- Humana (Nashville, TN)
- …reviews and supports the staff involved in HEDIS hybrid season review. The Quality Compliance Nurse works to gain more information about members ... caring community and help us put health first** The Quality Compliance Nurse helps in...your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN ) license +… more
- The Cigna Group (Nashville, TN)
- …Technician (RHIT) Registered Health Information Administrator (RHIA) + **OR - RN /LVN/LPN licensure (must obtain one of the above coding certifications within one ... supported and meets specificity requirement to support clinical indicators, HEDIS and STARS quality measures + Query...use of current ICD-10 CM, CPT, HCPCS + Assure compliance by delivering quality services and meeting… more
- Evolent Health (Nashville, TN)
- …+ 1-2 years of experience working with a global workforce and a working knowledge of clinical quality metrics such as HEDIS and NCQA preferred. + 2 - 4 years of ... results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for assisting the UM Manager… more