Remote HEDIS Clinical Review Nurse (Pain Management)
Lumen Solutions Group Inc.
- Remote job
Lumen Solutions Group Inc in Columbia, MD is seeking experienced Clinical Medical Review Nurses to support a HEDIS Retrospective Review Project. The role focuses on medical record retrieval, abstraction, and quality measure review, with a primarily remote arrangement and occasional on-site visits. You will work with healthcare providers to obtain records, apply HEDIS guidelines, and contribute to accuracy and quality assurance across the project. #J-18808-Ljbffr Lumen Solutions Group Inc.
- ...EnterpriseTransformation. Position: Clinical Medical Review Nurse HEDIS Retrospective Project Locations:... ...MD Work Arrangement: Primarily Remote Occasional Provider-Site Visits... ...abstraction HEDIS/quality measure review pain management-related reviews and potentially...Remote workHEDISContract work
- .../ Provider Practice 2) Managed Care / Payer Practice –... ...Medical Record Retrievers/Clinical Record Reviewers to support a need for HEDIS retrospective. The hired... ...Location: Primarily remote. Candidates are required... ...compact state, OR Certified Nursing Assistant (CNA) or...Remote workHEDIS
- ...Virginia, (or) DC states \n \n Role: HEDIS Clinical Review Nurse \n W2 Contract: 5 Months \n Location: Primarily remote \n \n ~ Requires mandatory on-site training... ..., provider outreach, and quality measure management. Joining a collaborative and quality-...Remote workHEDISContract workWork at officeLocal area
- ...months Work Location: Primarily Remote (Hybrid focus for candidates... ...leading healthcare organization as a Clinical Medical Review Nurse supporting the annual HEDIS retrospective project. In this... ...outreach, and quality measure management. Joining a collaborative and quality...Remote workHEDISContract workWork at officeLocal areaImmediate start
- ...Clinical Medical Review Nurse We are seeking Licensed Practical Nurses (LPN) or... ...contract position requiring both remote work and regular onsite... ...Excel to enter, track, and manage clinical data Work collaboratively... ...Qualifications: HEDIS experience (preferred but...Remote workHEDISContract workWork at office
$41.49 per hour
...Job Title: HEDIS Clinical Medical Review Nurse Location: Columbia, MD Type: Contract Compensation: $41.49 Work Model: Hybrid – onsite and remote Hours: 40.0 Responsibilities Conduct thorough medical record reviews in accordance with NCQA specifications...Remote workHEDISContract workTemporary workWork at officeLocal area- ...Job Title: Nurse, Clinical Medical Review Location: Columbia, MD (Primarily remote, but hybrid) Duration: 6+ Months Contract... ...LPN with experience supporting HEDIS reporting and abstraction processes... ...retrieval, abstraction, pend management, overreads, and other key activities...Remote workHEDISContract workWork at office
$27.02 - $48.55 per hour
...: Performs concurrent reviews, including determining... ...medical records in health management systems according to... ...necessity based on clinical policies and guidelines... ...Accredited School of Nursing or Bachelor’s degree in... ...approach to work with remote, hybrid, field or office...Remote workHourly payFull timePart timeWork at officeFlexible hoursWeekend work- ...ezURs is seeking board-certified Pain Management Physicians for fully remote Physician Consultant positions. As a URAC accredited Independent Review Organization, our physicians perform utilization reviews, disability, and peer reviews across multiple lines of business...Remote workFor contractors
$90k - $103k
...Nurse Care ManagerEvergreen Nephrology partners... ...interdisciplinary clinical resources,... ...which the care system manages patients today.As... ...through education, remote monitoring,... ...visit planning by reviewing patient records, identifying... ...achievement of HEDIS, Medicare Stars,...Remote workHEDISFull timeLocal areaShift work- A healthcare organization is seeking a Clinical Review Nurse - Concurrent Review to perform utilization management functions remotely. The role requires conducting concurrent reviews, collaborating with medical teams, and ensuring quality healthcare outcomes. Candidates...Remote jobWork at office
$64.5k - $92.2k
Gainwell Technologies LLC is seeking a Clinical Quality Nurse Reviewer, Sr. Specialist for a remote role. You will conduct quality assurance audits of clinical staff's work and ensure compliance with medical records and guidelines. The position requires an active RN license...Remote work$130k - $180k
...Description Job Description Nurse Practitioner /... ...Orthopedics, Spine & Pain Management Mesa, AZ |... ...outpatient specialty clinic Schedule: Monday–Friday... ...evaluations, follow-up visits, reviewing imaging and diagnostic... ...Prefer a remote or hybrid clinical position...Remote workFull timeMonday to FridayWeekday work- ...Job Title: Clinical Review Nurse - Concurrent Review Location: Remote Duration: 12 months XXXX: XXXXXXXXXXX/hr. on w2 Scheule: 10am -7pm CST... ...actions taken on member medical records in health management systems according to utilization management...Remote workHourly payShift work
