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Aug 27 Clinical Practice Consultant RN - Quality / HEDIS - Work virtually in the field UnitedHealth Group Tyler, TX

Qualifications: * Experience working with HEDIS performance measures * Experience ... keywords: RN, Registered Nurse, HEDIS, Quality, Compliance, Medicaid,... more

Aug 26 HEDIS - Registered Nurse - RN Maxim Staffing Solutions Albuquerque, NM

Maxim Healthcare is currently looking for a HEDIS review Nurse to work a full time ... RN. If you have 2 years' experience in HEDIS review and are looking for a new opportunity... more

Aug 25 HEDIS Nurse Abstractor CSI Companies Franklin, TN

patient Medical record. In most cases, the HEDIS Abstractor Nurse will initiate ... nurse, case management, utilization review, utilization management, HEDIS, nurse... more

Aug 24 Utilization Review Registered Nurses Needed (UR RN) Maxim Staffing Solutions Albuquerque, NM

have 5 positions open in Utilization Review, Discharge Planning and HEDIS Review. ... clinic, r.n., rn, registered nurse, nursing, nurse, er, emergency, practical nurse,... more

Aug 24 POD Owner - HEDIS/Quality RN Humana Jacksonville, FL

## Description **Role:**POD Owner - HEDIS/Quality RN **Assignment:**Medicare **Location:** ... or process improvement * Knowledge of HEDIS/Stars/CMS * Strong organizational and... more

Aug 23 RN, Clinical Claims Review Healthcare Partners Torrance, CA

aRN, Clinical Claims Review: Responsiblefor review, research and complete retrospective ... * 2 to 4 years managed care / HMO experience preferably in utilization review, case manage... more

Aug 23 VP, HEDIS and Performance Outcomes Caresource Management Group Dayton, OH

(EQRO) state audit processes Provides HEDIS/Quality leadership representation in ... progressive, operational experience in HEDIS, quality management, quality... more

Aug 23 RN - Quality Improvement/HEDIS Nurse /POD Owner Humana Gainesville, FL

## Description **Role:** RN - Quality Improvement Nurse/POD Owner **Assignment:**Medicare ... The Quality Improvement Nurse/POD Owner will facilitate and work collaboratively with prov... more

Aug 23 Manager -HEDIS Judge Group Iselin, NJ

-Implementsand evaluates current HEDIS processes including operational ... internal and external HEDIS quality review activities. -Managesand oversees... more

Aug 22 Registered Nurse Hedis Nurse Job Yoh Staffing Irving, TX

Registered Nurse Hedis Nurse needed for a Contract opportunity with Yoh's client located ... and preparation of the HEDIS medical record review- Ongoing review of records submitted... more

Aug 22 Registered Nurse Hedis Nurse Job Yoh Irving, TX

Registered Nurse Hedis Nurse needed for a Contract opportunity with Yoh's client located ... and preparation of the HEDIS medical record review - Ongoing review of records submitted... more

Aug 21 Utilization Review Registered Nurses Needed (UR RN) Maxim Healthcare Albuquerque, NM

have 5 positions open in Utilization Review, Discharge Planning and HEDIS Review. ... clinic, r.n., rn, registered nurse, nursing, nurse, er, emergency, practical nurse,... more

Aug 20 Utilization Review Nurse (RN) Healthcare Support Staffing Kapolei, HI

RN Nurse Reviewer (Hedis/Qarr) Position Summary: Are you an experienced Registered Nurse ... planning, pre and post payment review of inpatient admissions, evaluate patient’s... more

Aug 20 Utilization Review Coordinator, HCA Physician Services (Mountain Division) - Cottonwood Heights HCA American Fork, UT

Utilization Review Coordinator, HCA Physician Services (Mountain Division) - Cottonwood ... performance standards for identified HEDIS measurements, closing gaps-in-care,... more

Aug 20 RN Manager | Utilization Review (Managed Care) Edge Recruitment Solutions New York City, NY

experience and solid experience in HEDIS reporting for the role of Nurse Manager ... indicators reporting, focus studies, and HEDIS reporting. Must have the ability to... more

Aug 20 HEDIS Manager (RN) RCM Healthcare Services Iselin, NJ

Implements and evaluates current HEDIS processes including operational ... in internal and external HEDIS quality review activities Manages the production,... more

Aug 20 HEDIS Abstractor Nurse - US Telecommute UnitedHealth Group Memphis, TN

Performance. The HEDIS Abstractor Nurse will measure the quality of Preventative and ... Medical record. In most cases, the HEDIS Abstractor Nurse will initiate secondary chart... more

Aug 19 HEDIS Review Nurse I (VH) Verisk Health Waltham, MA

skill and earn extra $$! HEDIS review nurses needed, experience preferred but not ...   Prefer previous   HEDIS experience   Registered   Nurse with active... more

Aug 19 Clinical HEDIS Practice Advisor, RN WellCare Owensboro, KY

 Essential Functions: Functions as HEDIS subject matter expert in consultation ... in directly related HEDIS medical record review and/or Quality Improvement with... more

Aug 19 Clinical HEDIS Practice Advisor, RN (Registered Nurse) WellCare Long Beach, CA

years of experience in directly related HEDIS medical record review and/or Quality ... plus ample experience in HEDIS review and/or quality improvement Required... more

