• Lead Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (TX)
    …which includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Leads meetings with vendors for the ... Improvement Lead Abstractor conducts data collection and abstraction of medical records for HEDIS projects,...lead role in the coordination and preparation of the HEDIS medical record review more
    Molina Healthcare (07/17/25)
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  • Abstractor, HEDIS /Quality Improvement…

    Molina Healthcare (Cincinnati, OH)
    …includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Participates in meetings with vendors ... team functions to conduct data collection and abstraction of medical records for HEDIS projects,...minimum over read standards. **Job Duties** + Coordinates the HEDIS medical record review more
    Molina Healthcare (07/17/25)
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  • HEDIS Reviewer II

    US Tech Solutions (May, OK)
    …the screenings. * Search for relevant HEDIS records from databases, review medical records using HEDIS technical specification criteria or ... collection, and review of medical records to abstract clinical information for HEDIS ...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters… more
    US Tech Solutions (05/07/25)
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  • * HEDIS Reviewer III

    NTT DATA North America (IL)
    HEDIS Reviewer - State of IL Position Summary:...the collection and review of medical records to abstract clinical information for HEDIS quality ... the assignment. This position interprets relevant clinical criteria through review of medical records , annotates...offices as needed to schedule/confirm appointments, follow up on medical record submission, and provide patient rosters… more
    NTT DATA North America (07/02/25)
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  • Clinical Quality and Risk Liaison LVN

    Dignity Health (Bakersfield, CA)
    …action plans to address the needs and barriers in collaboration with providers. - Performs medical record review or audits as needed. - Document provider, ... Liaison provides education and acts as a resource for HEDIS measures, appropriate medical record ...work experience of 2 years related HEDIS record collection and measures improvement with analytical review more
    Dignity Health (07/16/25)
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  • HEDIS Overreader Registered Nurse

    Insight Global (Philadelphia, PA)
    …position in PA or NJ. This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for Quality Check of FDC/ ... Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Previous HEDIS review experience Active RN License or… more
    Insight Global (07/01/25)
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  • HEDIS Registered Nurse or LPNs (Field…

    Insight Global (Philadelphia, PA)
    …providers Scan/Upload/Download medical records from onsite reviews daily Medical record abstraction into database from onsite visit, assigned remote ... from providers via fax, abstraction & entry of medical records assigned by a Clinical Quality... review experience or experience with Utilization Review , Quality, Medical Record auditing… more
    Insight Global (07/01/25)
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  • Registered Nurse, RN Community Based Care…

    Hackensack Meridian Health (Tinton Falls, NJ)
    …Commercial, Medicare Advantage, etc. + Experience with relevant systems (eg, electronic medical records , disease registries). + Excellent written and verbal ... Associate's Degree in Nursing. + Familiarity with Utilization Management Criteria, PQRS, HEDIS , Meaningful Use, Patient-Centered Medical Home, or other quality… more
    Hackensack Meridian Health (05/22/25)
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  • Quality Management Clinical Nurse - Facility Site…

    UCLA Health (Los Angeles, CA)
    …including inspections of clinical areas, patient care practices, and administrative processes + Review medical records of services in preparation for health ... Key responsibilities include: + Travel to various clinic sites and schedule and conduct medical record and facility site audits + Conduct thorough facility site… more
    UCLA Health (07/14/25)
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  • Utilization Review - Registered Nurse

    Community Health Systems (Naples, FL)
    …on performance improvement of the UR KPI's. Ensures proper and accurate medical record documentation. **Essential Functions** + Reviews new admissions using ... Primarily responsible for the collection and confirmation of accurate documentation in the Medical Record + Works with healthcare providers to ensure complete… more
    Community Health Systems (07/12/25)
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