- ...educate physicians, nurses and other health... ...St. Luke s Spine & Pain Associates were... ...of pain research, managing or improving quality... ...call per month (remote only) and no weekends... ...with granted clinical privileges As... ...educational workshops, reviewing professional...Remote workFull timeWork at office
- ...Description Job Description: Manager of Clinical Utilization Management -... ...Position Type: Hybrid (85% remote, 15% onsite in Northridge, CA... ...managing daily tasks, performance reviews, and any necessary... ...from an accredited Registered Nursing Program; RN preferred. 2....Remote workPermanent employmentFull timeTemporary workFlexible hours
- ...About MMRO Managed Medical Review Organization (MMRO) is a nationally recognized... ...to deliver high-quality, clinically sound, and impartial... ...currently seeking Board-Certified Pain Medicine , to join our... .... Reviews are conducted remotely and do not require direct patient...Remote workFull timeTemporary workFor contractorsFlexible hours
- ...rest of role will be remote This position... ...for state audits, HEDIS and quality... ...Conducts on-site reviews at participating provider... ...and health management. 4. Assists the... ...projects and focused clinical studies. 5. Performs... ...License Practical Nurse License or an...Remote workHEDIS
- ...The RN Case Manager (TOC / Travel Infusion... ...this role, the nurse manages a... ...and provides both remote support and in-person clinical care as needed to... ...quality metrics (HEDIS/STAR) and member... ...therapies and acute pain management,... ...meetings and case reviews to align on care...Remote workHEDISLocal areaImmediate start
- A national consulting firm seeks a HEDIS Reviewer III to work remotely, primarily in the Michigan area. The ideal candidate will possess a high school diploma and must have at least four seasons of experience in auditing and abstracting medical records. Responsibilities...Remote workHEDIS
- ...for providing physician peer review and clinical direction for Select Health including utilization management, case management, appeals, criteria... ...needed in maintaining NCQA, HEDIS, and CAHPS certification, and... .... If applying for a remote or hybrid role, this includes...Remote workHEDISHourly payWork at office
$104.42k - $154.36k
...First (Days) Overview: Sentara Pain Management Clinic in Fort Norfolk is hiring an RN Supervisor... ...call! Overview The Supervisor Nursing and Patient Care Services for acute... ...For positions that are available as remote work Sentara Health employs associates...Remote workFull timeTemporary workShift work- ***Remote and must live in the Eastern or Central Time Zone***JOB... ...confidential information submitted for review. • Provides oversight and... ...pharmacy utilization management team. • Partners with internal... ...Data Information Set (HEDIS), and disease management programs...Remote workHEDISLive inWork at office
- ...Review NurseThis is a contract assignment that will... ...Description:The review nurse is responsible for medical... ...and Information Set (HEDIS) survey. The review nurse... ...to abstract relevant clinical data during HEDIS. HEDIS... ...limited to folder and file management, annotating medical...Remote workHEDISContract workImmediate start
- Medix™ is seeking an experienced Licensed Practical Nurse (LPN) to support HEDIS and healthcare quality initiatives through chart review and data abstraction. This remote role focuses on retrospective record evaluation, not direct patient care, with strict adherence to...Remote jobHEDISSeasonal work
- ...Elevance Health is seeking a HEDIS Medical Record Review Project Nurse to support HEDIS data collection and quality review. This is a virtual, full-time... ..., an active state license, and at least two years of clinical or HEDIS chart review experience. #J-18808-LjbffrRemote workHEDISFull time
- ...treat patients with acute and chronic pain conditions. Perform... ...individualized treatment plans. Order and review appropriate diagnostic testing. Manage medications and monitor treatment... ...and adjust treatment plans as clinically appropriate. Educate patients regarding...Work at office
- ...reimbursable programs — remote patient monitoring,... ...and transitional care management, annual wellness visits... ...makes us unusual. The clinical platform is licensed and... ...decision log, the metrics review. We're building the PM... ...measures and gap closure (HEDIS or similar) — specs,...Remote workHEDISFull time
$17 - $20 per hour
...Remote Patient Care Specialist Pacific Medical... ...nationwide revenue cycle management services provider that... ...) Conducts chart reviews and ensure all diagnostic... ...refills and other clinical requests/orders are complete... ...working knowledge of HEDIS quality measure...Remote workHEDISWork at officeLocal area- ...opportunity to transition to a remote role thereafter... ...to use their clinical expertise to make a meaningful... ...Medication Therapy Management (MTM) services that go... ...comprehensive medication reviews, support chronic... ...improve outcomes across HEDIS, Star Ratings, and other...Remote workHEDISFull timeWork at office
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