• Hedis Nurse

    Actalent (Omaha, NE)
    …Title: HEDIS NurseJob Description We are seeking a dedicated and meticulous HEDIS Nurse to assist with the collection, analysis, and presentation of ... healthcare data. The HEDIS Nurse will be responsible for managing all aspects of the HEDIS (Healthcare Effectiveness Data and Information Set) process,… more
    Actalent (10/04/24)
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  • RN HEDIS /Quality Compliance Nurse

    Humana (Lincoln, NE)
    Nurse Professional 2 performs clinical reviews and supports the staff involved in HEDIS hybrid season review. The Quality Compliance Nurse works to gain more ... and help us put health first** The Quality Compliance Nurse helps in providing an accurate, timely, and compliant...timely, and compliant abstraction of medical records to meet HEDIS measurement and reporting requirements as outlined by the… more
    Humana (10/04/24)
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  • Lead, Utilization Management

    Evolent Health (Lincoln, NE)
    …results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for assisting the UM Manager ... expert operational and system knowledge and operational guidance to nurse staff in the UM department. + In collaboration...a working knowledge of clinical quality metrics such as HEDIS and NCQA preferred. + 2 - 4 years… more
    Evolent Health (10/02/24)
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