HEDIS Chart Review Specialist (RN/LVN)
Shell Lubricants Hub Hamburg
Shell Lubricants Hub Hamburg is seeking a Healthcare Consultant II in Florida. This position requires strong experience in performing chart audits and reviewing medical records, particularly with HEDIS standards. Candidates should possess a professional demeanor and a solid work ethic. Essential qualifications include medical terminology knowledge, along with the ability to communicate effectively and utilize Microsoft Office tools. Educational qualifications may include an RN/LVN with an associate or bachelor degree, although HEDIS review experience may substitute for licensing. #J-18808-Ljbffr
- ...healthcare staffing firm is seeking a Registered Nurse for Concurrent Review in Florida. The role involves telephonic review of inpatient... ...medical necessity and care levels. Candidates must have an active RN license in Florida and 2+ years of clinical experience. The...SuggestedFull timeWork at officeMonday to Friday
- Health Business Solutions LLC seeks an experienced Utilization Review Nurse in New York to provide clinical guidance, drive appropriate level... ...criteria, and collaborate with insurers on denials. Requires RN license (US multi-state/compact), BSN preferred, 2+ years UR experience...Suggested
- TurningPoint Healthcare Solutions is hiring a Utilization Review Nurse to work remotely. The ideal candidate must hold a valid LPN or RN license and possess strong critical thinking and clinical expertise. Responsibilities include performing initial clinical reviews, assisting...SuggestedRemote job
- ...required. Bachelor's Degree in Nursing (BSN) or RN with bachelor's degree in a related... ...required. A minimum of 1 year of utilization review, home health, discharge planning... ...Managed care experience including knowledge of HEDIS and CMS guidelines preferred. Mission driven...HEDISWork experience placementWork at officeRemote work
- ...Responsibilities: Prior experience in performing chart audits is preferred. Candidate must commit... ...a folder. Skills: 5 or more seasons of HEDIS experience in reviewing medical records is required Education/Experience: RN/LVN with an associate or bachelor degree is...HEDIS
- LPN or RN - Relief on Call - Med Outpatient Essential Job Functions Provides quality... ...control techniques and methods. Obtains and reviews prior medical records and medical history... ...motor skills for legible and accurate charting, daily correspondence and presentation,...Shift work
- Weekend Baylor Program RN's/LPN's ($10,000 sign on bonus) Join the The Manor At Blue Water... ...of residents Assess patients’ conditions, chart observations, and perform evaluation tasks including vital signs and medication review Administer medication as prescribed by the...Full timeRemote workRelocation packageFlexible hoursShift workWeekend workAfternoon shift
- ...preferred Experience / Qualifications RN‑ Current RN licensure in the state of Florida... ...Position Summary The Breast Health Specialist nurse is responsible for the physical, emotional... ...when circumstances change. I have reviewed these job requirements and verify that I...ReliefLocal area
$25k
Become a part of our caring community The Clinical Care Nurse (RN) is a clinic-based nursing role focused on improving patient outcomes... ...department patients. Quality: Medicare Advantage Stars, HEDIS and quality performance across value-based population. Population...HEDISTemporary workApprenticeshipWork at officeMonday to Friday- ...comprehensive nursing assessments, including ASAM forms Staff Nurse | RN or LPN | Behavioral Health (SUD & MH) Full-time, Nightshift | 12-... ...in accordance with facility and state requirements Review medication logs and assist the medical department with a variety...Full timeLocal areaShift workNight shiftDay shift
- ...seeking a Pharmacy Coordinator – Fraud, Waste, and Abuse (FWA) to support the Medical Management/Health Services team remotely. You will review FWA referrals, assist with regulatory requests, and help analyze and document investigations. The role requires 3+ years of...Remote work
- ...quality metrics, including UDS, HEDIS, CMS quality measures, and... ...based care indicators. Conduct chart audits to evaluate compliance with... ...activities. 2. Utilization Management Review utilization data to identify... ...unrestricted Registered Nurse (RN) license in the State of...HEDISWork at office
$30 - $35 per hour
...Medical P.C. is seeking an on-site, detail-oriented Licensed Nurse (RN or LPN) to serve as a Nursing Care Coordinator. Operating strategically in an administrative role, you will review and verify chart documentation to ensure compliance and support seamless continuity...Hourly payFull timeWork at officeRelocation packageMonday to Friday- Infinite Medical P.C. is seeking an on-site Nursing Care Coordinator (RN or LPN) to review and verify chart documentation and support continuity of care for our senior patient population. You will evaluate records for CMS compliance, coordinate with HR and clinical teams...
