Hedis Review Nurse Remote Jobs in Des Moines, Iowa
Sr. Abstractor, Hedis/Quality Improvement (Remote In Ia)
By Molina Healthcare
At , Des Moines
$21.82 - $42.55 an hour
Remote Nurse Specialist Jobs
By Revitalist
At , Remote
From $26 an hour
Physician, Inpatient Concurrent Review (Pt/Remote) (Ur Exp. Not Req'd)
By CorroHealth
At , Remote
From $100 an hour
Review Team Lead - Remote
By DISCO
At , Remote
Medical Review Nurse (Snf Focus)
By Performant Financial Corporation
At , Remote
Medical Review Nurse (Readmissions Focus)
By Performant Financial Corporation
At , Remote
Review Appraiser - Remote | Wfh
By Get It Recruit - Real Estate
At Orlando, FL, United States
Hedis Coordinator - Remote
By ASK Consulting
At ,
Remote Registered Nurse - Medical Review Specialist
By Avosys Technology, Inc.
At San Antonio, TX, United States
Hedis Quality Nurse Dfw
By INTEGRANET HEALTH
At , Dallas
Hedis Nurse - Remote | Wfh
By Get It Recruit - Healthcare
At Raleigh, NC, United States
Senior Hedis Analyst (Remote)
By Relevante, Inc.
At United States
Review Clerk (Remote) Jobs
By Acentra Health
At Philadelphia, PA, United States
Technical Review Supervisor - Remote
By PosiGen
At Harahan, LA, United States
Project Manager Iii (Healthcare, Hedis) - Remote
By RemoteWorker US
At Greensboro, NC, United States
Advisor, Supervision- Trade Review (Remote Option Available)
By Raymond James Financial
At , Saint Petersburg, 33716, Fl
Medical Review Nurse Rn - Remote
By Florida Blue
At ,
$64,800 - $81,000 a year
Part Time Concurrent Review Nurse Rn -Remote
By Florida Blue
At ,
$64,800 - $81,000 a year
Care Review Processor -Virginia (Remote)
By Molina Healthcare
At , Long Beach, 90802, Ca
$15.58 - $30.39 an hour
Care Review Processor -Virgina (Remote)
By Molina Healthcare
At United States
Nurse Auditor Review 2 - Remote, Nationwide
By Humana
At , Troy, 48083, Mi
Concurrent Review Nurse Jobs
By University HealthCare Alliance
At , Newark, 94560, Ca
$49.59 - $65.71 an hour
Concurrent Review Nurse Rn - Remote
By Florida Blue
At ,
$66,400 - $83,000 a year
Provider Quality Review Nurse, Rn (Remote)
By Inland Empire Health Plans
At , Rancho Cucamonga, 91730, Ca
$79,810 - $101,774 a year
Medical Review Nurse Analyst (Rn) - Remote
By Wis Phys Svc Ins Corp
At , , Sd
$68,000 - $70,000 a year
Are you looking for an exciting opportunity to use your nursing skills from the comfort of your own home? We are looking for a Hedis Review Nurse to join our team and help us ensure the quality of our healthcare services. You will be responsible for reviewing medical records and data to ensure accuracy and compliance with quality standards. If you are a detail-oriented professional with a passion for quality healthcare, this is the perfect job for you!
Overview Hedis Review Nurse Remote is a position that involves reviewing medical records to ensure that they meet the standards set by the National Committee for Quality Assurance (NCQA). The nurse is responsible for ensuring that the medical records are accurate and up-to-date, and that they meet the requirements of the NCQA. The nurse must also be able to interpret the data and make recommendations for improvement. Detailed Job Description The Hedis Review Nurse Remote is responsible for reviewing medical records to ensure that they meet the standards set by the NCQA. The nurse must be able to interpret the data and make recommendations for improvement. The nurse must also be able to identify any discrepancies in the medical records and provide feedback to the healthcare provider. The nurse must also be able to provide guidance to the healthcare provider on how to improve the quality of care. Job Skills Required• Knowledge of NCQA standards and regulations
• Ability to interpret medical records
• Ability to identify discrepancies in medical records
• Ability to provide feedback to healthcare providers
• Ability to provide guidance to healthcare providers on how to improve the quality of care
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team
• Ability to work in a fast-paced environment
Job Qualifications
• Bachelor’s degree in Nursing or related field
• Current RN license in the state of practice
• At least two years of experience in a clinical setting
• Knowledge of NCQA standards and regulations
• Knowledge of medical terminology
Job Knowledge
• Knowledge of NCQA standards and regulations
• Knowledge of medical terminology
• Knowledge of healthcare industry
• Knowledge of healthcare regulations
• Knowledge of healthcare technology
Job Experience
• At least two years of experience in a clinical setting
• Experience in reviewing medical records
• Experience in providing feedback to healthcare providers
• Experience in providing guidance to healthcare providers on how to improve the quality of care
Job Responsibilities
• Review medical records to ensure that they meet the standards set by the NCQA
• Interpret the data and make recommendations for improvement
• Identify any discrepancies in the medical records and provide feedback to the healthcare provider
• Provide guidance to the healthcare provider on how to improve the quality of care
• Monitor the progress of the healthcare provider in meeting the standards set by the NCQA
•
- Hedis Review Nurse Remote in Iowa
- Hedis Review Nurse Remote in Des Moines
- Hedis Review Nurse Remote in Fremont
- Hedis Review Nurse Remote in Florida
- Hedis Review Nurse Remote in Orange
- Hedis Review Nurse Remote in Orlando
- Hedis Review Nurse Remote in Texas
- Hedis Review Nurse Remote in Bexar
- Hedis Review Nurse Remote in San Antonio
- Hedis Review Nurse Remote in Dallas
-
Systems Analyst - Excel, Xml, Sql, Scripting
By CyberCoders At Salt Lake City, UT, United States 8 months ago
-
(Senior) Finance & Shared Services Manager
By Catholics For Choice At Washington, DC, United States 8 months ago
-
Paralegal - Probate Administration
By CyberCoders At Miami, FL, United States 8 months ago
-
Account Executive - Automotive Software
By ECW Search At United States 8 months ago
-
Construction Project Coordinator Jobs
By CyberCoders At River Falls, WI, United States 8 months ago
- › Adair
- › Adams
- › Allamakee
- › Appanoose
- › Audubon
- › Benton
- › Black Hawk
- › Boone
- › Bremer
- › Buchanan
- › Buena Vista
- › Butler
- › Calhoun
- › Carroll
- › Cass
- › Cedar
- › Cerro Gordo
- › Cherokee
- › Chickasaw
- › Clarke
- › Clay
- › Clayton
- › Clinton
- › Crawford
- › Dallas
- › Davis
- › Decatur
- › Delaware
- › Des Moines
- › Dickinson