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...

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. As a key member of our Quality Department, you will play a crucial role in ensuring the accuracy and quality of our medical records and data.Key Responsibilities:Conduct thorough HEDIS...

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...

Clinical Medical Review Nurse **Job Summary:** We are seeking a highly skilled Clinical Medical Review Nurse to join our team at Three Point Solutions. The successful candidate will be responsible for conducting HEDIS overreads, assisting with medical record retrieval, participating in internal audits, and supporting quality department needs. **Key...

Job Title: Hedis Quality SpecialistAlta IT Services is seeking a skilled Hedis Quality Specialist to support a leading health insurance customer on a 6+ month contract opportunity.Key Responsibilities:Retrieve and review medical records using proprietary tools and software.Conduct thorough chart reviews to ensure compliance with Hedis standards.Collaborate...

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 Title: HEDIS Medical Review NurseJob Summary:We are seeking a skilled HEDIS Medical Review Nurse to join our Quality Team at nTech Solutions, Inc. The ideal candidate will have experience in HEDIS reporting and overread processes, with a strong understanding of healthcare quality metrics and data abstraction.Responsibilities:Conduct thorough HEDIS...

Job Title: Quality Control SpecialistMaximus is seeking a Quality Control Specialist to join our Veterans Evaluation Services (VES) team. This is a remote opportunity.The Quality Control Specialist is responsible for reviewing Medical Disability Examination (MDE) reports and Disability Benefits Questionnaires (DBQs) generated by medical providers for...

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...

Alta IT Services is seeking a skilled professional to support a leading health insurance customer as a HEDIS Quality Specialist. This 6+ month contract opportunity requires the individual to conduct thorough medical record reviews using proprietary tools and software.Key Responsibilities:Retrieve and review medical records to ensure accuracy and...

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 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 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 Title: Hedis Quality SpecialistALTA IT Services, LLC is seeking a highly 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...

Job Title: Quality Assurance SpecialistMedvacon Life Sciences is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will be responsible for ensuring the quality and compliance of our products.Key Responsibilities:Review and verify executed batch records of APIs, Drug Products, and secondary...

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...