$30 - $35 per hour
Infinite Medical P.C. is seeking an on-site Licensed Nurse (RN or LPN) to serve as a Nursing Care Coordinator. You will review and verify chart documentation to ensure CMS compliance and support continuity of care for our patient population. The role emphasizes care management...- ...hospitals to help improve the health of individuals and the quality of life in our community. New Horizons is seeking an Utilization Review Specialist , who will be responsible for following up on patient accounts when authorization for stay is required, initiate pre-...Local area
$71.1k - $97.8k
Quality Improvement RN - New Smyrna/Daytona 3 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive... ...areas: Quality/clinical management and population health HEDIS and Stars performance Operational improvements Financial...HEDISTemporary workApprenticeshipWork experience placementInternshipWork at officeLocal areaMonday to FridayFlexible hours- Description Job Title: Clinic Nurse (LPN/RN) Location: 7411 Miami Lakes Dr, Miami Lakes, FL 33014 FLSA Status: Non-Exempt, Hourly Travel... ...to be reordered Check refrigerator temperatures daily and log on chart Complete all tasks in Triage when scheduled Prepare patient...Hourly payLocal areaMonday to FridayShift workDay shift
- ...psychosocial, and environmental needs of home health patients Assess patients’ conditions and chart observations, and perform evaluation tasks including vital signs and medication review Administer medication as prescribed by the patient’s physician Educate patients and...Full timePart timeRemote workMonday to FridayShift workWeekend work
- ...providing treatments, and reporting progress to the care team. Qualified candidates have an Associate degree in Nursing and an active RN-LIC credential, with BLS/ACLS/NRP as applicable. This is a shift-based position, with nights and PRN options as noted. #J-18808-...ReliefShift workNight shift
- Cross Country Nurses is hiring a travel nurse RN CVOR for a position in Fort Pierce, Florida. The role involves supporting surgical services in the operating room environment, requiring both Operating Room and Cardiovascular Operating Room experience. Benefits include...Shift work
- Innovent Global, Inc. is seeking a travel nurse RN for the Operating Room in Weston, Florida. This role requires 2 years of transplant experience, with a strong focus on liver, kidney, lung, and heart harvesting. The position is for a duration of 13 weeks, offering insurance...Weekly payShift work
- ...plans, administer medications, and coordinate with a multidisciplinary team to ensure holistic care. Candidates should have an active RN license and strong behavioral health experience. The organization emphasizes compassionate care, ongoing training, and a supportive...
- The Registered Nurse (RN) at Health First provides direct and indirect patient care following the nursing process in a collaborative environment, supporting optimal patient outcomes through evidence-based practice, care coordination, and family engagement. Responsibilities...Part timeNight shift
- ...timely recovery, and support post-anesthesia processes in a high-quality orthopedic setting. The ideal candidate holds an accredited RN degree, RI licensure, and BLS/ACLS/PALS credentials, with 1+ year of medical-surgical nursing experience and EMR familiarity. #J-188...
- Location: Cape Canaveral Hospital Position Summary The CV Invasive Specialist RN delivers direct and indirect patient care in compliance with regulatory and departmental processes during Cardiovascular or Interventional Radiology or Interventional Neurology procedures...Full timeWork experience placementShift work
- ARMStaffing is looking for a travel nurse RN CVOR for a contract position in Margate, Florida. This role requires providing high-quality nursing care in the cardiovascular operating room, focusing on monitoring, assisting in procedures, and collaboration with medical teams...Contract work
- Health First’s Cape Canaveral Hospital seeks a CV Invasive Specialist RN to deliver direct and indirect patient care during cardiovascular and interventional procedures. You’ll ensure patient safety, assist with imaging, monitor hemodynamics, and communicate with the team...Full timeFlexible hours
- ...Location: Aviata at Ridge Haven Position: RN Wound Care Address: 4927 Voorhees Rd, New Port Richey, FL 34653 Work Schedule: Every... ...match! Major Responsibilities Act as a liaison between the Wound Specialist Physician and the nursing staff. Participate in the development...Weekend work
- Chapters Health is seeking an RN for Triage to provide telephonic support to patients and families. The role focuses on delivering timely, informative guidance, triaging calls, and coordinating patient referrals through the EMR system. Qualifications include Florida or...
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