Average salary: $75,300 /yearly
More statsSearch Results: 453,994 vacancies
...Duties:
Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality reporting (annual Healthcare Effectiveness Data and Information...
HEDIS
Work experience placement
...Enter Job Description...
Maintain knowledge of medical record review and EMR systems.
Maintain up-to-date knowledge of HEDIS, QARR and Star specifications
Distribute requests for records and schedules appointments with provider offices to ensure timely completion...
HEDIS
IntePros is seeking qualified HEDIS Nurses (LPNs & RNs), who are available to go onsite to providers offices in North NJ (Sussex, Passaic... ...phone
Responsibilities: Visit physicians offices to retrieve and review specific requested documentation from medical records
Scan...
HEDIS
Immediate start
Remote job
...duties.
Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and... ...computer.
Knowledge of medical terminology.
Required skills
HEDIS / QARR
Needs to demonstrate leadership capabilities. This...
HEDIS
Remote job
Offshore
...excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in... ...a patient's ability to pay for health care.
The Utilization Review Nurse will be responsible for substantiating medical necessity and...
Suggested
...Nurse Reviewer I
Description
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday - Friday, from 9:30 am - 6 pm
The Nurse Reviewer I is responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for...
Suggested
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Monday to Friday
STRATEGIC STAFFING SOLUTIONS HAS AN OPENING!
Strategic Staffing Solutions (S3) is currently looking for a Registered Nurse-Review Analysis for a contract opening with one of our largest clients located in Detroit, MI.
This is a....
Suggested
Contract work
...Nurse Reviewer I
Description
Nurse Reviewer I
Location: Within 50 miles of a pulse point in the following states:
* California
* Colorado
* Nevada
* Tennessee
Shift : An 8 hour shift between the hours of 7 am - 6 pm C ST
The Nurse Reviewer I is responsible for conducting...
Suggested
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
...Nurse Reviewer I
Description
Nurse Reviewer I
Location: Within 50 miles of a pulse point
Shift : Monday - Friday from 9:30 am - 6:00 pm CST or PST
The Nurse Reviewer I is responsible for conducting preauthorization, out of network and appropriateness of treatment...
Suggested
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Monday to Friday
...Utilization Review Nurse
Per Diem
1648 Huntingdon Pike
Nursing RN/LPN
Day
SUMMARY OF JOB:
To review each admission for appropriate assignment of level of care based upon clinical guidelines as well as to review documentation for continued stays daily and provide...
Suggested
...Albany, NY 12208
Department/Unit:
Care Management/Social Work
Work Shift:
Day (United States of America)
Utilization Review Nurse
Salary Range: $31.28 - $51.61 per hour
Responsible for Utilization Management, Quality Screening and Delay Management...
Suggested
Hourly pay
Shift work
...appropriateness of admissions and continued stays, and documents findings based on Departmental standards.
• While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department.
• Identifies at-risk populations using...
Suggested
Shift work
STRATEGIC STAFFING SOLUTIONS (S3) HAS AN OPENING!
Strategic Staffing Solutions is currently looking for an RN Review Analyst for a contract opportunity with one of our largest clients located in Detroit, MI!
Title: Registered Nurse Re...
Suggested
Contract work
...Anticipated End Date:
2024-05-06
Position Title:
HEDIS Quality Program Manager
Job Description:
Location: Within 50 miles... ...Requirements:
~ Requires a BS in health administration, nursing, or a related clinical field; 4 years of health care quality or...
HEDIS
Holiday work
Temporary work
Work experience placement
Local area
Remote job
Shift work
Day shift
Monday to Friday
...UR Nurse Registered Nurse
A Case Manager facilities a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication...
Suggested
...Registered Nurse RN - Utilization Review
Details
* Department: Utilization Mgt
* Schedule: M-F 8 hr days, ONSITE, exempt
* Hospital: Ascension Sacred Heart Pensacola
* Location: Pensacola, Florida
Benefits
Paid time off (PTO)
Various health insurance options & wellness...
Temporary work
Relief
Local area
...ask you for payment as part of consideration for employment.
HEDIS Business Information Consultant
Job Family: RDA Business/Health... .../ Disability / Veteran
Please use the links below to review statements of protection from discrimination under Federal law for...
HEDIS
Holiday work
Full time
Temporary work
Local area
Remote job
Work from home
Overview:
As a Utilization Review Nurse, you will work under the direct supervision of the Supervisor, Utilization Review and Clinical Documentation Improvement, this role will be responsible for providing clinically based concurrent and retrospective review of inpatient...
Permanent employment
...analyst support to the Quality Management Department by working on HEDIS reports from insurance companies and their portals.... ...Metrics along with the knowledge to perform onside medial record reviews and medical record collection through Electronic Medical Records...
HEDIS
Local area
Overview:
Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party... ...position*
Qualifications:
Education:
Associates Degree in Nursing. Bachelor’s Degree in Nursing preferred.
Evidence of...
Permanent employment
