Medical Review Quality Specialist

Clinical Review Nurse **About the Role** We are seeking a dedicated and experienced Clinical Review Nurse to join our team at Quality Talent Group. As a Clinical Review Nurse, you will play a crucial role in ensuring the accuracy and compliance of our home care service documentation, supporting revenue cycle compliance, and maintaining survey...

About the Clinical Review Nurse RoleWe are seeking a dedicated and experienced Clinical Review Nurse to join our team at Quality Talent Group. As a Clinical Review Nurse, you will play a crucial role in ensuring the accuracy and compliance of our home care service documentation, supporting revenue cycle compliance, and maintaining survey readiness.Key...

We are seeking a qualified RN/LPN with experience in HEDIS reporting and overread processes. The ideal candidate will have a robust understanding of healthcare quality metrics and a proven track record of accurate data abstraction and interpretation. Applicants must be detail-oriented and able to work independently while maintaining a high level of accuracy....

We are seeking a qualified RN/LPN with experience in HEDIS reporting and overread processes. The ideal candidate will have a robust understanding of healthcare quality metrics and a proven track record of accurate data abstraction and interpretation. Applicants must be detail-oriented and able to work independently while maintaining a high level of accuracy....

Job SummaryWe are seeking a highly skilled Clinical Medical Reviewer to join our team at ICONMA. As a Clinical Medical Reviewer, you will play a critical role in ensuring the accuracy and quality of medical records.Key ResponsibilitiesMedical Record Review: Accurately and efficiently review medical records to ensure compliance with HEDIS specifications and...

Job OverviewThe Clinical Medical Review Nurse will play a crucial role in ensuring the quality and accuracy of medical records. This position requires a strong clinical background and excellent analytical skills to review and correct medical abstracts.Key Responsibilities:Conduct thorough reviews of medical records to ensure accuracy and...

Job SummaryWalker Health Services is seeking a highly skilled Utilization Review Specialist to review patient admissions and clinical information for medical necessity and compliance with utilization review guidelines.Key Responsibilities:Review patient admission and clinical information to ensure medical necessity and compliance with state-specific...

HEDIS Quality Specialist Job DescriptionALTA IT Services, LLC is seeking a skilled HEDIS Quality Specialist to support a leading health insurance customer. The ideal candidate will have extensive knowledge of HEDIS measures and medical record review processes.Key Responsibilities:Retrieve medical records via EMR or fax request, ensuring compliance with HIPAA...

Job SummaryWe are seeking a skilled RN Utilization Review Specialist to join our team at MedStar Health. As a key member of our healthcare team, you will play a critical role in ensuring high-quality patient care while promoting efficient use of resources.Key ResponsibilitiesConduct thorough admission, concurrent, and retrospective case reviews to ensure...

Job SummaryWe are seeking a highly skilled Clinical Medical Reviewer to join our team at ICONMA. As a Clinical Medical Reviewer, you will play a critical role in ensuring the accuracy and quality of medical record abstractions performed by our HEDIS abstraction staff.Key ResponsibilitiesMedical Record Over-Reading: Accurately and efficiently over-read...

Job Title: Clinical Medical Review NurseJob Summary:Zolon Tech Inc. is seeking a skilled Clinical Medical Review Nurse to join our Quality Team. As a key member of our team, you will be responsible for conducting thorough HEDIS overreads in line with NCQA guidelines.Key Responsibilities:Conduct HEDIS overreads in line with NCQA guidelinesHelp with Medical...

Job OpportunityPosition: Clinical Medical Review NurseDuration: 6 Months ContractClient: Medical Device Manufacturing CompanyLocation: Baltimore MD 21224Job Summary:The Clinical Medical Review Nurse will report to the Clinical Support Supervisor HEDIS and work as part of the Quality Team. Responsibilities include conducting HEDIS overreads per NCQA...

Job Title: Clinical Quality SpecialistWe are seeking a highly skilled Clinical Quality Specialist to join our team at TEKsystems. As a Clinical Quality Specialist, you will play a critical role in ensuring the quality and accuracy of medical records and data.Key Responsibilities:Retrieve medical records via EMR or fax request, ensuring compliance with HIPAA...

Job SummarynTech Workforce is seeking a skilled HEDIS Medical Review Nurse to join our Quality Team. As a key member of our team, you will be responsible for conducting thorough HEDIS overreads in accordance with NCQA guidelines.Key ResponsibilitiesAssist with Medical Record Retrieval for HEDIS and Risk AdjustmentParticipate in internal audits for...

Job Title: Clinical Medical Review NurseWe are seeking a highly skilled and experienced Clinical Medical Review Nurse to join our team at Vega Consulting Solutions, Inc.Job Summary:The Clinical Medical Review Nurse will be responsible for conducting thorough medical record reviews to ensure accuracy and compliance with HEDIS guidelines. This role requires a...

Clinical Medical Review Nurse Job DescriptionWe are seeking a highly skilled Clinical Medical Review Nurse to join our team at Ageatia Global Solutions. As a key member of our Quality Team, you will play a critical role in ensuring the accuracy and quality of our HEDIS data.Key Responsibilities:Conduct thorough HEDIS overreads in line with NCQA...

Quality Improvement Specialist (RN)Join LifeBridge Health, a leading healthcare provider in Maryland, as a Quality Improvement Specialist (RN). This role is a key part of our team, responsible for driving quality improvement initiatives across our hospitals and medical centers.Key Responsibilities:Conduct comprehensive quality reviews and assessments to...

About the RoleThe Clinical Medical Review Nurse will be responsible for conducting thorough HEDIS overreads in accordance with NCQA guidelines.This role will report to the Clinical Support Supervisor - HEDIS and will be an integral part of the Quality Team.ResponsibilitiesAccurately and efficiently over-read medical record abstractions performed by the HEDIS...

Quality Improvement Specialist (RN)Join LifeBridge Health, a leading healthcare provider in Maryland, as a Quality Improvement Specialist (RN). This role is a key part of our team, responsible for ensuring the highest quality of care for our patients.Key Responsibilities:Conduct comprehensive facility assessments to identify quality improvement...

Job Title: Clinical Medical Review NurseJob Summary:We are seeking a highly skilled Clinical Medical Review Nurse to join our Quality Team. The successful candidate will be responsible for conducting thorough HEDIS overreads, medical record retrieval, and abstraction, as well as participating in internal audits and supporting other needs within the Quality...