Clinical Medical Review Nurse

Job Title: HEDIS Nurse/Clinical Medical Review NurseAt Three Point Solutions, we are seeking a highly skilled Clinical Medical Review Nurse to join our team. As a Clinical Medical Review Nurse, you will play a critical role in ensuring the accuracy and integrity of medical claims and appeals.Key Responsibilities:Receive, research, review, and analyze...

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...

Job Title: HEDIS NurseJob Summary:We are seeking a highly skilled HEDIS Nurse to join our team at Three Point Solutions. The successful candidate will be responsible for handling day-to-day review of professional and institutional claims and provider appeals that require medical review to determine if the claim is eligible for benefits and to support claims...

Job Title: Clinical Medical Review NurseJob Summary:We are seeking a highly skilled Clinical Medical Review Nurse to join our Quality Team at Charter Global. The successful candidate will be responsible for conducting thorough HEDIS overreads, medical record retrieval, and research during the Medical Record Review Project.Key Responsibilities:Accurately and...

Job Title: HEDIS/Clinical Medical Review NurseJob Summary:Zolon Tech Inc. is seeking a skilled Clinical Medical Review Nurse to join our team. The successful candidate will be responsible for reviewing professional and institutional claims, as well as provider appeals, to determine eligibility for benefits and support claims processing and/or...

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...

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...

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...

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: Registered Nurse - HEDISJob Summary:We are seeking a highly skilled Registered Nurse with experience in HEDIS overreads to join our Quality Team at Charter Global. As a Clinical Medical Review Nurse, you will play a critical role in ensuring the accuracy and quality of our HEDIS data.Key Responsibilities:Conduct thorough HEDIS overreads in line...

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 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 Title:Clinical Medical Review NurseJob Summary:Ampcus Inc. is a leading provider of technology and business consulting services. We are seeking a highly skilled Clinical Medical Review Nurse to join our team.Key Responsibilities:Accurately and efficiently over-read medical record abstractions performed by the HEDIS abstraction staff on a daily basis...

Job Title:Clinical Medical Review NurseJob Summary:Ampcus Inc. is a leading provider of technology and business consulting services. We are seeking a highly skilled Clinical Medical Review Nurse to join our team.Key Responsibilities:Accurately and efficiently over-read medical record abstractions performed by the HEDIS abstraction staff on a daily...

Job Title:Clinical Medical Review NurseJob Summary:Ampcus Inc. is a leading provider of technology and business consulting services. We are seeking a highly skilled Clinical Medical Review Nurse to join our team.Key Responsibilities:Accurately and efficiently over-read medical record abstractions performed by the HEDIS abstraction staff on a daily...

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 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 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...

Utilization Review Nurse (RN)Job Summary: We are seeking a skilled Utilization Review Nurse to join our team at LifeBridge Health. As a Utilization Review Nurse, you will play a critical role in ensuring the efficient use of healthcare resources while maintaining high-quality patient care.Key Responsibilities:Conduct concurrent and retrospective chart...