Average salary: $75,300 /yearly
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- ...identifying gaps through patient data analysis and nursing expertise. Conducts outreach to... ...clinical teams, and program managers to review cases, maintain appointment schedules,... ...Utilizes data-driven strategies, including HEDIS and Meaningful Use reports, to support...HEDISLocal areaMonday to Friday
- ...Nationwide Therapy Group is seeking a travel nurse RN Case Management for a travel nursing... ...EPIC . Perform needs assessments , review clinical documentation, and ensure... ...regulations DRG, ICD-10, CPT coding HEDIS, NCQA, HIPAA, OSHA, and Joint Commission...HEDISWeekly payShift workWeekend work
Nationwide Therapy Group
Greensboro, NC18 days ago - ...Bestica is seeking a travel nurse RN Case Management for a travel nursing job in Edmonds... ...Guidelines, Appeals and Denials, Concurrent Review, Continued Stay Reviews, Medical... ...Health, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information...HEDISShift work
- Description The Quality Management Clinical Nurse Specialist is responsible for conducting comprehensive facility site reviews (FSRs) to ensure compliance with healthcare standards... .... Additionally, you will performs HEDIS related activities, Pay for Performance activities...HEDISWork at office
- Participates in the member and provider outreach, collection, and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment. Please have the candidate fill out this questionnaire...HEDISHourly payContract workFor contractorsWork at officeLocal areaMonday to Friday
- ...To achieve this, we're looking for a Medical Director, Clinical Review and Care Integrity to join #TeamMVP. If you have a passion for... ...., CMS, NCQA, DOH) Knowledge of quality improvement including HEDIS, STAR, CAHPS measures is preferred. Familiarity with quality...HEDISFull timeWeekend work
Leadingage New York, Inc
Schenectady, NY10 hours agonew - ...First Connect Health is seeking a travel nurse RN Case Management for a travel nursing job... ..., Appeals and Denials, Concurrent Review, Continued Stay Reviews, Medical Necessity... ...Health, DRG (Diagnosis Related Groups), HEDIS (The Healthcare Effectiveness Data and Information...HEDISWeekly payPermanent employmentContract workTemporary workLong term contractLocal areaShift work
- ...Description Summary: The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the... ...Job Requirements: Education/Skills ~Bachelor’s Degree in Nursing preferred. Experience ~3-5 years of clinical experience...SuggestedFull timeWork at office
CHRISTUS Health
Irving, TX10 days ago - ...re looking for an experienced Registered Nurse to support our Central Operations telehealth... .... You may be tasked with closing other HEDIS measures. Why You'll Love Working at... ...conduct virtual patient assessments, including reviewing medical histories and current symptoms....HEDISRemote jobSaturday
- ...LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Albuquerque, New Mexico. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks ~40 hours per week ~...SuggestedWeekly payPermanent employmentTemporary workLong term contractWork at officeShift work
- ...LanceSoft is seeking a travel nurse RN Utilization Review for a travel nursing job in Santa Barbara, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 08/18/2025 ~ Duration: 12 weeks ~40 hours per week...SuggestedWeekly payPermanent employmentTemporary workLong term contractWork at officeShift work
- Posting Title: Primary Care Provider: Nurse Practitioner or Physician Assistant Overview... ...excellent patient satisfaction. # Discuss and review patients’ medical history, symptoms,... ...health measures. Understanding of HEDIS quality metrics relate to preventative screenings...HEDISLocal areaFlexible hoursMonday to Friday
Fast Pace Health
Union City, TN12 hours ago - ...Job Description Talent4Health is seeking a travel nurse RN Utilization Review for a travel nursing job in Bakersfield, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 08/11/2025 ~ Duration: 12 weeks...SuggestedShift work
Talent4Health
Bakersfield, CA10 days ago - ...systems via fax, phone, electronic portal, or other secure means. • Review, organize, and upload medical records into the appropriate... ...for upcoming appointments, including: • Outstanding care gaps (HEDIS/Stars) • Due screenings • Risk conditions (HCC) requiring...HEDISWork at office
Advanced Medical Management
