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Search Results
 
 Job Title / Description ( show titles only ) CompanyLocation
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Posted
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Appeals Analyst - Utilization Review Nurse - View similar jobs
Job type: Full-Time
clinical review or benefit analysis to determine if the requested services meet medical necessity ... /medical review, quality assurance or home...
CGS Administrators
TN - Nashville
1 Week Ago
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NURSE - RN OR LPN OR FMG- HEDIS REVIEW - View similar jobs
Job type: Full-Time | Pay: $30.00 - $34.00/hour
auditing and/or medical records review projects. Responsibilities includes medical records reviews, data ... skills and ability to work both...
Allmed Staffing
NY - New York
5 Days Ago
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Quality Assurance Coding Analyst (HEDIS) - View similar jobs
Job type: Full-Time | Pay: $40k - $80k/year
visits to educate, train and review medical records and developing and maintaining effective professional ... Experience Required 3+ years Auditing...
Leading Healthcare Insurance Company
MI - Detroit Metro Area
5 Days Ago
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HEDIS Medical Records Review - View similar jobs
Job type: Full-Time
Work with RMHP’s Medical Record Review team to collect medical records and conduct HEDIS ... of 2 years clinical experience; preferred. Medical...
Rocky Mountain Health Management Corporation
CO - Grand Junction
5 Days Ago
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Registered Nurse RN HEDIS Review - View similar jobs
Job type: Contractor
HEDIS Review Registered Nurse RN Contract Available in Kansas City, MO! Must have 1+ years of ... experience • Previous medical record review, data...
Favorite Healthcare Staffing, Inc.
MO - Kansas City
3 Weeks Ago
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Nurse Case Manager - View similar jobs
Job type: Full-Time
Nurse Case managers needed in the Inland Empire, CA ... experience within a Hospital, Medical Group, IPA or Health Plan setting. Experience with...
CA - Ontario
2 Weeks Ago
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Medical Records - Certification Required or LPN with Medical Records Experience - View similar jobs
Job type: Full-Time
Medical Records As a Medical Records you will: Assist in organizing, planning and directing ... high school diploma or GED . Certified as a...
Consulate Health Care
NE - Omaha
3 Weeks Ago
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Nurse Case Manager - View similar jobs
Job type: Full-Time
Nurse Case managers needed in San Jose, CA ... experience within a Hospital, Medical Group, IPA or Health Plan setting. Experience with either...
CA - San Jose
2 Weeks Ago
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Registered Nurse / RN / HEDIS Nurse / Nurse Abstractor / Medical Review - View similar jobs
Job type: Full-Time
medical records and abstracting HEDIS related data into designated software according to strict HEDIS...
Kelly Healthcare Resources
MN - Mankato
1 Week Ago
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Utilization Review Nurse - View similar jobs
Job type: Full-Time
review medical records. This position plays a pivotal role in the clinical management of New Century ... certification preferred Ability to review...
New Century Health
CA - Brea
2 Weeks Ago
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REGISTERED NURSE II-III-SPC-1-NICU RN - View similar jobs
Job type: Full-Time
to patients; charts treatment of patients and records and reports significant changes in condition ... medical records of hospital admissions; make...
County of Riverside- Healthcare
CA - Moreno Valley
3 Weeks Ago
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Medical Review Nurse II - ID082814/SRC/NE/MD **CONTINUED EXPANSION** - View similar jobs
Job type: Full-Time
Medical Review Nurse II – ID082814/SRC/NE/MD* Omaha, Nebraska or Columbia, Maryland Position ... health or home health service preferred Prior...
StrategicHealthSolutions
MD - Columbia
Oct-28
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Medical Review Nurse I - ID090514NE/MD - View similar jobs
Job type: Full-Time
Medical Review Nurse I – ID90514NE/MD Omaha, NE or Columbia, MD Positions Opened Due to ... nursing, mental health or home health service Prior...
StrategicHealthSolutions
MD - Columbia
3 Weeks Ago
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RN / Medical Reviewer / Quality Review - View similar jobs
Job type: Full-Time
the RN/Medical Reviewer/Quality Review Nurse, you’ll be reviewing and auditing medical records for...
Kelly Healthcare Resources
CA - Woodland Hills
3 Weeks Ago
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HEDIS Review Nurse - View similar jobs
Job type: Full-Time/Part-Time
HEDIS reviews of members’ medical records. One day paid training will take place in January 2015. Nurses ... quality management or medical record...
Professional Services Network, Inc
MD - Anywhere in MD
2 Weeks Ago
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Concurrent Review Nurse - View similar jobs
Job type: Full-Time
Improvements in the hospital, and Care1st staff. This position requires on-going contact with Medical ... ESSENTIAL DUTIES AND RESPONSIBILITIES...
Care1st Health Plan Arizona, Inc.
AZ - Phoenix
2 Weeks Ago
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HEDIS Nurse - Office Based - View similar jobs
Job type: Seasonal/Temp
appropriate medical records, assessing for assigned categories as needed Review assigned medical records in ... license Minimum 3 years nursing...
Medical Staffing Network Care Management
PA - Philadelphia
3 Weeks Ago
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Medical Review Nurse - View similar jobs
Job type: Full-Time
,000 members. We are seeking a Medical Review Nurse who will be responsible for performing ... Current California Registered Nurse (RN) or Licensed...
Santa Clara Family Health Plan
CA - Campbell
1 Week Ago
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Medical Records Auditor Registered Nurse - View similar jobs
Job type: Full-Time
include: • Review medical records in response to requests from claims, legal, clinical, or regulatory...
American Renal Associates
MA - Beverly
2 Weeks Ago
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Registered Nurse Utilization Review (Telecommute) - View similar jobs
Job type: Seasonal/Temp
established criteria Performs continuing review on patients’ medical records to ensure appropriate cost ... Please be advised that we are only...
Medical Staffing Network Care Management
CA - Sacramento
2 Weeks Ago
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Utilization Reivew Nurse - View similar jobs
Job type: Full-Time
transportation with contracted vendors following inpatient stay Review medical records and claims data for acute ... Knowledge: • Knowledge of...
Health Choice
AZ - Phoenix
2 Weeks Ago
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Workforce and Records Management Specialist - View similar jobs
Job type: Full-Time | Pay: $14.00/hour
, etc. Assure discharge charts contain all complete information. Review medical records for completeness ... records management is preferred but not...
Confidential
IN - Mishawaka
3 Weeks Ago
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UTILIZATION MANAGEMENT – REGISTERED NURSE JOB POSTING - View similar jobs
Job type: Full-Time
: Qualification : NYS Licensed Bachelor’s Prepared Registered Nurse with Utilization Review Experience preferred ... clinical area. The UM Nurse...
University of Rochester
NY - Syracuse
1 Week Ago
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RN (Registered Nurse) -Review Analyst - View similar jobs
Job type: Full-Time
data abstraction from medical record reviews as defined by NCQA HEDIS, and be able to enter data ... Registered Nurse with current Michigan driver's...
Epitec INC
MI - Detroit
1 Week Ago
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HEDIS Specialist- RN / LPN - View similar jobs
Job type: Contractor
The HEDIS Specialist will be responsible for: Completing auditing and/or medical records ... teams. Ability to evaluate medical records with...
TotalMed Staffing
NY - Manhattan
5 Days Ago