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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 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

Jul 22 RN, Quality Improvement/ HEDIS Healthcare Support Staffing Houston, TX

Medicaid and Medicare Medical Record Review experience Experience with patient assessment ... Intermediate Ability to create, review and interpret treatment plans ?Want More... more

Jul 22 RN, HEDIS/ Quality Improvement Healthcare Support Staffing Newark, NJ

Medicaid and Medicare Medical Record Review experience Experience with patient assessment ... Intermediate Ability to create, review and interpret treatment plans ?Want More... 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 15 Manager -HEDIS Judge Group Iselin, NJ

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

Jul 15 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

Jul 11 Clinical HEDIS Practice Advisor, RN WellCare Santa Clara, CA

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

Jul 05 HEDIS Abstractor Judge Healthcare Madison, WI

review and data entering the findings into HEDIS Chart Review Portal.This job will have ... enter all findings into the HEDIS Chart Review Portal.Scanning/copying... more

Jun 30 HEDIS ABSTRACTOR Judge Group Wisconsin

review and data entering the findings into HEDIS Chart Review Portal.This job will have ... enter all findings into the HEDIS Chart Review Portal. Scanning/copying documentation... more

Jun 30 HEDIS ABDSTRACTOR Judge Group Saint Louis Park, MN

review and data entering the findings into HEDIS Chart Review Portal.This job will have ... all findings into the HEDIS Chart Review Portal.• Scanning/copying documentation from... more

Jun 30 HEDIS / QARR / Quality Improvement RN Healthcare Support Staffing Buffalo, NY

What We Look For: The ideal candidate for this role will have 2+ years of QARR / HEDIS experience. 1+ years of clinical experience. OK with Travel between facilities Current and... more

Jun 29 POD Owner - HEDIS/Quality RN Humana Jacksonville, FL

Role: POD Owner - HEDIS/Quality RN Assignment: Medicare Location: Northeast Florida At Hum ... or process improvement Knowledge of HEDIS/Stars/CMS Strong organizational and... more

Jun 29 HEDIS NURSE Judge Group Minneapolis, MN

review and data entering the findings into HEDIS Chart Review Portal.Duties and ... all findings into the HEDIS Chart Review Portal.• Scanning/copying documentation from... more

Jun 29 HEDIS ABSTRACTOR - NURSE Judge Group Maitland, FL

is currently seeking a HEDIS Abstractor-Nurse for a premiere health care provider in ... & Requirements: Requires a licensed nurse; RN, LPN, LVN Licensed professional... more

Jun 12 RN -HEDIS Manager- Clinical Quality-Insurance/Managed Care Nurse Resolutions Iselin, NJ

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

Jun 11 HEDIS Registered Nurse Glc Associates Coraopolis, PA

Seeking to hire a Registered Nurse with HEDIS and case management experience Responsible ... presented to render a recommendation/review. Data gathering requires navigation... more

Jun 10 RN Manager Utilization Review (232492-005) Concentra Fort Lauderdale, FL

RN Quality Manager for HEDIS. The Manager is responsible for coordinating all HEDIS ... Nurse • 3+ years’ experience in Utilization and Quality Improvement • HEDIS... more

Jun 06 QUALITY REVIEW RN/LVN Judge Group Fort Worth, TX

Judge Healthcare is currently seeking a QUALITY REVIEW RN/LVN for an excellent opportunity ... Qualifications & Requirements: HEDIS/STARS/quality review experienced required (1-2 years)... more

Jun 02 HEDIS ABSTRACTOR- RN OR LPN Judge Group Tampa, FL

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

More Job Postings from the Web
Jul 30 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

Jul 30 Medical Review Nurse RN Incepture Jacksonville, FL

in medical record data collection for HEDIS preferred; computer skills are critical...must have advance level skill set? in excel. Excellent verbal and phone skills:... more

Jul 29 Manager II Clinical Quality HEDIS - Rancho Cordova, California - 91004SY WellPoint Rancho Cordova, CA

