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Sep 02 Clinical Practice Consultant RN - Field-based - Quality / HEDIS UnitedHealth Group Tyler, TX

* Supports the HEDIS medical record chase to support optimum HEDIS and quality metric repo ... testing. Job keywords: RN, Registered Nurse, HEDIS, Quality, Compliance, Medicaid,... more

Aug 30 RN HEDIS Manager Clinical Quality, Quality Management Department Blake & Associates Professional 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

Aug 30 HEDIS ABSTRACTOR Judge Group Wisconsin

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

Aug 29 RN / Registered Nurse / HEDIS A-line Staffing Solutions Southfield, MI

KEY WORDS: RN, registered nurse, HEDIS, utilization review, NCQA, ... (CMS) KEY WORDS: RN, registered nurse, HEDIS, utilization review, NCQA, coder,... more

Aug 29 Registered Nurse Review Analyst Jawood Detroit, MI

Solutions,is seeking a Registered Nurse Review Analyst. * Responsible for the ... record review for data abstraction for NCQA HEDIS (Health Employer Data Information... more

Aug 29 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 28 HEDIS Manager Clinical Quality Blake and Associates Employment Systems Iselin, NJ

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

Aug 28 HEDIS Review Nurse/RN/LVN Confidential Harlingen, TX

Resources has an exciting contract HEDIS Review Nurse / RN / LVN opportunity ... in Harlingen, TX! As the HEDIS Review Nurse / RN / LVN with a global health... more

Aug 28 Chart Review RN (Per Diem / PRN) Molina Healthcare San Antonio, TX

Nurse is responsible for assisting in the review of ambulatory medical records, HEDIS ... HEDIS data and/or Ambulatory Medical Record Review Data through chart review of medical... more

Aug 27 HEDIS Review Nurse / RN / LVN Kelly Healthcare Resources Harlingen, TX

HEDIS REVIEW NURSE / RN / LVNKelly Healthcare Resources has an exciting contract HEDIS ... Review Nurse, Medical Review RN, Registered Nurse, RN, Medical Review LVN, LVN, Licensed... more

Aug 26 HEDIS ABSTRACTOR - NURSE Judge Group Norfolk, VA

Job ID: 399842 Job Title: HEDIS ABSTRACTOR - NURSE - NORFOLK - VA Job Type: Contract ... AND EXPERIENCE: Requires a licensed nurse; RN, LPN, LVN, Licensed professional... 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 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 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 21 RN Manager | Utilization Review (Managed Care) Edge Recruitment Solutions New York City, NY

in HEDIS reporting for the role of Nurse Manager | Health Care Management ... indicators reporting, focus studies, and HEDIS reporting. You will hire, train, coach,... 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 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 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 Verisk Health Waltham, MA

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

Aug 19 Clinical HEDIS Practice Advisor, RN WellCare Santa Clara, CA

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 15 Senior Coordinator - Medical Record Review Community Health Plan of Washington Seattle, WA

Effectiveness Data and Information Set (HEDIS) and Hierarchical Condition Codes (HCC) ... assessment ability to determine HEDIS compliance Knowledge of key drivers for... more

Aug 15 Register Nurses (Chart Review) Healthcare Support Staffing Mcallen, TX

Registered Nurse (Clinical / Concurrent Review) Hours : Monday - Friday 8-5p Registered Nu ... review Hospital discharge planning Chart review, HEDIS, maybe auditing Qualifications... 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 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 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 - 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

Jul 05 HEDIS Abstractor Judge Healthcare Oklahoma City, OK

all findings into the HEDIS Chart Review Portal. · Scanning/copying documentation from ... entered into the HEDIS Chart Review Portal. · Ensure all information is collected in... 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

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

Sep 05 HEDIS/QARR CLINICAL AUDITOR Access Staffing Melville, NY

$$$$.... IT'S THAT TIME OF YEAR AGAIN. HEDIS PROJECTS! TIME TO START EARNING WITH A ... start! Must have a minimum of 1 year current HEDIS/QARR Reviewer experience LPN, RN & Non-... more

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