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May 10 SWHP Vitality Coordinator LVN- SWHP Quality Improvement Scott & White Temple, TX

documents in software program *Maintains HEDIS supplemental database *Reviews SWHP ... get 30d aft exp Licens Pract/Vocational Nurse Other Information Department: SWHP... more

Jan 31 SWHP Vitality Coordinator LVN - Bryan Scott & White Temple, TX

documents in software program *Maintains HEDIS supplemental database *Reviews SWHP ... get 30d aft exp Licens Pract/Vocational Nurse Other Information Department: SWHP... more

More Job Postings from the Web
May 30 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

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 22 Utilization Review RN - Managed Care Carenational Healthcare Services San Francisco, CA

or MD. Position Description: As a UM Review Nurse you will utilize your clinical skills ... to effectively meet their needs. The UM Review Nurse will evaluate the options and... 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 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 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 Clinical (HEDIS) Manager- RN Virginia Premier Health Plan Richmond, VA

ongoing HEDIS compliance and progressive HEDIS rates increases; works on special ... year long and the HEDIS Medical Record Review process during the annual HEDIS Season... 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 Clinical HEDIS Manager-Registered Nurse VA Premier Healthcare Richmond, VA

ongoing HEDIS compliance and progressive HEDIS rates increases; works on special ... year long and the HEDIS Medical Record Review process during the annual HEDIS Season... 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

Apr 22 Hedis Reporting - Sr Manager WellCare Tampa, FL

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 06 San Fran Utilization Review RN - Managed Care Carenational Healthcare Services San Francisco, CA

or MD. Position Description: As a UM Review Nurse you will utilize your clinical skills ... to effectively meet their needs. The UM Review Nurse will evaluate the options and... 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

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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