medical record review, data collection, chart abstraction... more |
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| Mar 28 | RN- Utilization Review Nurse - Managed Care | Nurse Resolutions | Seattle, WA |
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Performs on-site and/or telephonic review of acute and subacute services ... review, utilization management, concurrent review, medical review, HEDIS, CCM, CPUR,... more |
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| Mar 09 | HEDIS Nurse | Kelly Healthcare Resources | Tampa, FL |
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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 |
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| Mar 04 | HEDIS Project Manager | AMERIGROUP | Seattle, WA |
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The Manager, HEDIS Medical Record Review (MRR) is responsible for developing strategies ... assurance processes; oversight of the annual HEDIS medical record review project,... more |
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| Feb 28 | NY HEDIS Program Lead RN | Carenational Healthcare Services | Garden City, NY |
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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 |
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| Oct 25 | Records Review Nurse, RN | Summacare | Akron, OH |
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an RN to perform medical record reviews for HEDIS, CMS, and other quality studies, as ... Required Licenses and/or Certificates: Registered Nurse (RN)... more |
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| Oct 10 | QARR/HEDIS Nurses | Hospital | New York, NY |
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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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