CA. Manager II Quality Management HEDIS The Manager Quality Management - HEDIS ... in internal and external HEDIS quality review activities. * Manages and... more

Jul 29 Manager II Clinical Quality HEDIS - Rancho Cordova, California - 91004SY AMERIGROUP Rancho Cordova, CA

CA. Manager II Quality Management HEDIS The Manager Quality Management - HEDIS ... in internal and external HEDIS quality review activities. * Manages and... more

Jul 23 Q1 Nurse Reviewer Optima Health Virginia Beach, VA

Job Summary: The QI Nurse Reviewer is expected to work closely with the QI Manager and ... plan. Minimum Qualifications: Registered Nurse with BSN required. If RN candidate is... more

Jul 23 HEDIS Review Nurse II Department of Workforce Services South Jordan, UT

experience with in-depth knowledge of HEDIS & NCQA. * Registered Nurse with active ... for HEDIS measures and other medical record review (MRR) projects with minimum 95%... more

Jul 22 Clinical HEDIS Practice Advisor, RN (Registered Nurse) WellCare Jacksonville, FL

in directly related HEDIS medical record review and/or Quality Improvement with ... degree/education plus ample experience in HEDIS review and/or quality improvement *... more

Jul 21 HEDIS Review Nurse II Mediconnect Global South Jordan, UT

experience with in-depth knowledge of HEDIS & NCQA. * Registered Nurse with active ... medical records and abstracts data for HEDIS measures and other medical record review... more

Jul 21 HEDIS Review Nurse II Verisk Utah

experience with in-depth knowledge of HEDIS & NCQA. * Registered Nurse with active ... medical records and abstracts data for HEDIS measures and other medical record review... more

Jul 21 HEDIS Review Nurse II Insurance Services Office South Jordan, UT

experience with in-depth knowledge of HEDIS & NCQA. * Registered Nurse with active ... medical records and abstracts data for HEDIS measures and other medical record review... more

Jul 17 HEDIS Review Nurse II Verisk Health South Jordan, UT

experience with in-depth knowledge of HEDIS & NCQA.Registered Nurse with active ... for HEDIS measures and other medical record review (MRR) projects with minimum 95%... more

Jul 08 Clinical Review Nurse (RN or LPN) Imagine Staffing Buffalo, NY

The Clinical Review Nurse performs medical record reviews to determine quality of care, ... and regulatory agencies.Must have QARR/HEDIS ExperiencePrevious Review experience... 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

May 29 Bilingual Nurse Reviewer - CMS STARS - HEDIS Humana San Antonio, TX

Nurse Reviewer - CMS STARS - HEDIS**Location:** Work At Home - ... screening criteria* Conduct admission review, post-discharge calls and discharge... more

May 09 California WORK FROM HOME Utilization Review Nurse (RN) - Managed Care Carenational Healthcare Services California

for utilization management, utilization review, or concurrent review. The UR Nurse ... Description: As a Utilization Review Nurse you will utilize your clinical skills... more

May 05 Nurse Reviewer - CMS STARS - HEDIS Humana San Antonio, TX

RN Assignment: Nurse Reviewer - CMS STARS -HEDIS Location: Work-at-home Missouri, ... against established CMS Coverage Guidelines review criteria. Manage network... more

Apr 28 RN Review Analyst W3r Consulting Southfield, MI

HEDIS Nurses Reviewer 2013-2014 PRIMARY DUTY:Conducts data abstraction from medical record ... perform this job. Requirements: Registered Nurse with current Michigan driver's... more

Mar 06 CSHCS Review Nurse Meridian Health Plan Michigan

Title: CSHCS Review Nurse Located In: MI Open Positions: ... Full Time Position The CSHCS Review Nurse is primarily responsible for... more

Jan 23 Registered Nurse Review Analyst Jawood Ann Arbor, MI

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

Aug 25 Senior HEDIS Clinical Consultant (F) Inncareers Portland, OR

The Position Senior HEDIS Clinical Consultant (F) Insurance Medical / Health - Administrat ... The individual will have the ability to coordinate HEDIS reviewers/abstractors and manage... more

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