Aug 18 HEDIS - Registered Nurse - RN Maxim Healthcare Albuquerque, NM

Maxim Healthcare is currently looking for a HEDIS review Nurse to work a full time ... RN. If you have 2 years' experience in HEDIS review and are looking for a new opportunity... more

Aug 18 HEDIS Mgr Clinical Quality Thornton Group Iselin, NJ

to: -Implements and evaluates current HEDIS processes including operational ... in internal and external HEDIS quality review activities. -Manages and oversees... more

Aug 18 Telecommute local travel HEDIS RN or LPN Totalmed Staffing Kalamazoo, MI

A HEDIS Special Project Nurse/Medical Professional will be responsible for completing audi ... include medical records reviews, utilizing HEDIS software, data collection, chart... more

Aug 17 HEDIS NURSE Judge Group Honolulu, HI

review and data entering the findings into HEDIS Chart Review Portal. Duties and ... enter all findings into the HEDIS Chart Review Portal. *Scanning/copying... more

Aug 14 RN/LPN HEDIS Specialist (Chart Review/Data Abstractor) Healthcare Support Staffing Miami, FL

a Registered Nurse or Licensed Practical Nurse to assist in HEDIS Abstraction! The ... is in office) Description: The RN/LPN HEDIS Chart Data Abstractor performs... more

Aug 14 HEDIS Mgr Clinical Quality E-health Iselin, NJ

to: -Implements and evaluates current HEDIS processes including operational ... in internal and external HEDIS quality review activities. -Manages and oversees... more

Aug 13 Clinical Reviewer Execu|search Group Akron, NY

Previous experience with Managed Care, Hedis , and Quality Improvement Great ... Skills Previous Review experience Registered Nurse (RN) or Licensed Practical Nurse ( LPN... more

Aug 12 Registered Nurse - RN - Telephonic Concurrent Review Healthcare Support Staffing Corpus Christi, TX

Nurse – RN- Telephonic Concurrent Review : Education/Experience: 2+ years clinical ... Nurse – RN- Telephonic Concurrent Review : Review admissions through on-site and... more

Aug 08 RN - Concurrent Review / Care Review Clinician II Molina Healthcare Irving, TX

Nurse, BSN, MSN, ADN, Field RN, field nurse, telephonic nurse, LPN, LVN, ACSW, ... 2060, concurrent review, utilization review, case manage, ambulance, ambulatory,... more

Aug 07 Quality Review RN Medix Chicago, IL

intiatives Manages various aspects of HEDIS/medical evaluation studies including ... prior experience in quality improvement or HEDIS projects Must have strong written and... more

Aug 02 Registered Nurse - HEDIS Clinical Audit Coordinator Providence Health & Services Beaverton, OR

a temporary on-call Registered Nurse - HEDIS Clinical Audit Coordinator for a day ... Set (HEDIS) program. Audit include review of outpatient medical records,... more

Jul 31 HEDIS Manager Clinical Quality Blake & Associates Medical Recruiting Iselin, NJ

limited to:-Implements and evaluates current HEDIS processes including operational ... in internal and external HEDIS quality review activities. -Manages and oversees... more

Jul 17 Registered Nurse HEDIS Manager Clinical Quality Blake & Associates Medical Recruiting Iselin, NJ

limited to:-Implements and evaluates current HEDIS processes including operational ... in internal and external HEDIS quality review activities. -Manages and oversees... more

Jul 05 Healthcare Physician Practice Consultant / Medical File Review Nurse UnitedHealth Group New York City, NY

onsite training focusing on STARs measures (HEDIS/CAHPS/HOS/med adherence), Optum ... Managed Care, RN, registered nurse, nurse practitioner, RPN, Medical File Review,... more

Jul 05 Healthcare Physician Practice Consultant / Medical File Review Nurse - Jefferson County UnitedHealth Group Watertown, NY

onsite training focusing on STARs measures (HEDIS/CAHPS/HOS/med adherence), Optum ... Managed Care, RN, registered nurse, nurse practitioner, RPN, Medical File Review,... more

Jun 26 Senior Coordinator Medical Record Review Healthcare Scouts Seattle, WA

for quality and experience overseeing HEDIS (Health Effectiveness Data and ... the integration of medical records review (MRR) data into administrative... more

Jan 23 Registered Nurse - Review Analyst Jawood Detroit, MI

JAWOOD is seeking a Registered Nurse Review Analyst. Responsible for the approval or ... record review for data abstraction for NCQA HEDIS Health Employer Data Information Sets. more

Jan 23 Clinical Review Coordinator - RN Jawood Southfield, MI

documentation and conduct medical services review applying appropriate criteria, which ... authorization requests requiring clinical review, inclusive of inpatient care,... more

Jan 23 Registered Nurse Review Analyst Jawood Southfield, MI

improve HEDIS rates through medical record review and providing follow-up education ... with strong communication skills. -HEDIS knowledge and medical record review... more

Dec 04 HEDIS/QARR Nurse (RN or LPN) Execu|search Group Garden City, NY

HEDIS/QARR Nurse (RN or LPN) HEDIS/QARR Nurse (RN or LPN) Location: Garden City, NY Salary ... Organization Job Description The HEDIS /QARR Nurse will be responsible for: Chart review... more

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