• HEDIS Review Nurse

    Actalent (Chicago, IL)
    Job Title: HEDIS Review SpecialistJob Description - Will be calling out to providers and doctors' offices to retrieve medical information and ask any follow-up ... audits and provider clean-up. - Will be part of the HEDIS team during the Jan-May season. Review medical records from all 5 states. Abstracting 6 medical records… more
    Actalent (10/27/24)
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  • Lead Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (Paducah, KY)
    …Team, Regional HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Mentor entry and Sr. level abstractors. + Works ... Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by providers… more
    Molina Healthcare (10/25/24)
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  • Sr. Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (OR)
    HEDIS team, vendors and HEDIS auditors regarding quality and HEDIS review and results. + Assists with projects and process improvement initiatives ... **Job Duties** + Performs the coordination and preparation of the HEDIS medical record review which includes ongoing review of records submitted by… more
    Molina Healthcare (10/05/24)
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  • HEDIS Overreader Registered Nurse

    Insight Global (Philadelphia, PA)
    …position in PA or NJ. This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for Quality Check of FDC/ ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Previous HEDIS review experience Active RN License or… more
    Insight Global (10/01/24)
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  • HEDIS Registered Nurse or LPNs (Field…

    Insight Global (Philadelphia, PA)
    …) Strong computer skills Ability to occasionally travel to local providers Previous HEDIS review experience or experience with Utilization Review , Quality, ... Job Description A client of Insight Globals is looking for HEDIS RNs or LPNs for a partially remote contract position in PA and NJ. PARTIALLY remote position as it… more
    Insight Global (10/01/24)
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  • HEDIS Reviewer

    Centers Plan for Healthy Living (Garden City, NY)
    …is responsible for supporting the overall direction, coordination and implementation of the HEDIS Medical Record Review process for Centers Plan for Healthy ... from Primary Care Physician (PCP) and/or Specialist(s) as indicated by HEDIS measures. + Review assigned medical records in order to abstract specified and… more
    Centers Plan for Healthy Living (11/06/24)
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  • Hedis Specialist

    TEKsystems (Santa Barbara, CA)
    Hedis Specialist with SPECIFIC experience! Pay: $32-$33/HR Must have: + Previous HEDIS medical record review or auditing of medical record experience highly ... outcome of the project and HEDIS Compliance Audit * Conduct HEDIS -related research and medical record review * Act as HEDIS liaison to providers at which… more
    TEKsystems (11/02/24)
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  • HEDIS Nurse Chart Abstractor

    Robert Half Accountemps (San Antonio, TX)
    …and helping in the development of new data processes to improve overall HEDIS measures. Responsibilities: + Review and abstract selected medical records ... Description We are seeking a quick-thinking and detail-oriented HEDIS Nurse Chart Abstractor who is passionate about...improve the collection and organization of data based on HEDIS specifications. They will also be responsible for assessing… more
    Robert Half Accountemps (10/19/24)
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  • Consultative Partner HEDIS Nurse

    Corewell Health (Grand Rapids, MI)
    …The HEDIS Record Reviewer performs accurate and efficient medical record review and abstraction for HEDIS reporting to support client critical quality ... Upon Hire Preferred + 2 years of previous experience with HEDIS Medical Record Review & Abstraction experience highly preferred + Previous experience with… more
    Corewell Health (11/07/24)
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  • HEDIS Reviewer II

    US Tech Solutions (May, OK)
    …to assist in any way possible to complete the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical ... Participates in the member and provider outreach, collection, and review of medical records to abstract clinical information for... of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to… more
    US Tech Solutions (11/06/24)
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  • HEDIS Retrieval Specialist

    Robert Half Office Team (Minneapolis, MN)
    …+ In this role you will assist in the collection, validation, and reporting of HEDIS measures during the seasonal review period. This role is essential for ... Description We are currently hiring seasonal HEDIS support with a large Fortune Healthcare 500...contract role starting in January 2025. Must have previous HEDIS or relevant experience to be considered. Interested? Apply… more
    Robert Half Office Team (11/05/24)
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  • Quality Management Nurse Consultant

