Hedis Review Nurse Jobs

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UM Nurse  

Innovista LLC - Oak Brook, IL, United States

, including medical management experience in health plans, provider, or MSO settings and quality chart reviews. Registered Nurse (RN) with a current and active nursing license to practice in the State assigned Hedis Review Nurse Work careers...

from: glassdoor.com - 21 days ago

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HEDIS Review Nurse  

PSG Global Solutions - United States

The Opportunity We're looking for a HEDIS Review Nurse , working in the Insurance industry in , . Applies structured auditing criteria to abstract medical records, follows defined procedures Hedis Review Nurse careers... The pay range we are offering is 35 to 36 per hour. This position may present an opportunity to go permanent.

from: reversedelta.com - More than 30 days ago

Registered Nurse Auditor  

Strategic Staffing Solutions - Lansing, MI, US

, education, review of records to encompass a variety of initiatives. The nurses will be expected to participate in provider and hospital visits to educate, train and review medical records to determine hedis abstractor...

from: staffingfuture.com (+1 source) - 4 days ago

Review Nurse (LVN/LPN)  

W3R Consulting - Chicago, IL

The Quality HEDIS Medical Review Nurse performs medical record reviews, abstract HEDIS data according to the HEDIS Technical Specifications to include over-reads. The essential functions listed hedis abstractor nurse...

from: mightyrecruiter.com - More than 30 days ago

Quality Performance Specialist Clinical, Registered Nurse  

Relevante, Inc. - Washington, DC

of member concerns and medical records utilizing of care standards. In addition, responsibilities also include supporting the annual medical record review activities including HEDIS and, Clinical Practice hedis chart review nurse...

from: mightyrecruiter.com - More than 30 days ago

HEDIS Nurse  

The Judge Group - Wayne, PA

Location: REMOTE Description: Judge Healthcare is currently seeking 20 REMOTE Work from Home HEDIS Nurses for the upcoming HEDIS Season! This job will have the following responsibilities: Retrieve hedis field review nurse...

from: careerbuilder.com - 7 days ago

HEDIS Abstractor - Nurse  

The Judge Group - Los Angeles, CA

Location: Los Angeles, CA Description: HEDIS Abstractor - Nurse This job will have the following responsibilities: Candidate will work with the HEDIS team to collect member records and conduct remote hedis...

from: careerbuilder.com - 9 days ago

Prior Authorization Nurse - LVN  

A-Line Staffing Solutions - Dallas, TX (+2 locations)

, Utilization Review, Utilization Management, STARS, HEDIS, Complex Case Management, CCM, Certified Case Manager, NCQA, URAC, CMS, Medicare, Medicaid, HMO, RN, BSN, MSN, Registered Nurse, Quality Assurance rn hedis review nurse... $28.00 - $30.00/Hour

from: careerbuilder.com - 9 days ago

Manager of Member and Provider Appeals RN  

A-Line Staffing Solutions - Sacramento, CA

, HEDIS, STARS, InterQual, CMS, Medicare, Medicaid, Utilization Management, Registered Nurse, Telephonic Nurse, PBM, Claims, Rx, Certified Case Manager, Care Coordination, Health Plan, Health Insurance, MCO telecommute hedis review nurse... $45.00 - $55.00/Hour

from: careerbuilder.com - 10 days ago

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Concurrent Review RN  

San Antonio, TX

Keywords: Concurrent Review, Retro Review, Determination Review, Chart Audit, HEDIS, CCM, Case Manager, Utilization Review, Utilization Management, Registered Nurse, MCO, RN, LVN, Licensed Vocational Nurse hedis review nurse nurse abstractor... $27.00 - $30.00/Hour

from: careerbuilder.com - 17 days ago


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