Average salary: $75,300 /yearly
More statsSearch Results: 455,877 vacancies
...Enter Job Description...
Maintain knowledge of medical record review and EMR systems.
Maintain up-to-date knowledge of HEDIS, QARR and Star specifications
Distribute requests for records and schedules appointments with provider offices to ensure timely completion...
HEDIS
...Job Description
Job Description The HEDIS Coordinator is responsible for the medical... ...the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor... ...provider offices via e-mail.
Locate and review ALL assigned medical charts, perform...
HEDIS
...Nurse Reviewer I
Description
Nurse Reviewer I
Location: Within 50 miles of a pulse point in the following states:
* California
* Colorado
* Nevada
* Tennessee
Shift : This position will be one of the following shifts:
* Four - 10 hour shifts, Tuesday thru Friday....
Suggested
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Day shift
Saturday
...Albany, NY 12208
Department/Unit:
Care Management/Social Work
Work Shift:
Day (United States of America)
Utilization Review Nurse
Salary Range: $31.28 - $51.61 per hour
Responsible for Utilization Management, Quality Screening and Delay Management...
Suggested
Hourly pay
Shift work
...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide...
Suggested
...POSITION SUMMARY
The Utilization Review Nurse is responsible for ensuring the medical necessity and appropriate level of care of all hospital admissions and extended hospital stays, including psychiatry; affirming compliance with CMS’ Conditions of Participation regarding...
Suggested
...these quality improvement functions:
• Will create actionable HEDIS data and analytic insights.
• Acts as a lead specialist to... ...Association
• Certified Professional in Health Quality (CPHQ)
• Nursing License (RN may be preferred for specific roles)
• Certified...
HEDIS
Remote job
Work experience placement
...appropriateness of admissions and continued stays, and documents findings based on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department.
• Identifies at-risk populations using...
Suggested
Shift work
...services, committed to delivering high-quality, patient-centered care.
We are currently seeking a dedicated and experienced Clinical Review Nurse (CRN) to join our team.
Collaborate with clinical staff and other team members to foster a culture of continuous improvement...
Suggested
Permanent employment
BA with HEDIS
Translates business requirements into solutions for customers utilizing business intelligence tools and methodologies.
Analyze healthcare utilization and expense trends.
Mines, analyzes, and visualizes large, complex datasets.
Builds externally...
HEDIS
Under general supervision of the Director of Case Management, the Utilization Review Nurse provides a clinical review of cases using medical necessity criteria to determine the medical appropriateness of inpatient and outpatient services. Provides feedback and assistance...
Suggested
Permanent employment
Temporary work
...Job Description
Job Description The Utilization Management Nurse Reviewer plays a crucial role in healthcare systems by ensuring that medical services are used efficiently and appropriately. They review medical records, treatment plans, and patient information to...
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Temporary work
Remote job
Shift work
Weekend work
...Area is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering... ...centered care? Submit your application for Registered Nurse Clinical Reviewer position and spend more time at the bedside with the patient....
Suggested
Permanent employment
Full time
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Part time
Flexible hours
...UTILIZATION REVIEW NURSE (RN)
Randallstown, MD
NORTHWEST HOSPITAL
NW CARE MANAGEMENT
Full-time - Day shift - 8:00am-4:30pm
RN Other
81988
Posted:
March 21, 2024
Summary
Position Summary: Conducts concurrent and retrospective chart review for clinical...
Suggested
Permanent employment
Full time
Day shift
Overview:
What you can expect!
Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving...
HEDIS
Temporary work
Flexible hours
...Job Description
Position Summary:
The role of the Nurse Reviewer is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests...
Hourly pay
Holiday work
Full time
Casual work
Relocation bonus
Flexible hours
Position Title: Surgical Case Nurse Reviewer
Company: ACT1 Federal
Location: Eglin, AFB, Florida
About ACT1 Federal: Delivering mission-critical solutions and industry-leading talent to advance the missions of the partners, organizations, and communities we serve...
Holiday work
Permanent employment
Temporary work
Flexible hours
...Position: HEDIS Quality Reviewer/ Clinical Quality Reviewer
Duration: 03+ months contract (Possible extension)
Location: Manhattan, NY 10004
Shift :: 9:00am- 5:00pm (Hybrid)
Job Description:
The primary function of the Clinical Quality Reviewer...
HEDIS
Contract work
Temporary work
Shift work
...Description Salary Range: $20.00 To 25.00 Hourly
Job Summary
Under the direct supervision of the Health Information Manager, The HEDIS Coordinator conducts performance improvement activities, performs assigned duties to ensure HEDIS data accuracy, improve HRSA health...
HEDIS
Hourly pay
...partnerships, provide training, education, and review of medical records as well as other... ...corporate initiatives. Knowledge of NCQA HEDIS measures is preferred but will interview... ...candidate must be licensed as a Registered Nurse in the state of Michigan and have a...
HEDIS
Holiday work
Temporary work
For contractors
Remote job
Night shift
Monday to Friday