    CVS Health (Phoenix, AZ)
    …of the time. The QM Nurse Consultant is a work at home role. Experienced HEDIS record review nurse will be responsible for obtaining, reviewing, abstracting, and ... data entering medical records utilized for HEDIS (R) supplemental data processes. Candidate must understand the...understanding of the technical specifications in the process to review , abstract, and data enter supplemental data, collaborate with… more
    CVS Health (10/26/24)
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  • HEDIS Quality LPN

    Robert Half Accountemps (San Antonio, TX)
    …a short-term contract employment opportunity. Responsibilities: * Assist in medical records review to identify Star/ HEDIS opportunities for the medical staff. * ... Description We are seeking a HEDIS Quality LPN to join our team based in San Antonio, Texas. The HEDIS Quality LPN focuses on HEDIS operations and data… more
    Robert Half Accountemps (10/18/24)
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  • Clinical Nurse Auditor, HEDIS *Remote

    Providence (Beaverton, OR)
    …using objective specifications for the Healthcare Effectiveness and Data Information Set ( HEDIS ) program + Conduct Audits, which include review of outpatient ... must empower them._** **Providence Health Plan is calling a Clinical Nurse Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits for the… more
    Providence (10/30/24)
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  • HEDIS Chart Reviewer

    Robert Half Office Team (San Antonio, TX)
    …* Handle data entry and collection for specific markets. * Conduct medical record review and abstraction for HEDIS and HEDIS -like measures. * Assist ... after successful completion of training. * Assist in the review of medical records to identify Star/ HEDIS opportunities for the medical staff. * Review more
    Robert Half Office Team (10/18/24)
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  • Quality Improvement (RN) - Maternity (OB/GYN)

    Molina Healthcare (Ypsilanti, MI)
    …Quality Reporting + Performs the lead role in the coordination and preparation of the HEDIS medical record review which includes ongoing review of records ... submitted by providers and the annual HEDIS medical record review . The Senior Specialist will be asked to perform duties where clinical decision-making may be… more
    Molina Healthcare (10/20/24)
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  • Senior Medical Management Nurse - VCHCP

    Ventura County (Ventura, CA)
    …years of full-time experience in Case Management, Disease Management, Quality Assurance, HEDIS and/or Utilization Review . NECESSARY SPECIAL REQUIREMENTS + Must ... Utilization Management and tasks related to Healthcare Effectiveness Data and Information Set ( HEDIS ) as well as writing reports and analyses in line with the… more
    Ventura County (10/24/24)
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  • HEDIS Quality Management Consultant

    Actalent (Des Moines, IA)
    …compliance with HEDIS audit and technical specification standards. Responsibilities + Review , abstract, and document 40-50 medical records per day based on NCQA ... Job Title: HEDIS Quality Management Consultant Job Description Support the...practices, and electronic medical record systems. + Ability to review medical records and technical specifications and draw defensible… more
    Actalent (10/29/24)
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  • HEDIS Quality Associate - Hedis

    Health First (Rockledge, FL)
    …record evaluation and follow-up education as required. ** *Stewardship: * * Accurately review , abstract, data enter and overread HEDIS data from qualified ... Customer Service and Stewardship by contributing to Health First Health Plans HEDIS activities that support regulatory compliance, CMS STARS, NCQA Accreditation and… more
    Health First (09/04/24)
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  • Hedis Nurse- RN Required- 100% Remote

    Actalent (Dallas, TX)
    …results to HEDIS standards and/or custom or other measure set standards * Review medical records and abstract data for HEDIS and other measure sets in ... Description: We are seeking a dedicated and meticulous HEDIS Nurse to assist with the collection, analysis,...the collection, analysis, and presentation of healthcare data. The HEDIS Nurse will be responsible for managing all aspects… more
    Actalent (11/02/24)
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