- Elevance Health (Hialeah, FL)
- ** HEDIS Medical Records Review Project Nurse** **Location: Must be located within 50 miles of an Elevance Health PulsePoint office in the state of ... considered for employment, unless an accommodation is granted as required by law._ The ** HEDIS Medical Records Review Project Nurse** is responsible for … more
- Molina Healthcare (FL)
- …includes ongoing review of records submitted by providers and the annual HEDIS medical record review . + Participates in meetings with vendors for the ... Improvement Sr. Abstractor conducts data collection and abstraction of medical records for HEDIS projects,...Duties** + Performs the coordination and preparation of the HEDIS medical record review which… more
- Molina Healthcare (Orlando, FL)
- …Sr. Overreader conducts oversight and audits of the data collected and abstracted from medical records for HEDIS projects, HEDIS like projects ... projects. **Job Duties** + Performs the role of the HEDIS medical record review overreader/auditor... record review overreader/auditor which includes ongoing review of records reviewed and data entered… more
- Molina Healthcare (FL)
- **Job Description** **Job Summary** Molina's HEDIS /Quality Improvement Sr. Medical Records Collector is a team member with several years experience in ... the national and/or regional lead, the Medical Records Collector supports the annual HEDIS audit...and member interventions and incentive efforts as needed through review of medical records documentation.… more
- CVS Health (Tallahassee, FL)
- …care of patients with severe, complex, and/or treatment resistant illnesses through peer review and educational interventions. * Work with medical director teams ... focusing on inpatient care management, clinical coverage review , member appeals clinical review , ...multiple stakeholders. * Help achieve or exceed all applicable HEDIS , Stars and local state performance targets and goals… more
- Centene Corporation (Tallahassee, FL)
- …to leadership and/or customers + Manage multiple, variable tasks and data review processes with limited supervision within targeted timelines + Support the design, ... mining, population health, and statistical modeling preferred **Quality:** Experience with HEDIS , NCQA, Medicare Star Rating System, QRS, or other quality measures… more
- CenterWell (Jacksonville, FL)
- …on outpatient medicine, continuity of care, health maintenance, and disease prevention. Keeps a medical history and medical records . Refers the patient to ... accordance with standards of care. . Follows level of medical care and quality for patients and monitors care...Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records… more
- CenterWell (Okeechobee, FL)
- …protocol defined by Clinical Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. . Participates in ... doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators… more
- CenterWell (Tamarac, FL)
- …protocol defined by Clinical Leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. . Participates in ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more
- CenterWell (Kissimmee, FL)
- …protocol defined by clinical leadership. . Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. . Participates in ... doctors, advanced practice professionals, pharm D, care coach nurses, medical assistants, behavioral health, specialists, quality-based coders, referral coordinators… more