New York, NYa month ago - ...LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Apple Valley, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 08/11/2025 ~ Duration: 13 weeks ~...SuggestedHourly payWeekly payPermanent employmentContract workTemporary workLong term contractWork at officeLocal areaShift work
- ...Supplemental Health Care is seeking a travel nurse RN Clinic Utilization Review for a travel nursing job in Santa Barbara, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks...Weekly payFull timeContract workPart timeFor contractorsLocal areaImmediate startShift work
- ...Seeking candidates for a HEDIS STARS Registered Nurse (Bi-Lingual- Spanish) position for our Healthcare client in Newport Beach, California.... ...Essential Position Duties and Responsibilities: ~ Review daily, weekly, monthly, and yearly reports to identify target...HEDISHourly payFull timeWork at officeRemote work
- ...Slate Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Santa Barbara, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks ~40 hours per...Immediate startShift work
- ...Uniti Med is seeking a travel nurse RN Utilization Review for a travel nursing job in Santa Barbara, California. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 07/28/2025 Duration: 13 weeks Shift: days Employment...Shift work
- ...Salary Range: 31.00 - 49.50 Job Summary The Peer Review Specialist facilitates provider peer review processes at a... ...Qualifications Graduate from a nationally accredited nursing program preferred, including, but not limited to, Commission on...Full timePart timeWork from homeShift workDay shift
Sanford Health
Bemidji, MN2 days ago - ...Job Description Genie Healthcare is seeking a travel nurse RN Clinic Utilization Review for a travel nursing job in Santa Barbara, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 08/18/2025 ~ Duration...Shift work
Genie Healthcare
Santa Barbara, CA9 days ago - ...Director of Quality Assurance, the Licensed Nurse is responsible for supporting the... ...responsibilities include: Maintaining defined review schedule for JWCH agency by (1) doing... ...documents to abstract clinical data for HEDIS reporting. Integrating electronic and...HEDISTemporary work
- ...ALOIS Healthcare is seeking a travel nurse RN Utilization Review for a travel nursing job in Santa Barbara, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 07/28/2025 ~ Duration: 13 weeks ~40 hours...Zero hours contractRelocation packageShift work
- ...Job Description Travel Nurses, Inc. is seeking a travel nurse RN Utilization Review for a travel nursing job in Santa Barbara, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 1...Weekly payImmediate startShift work
Travel Nurses, Inc.
Santa Barbara, CA9 days ago - ...Job Description Temporary Registered Nurse (RN) Positions At Central California Alliance... ...there's a special annual project like HEDIS. Sometimes our caseloads exceed the capacity... ...business need. Details about this can be reviewed during the interview process. This is...HEDISRemote jobFull timeTemporary workWork at officeLocal areaNight shiftWeekend workMonday to Friday
- ...Trinity Health FirstChoice is seeking a travel nurse RN Utilization Review for a travel nursing job in Mason City, Iowa. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Duration: 13 weeks ~40 hours per week ~ Shift: 8 hours...Temporary workLocal areaFlexible hoursShift work
- ...Job Description Uniti Med is seeking a travel nurse RN Utilization Review for a travel nursing job in Franklin, New Hampshire. Job Description & Requirements Specialty: Utilization Review Discipline: RN Start Date: 08/11/2025 Duration: 8 weeks Shift...Shift work
Uniti Med
Franklin, NH4 days ago - ...Job Description LanceSoft is seeking a local contract nurse RN Utilization Review for a local contract nursing job in Apple Valley, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 08/11/2025 ~ Duration...Weekly payPermanent employmentContract workTemporary workLong term contractWork at officeLocal areaShift work
LanceSoft
Apple Valley, CA14 days ago - ...Genie Healthcare is seeking a travel nurse RN Clinic Utilization Review for a travel nursing job in Santa Barbara, California. Job Description & Requirements ~ Specialty: Utilization Review ~ Discipline: RN ~ Start Date: 08/18/2025 ~ Duration: 13 weeks ~...Shift work
- ...Position Purpose: The purpose of the Clinic Nurse-RN position is to deliver high-quality,... ...to standards. # Completes and reviews logs (e.g., refrigerator, oxygen, etc.) for... ...Clinic Supervisor. # Monitors and completes HEDIS measures, including identifying and...HEDISTemporary work
