HEDIS Review Nurse Specialist

Job Summary:We are seeking a skilled Clinical Nurse to join our HEDIS Review Team. As a member of this team, you will work under the supervision of the HEDIS Coordinator to review medical records and ensure accuracy and compliance with NCQA guidelines.Key Responsibilities:Accurately review medical records to identify errors and discrepanciesUtilize software...

HEDIS Abstraction Specialist Job DescriptionThis is a contract position with HireOps Staffing LLC. The position is fully remote. The pay is $40/hour. SUMMARY DESCRIPTION:The HEDIS Abstraction Specialist is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The HEDIS...

HEDIS Over Reader Nurse Job DescriptionThis is a contract assignment that will be completed remotely in Texas. The successful candidate will work under the supervision of the HEDIS Coordinator and be a member of the medical record review team. The team is responsible for obtaining and performing accurate comprehensive reviews of medical records in support of...

Job SummaryWe are seeking a highly organized and detail-oriented Application Review Specialist to join our team at the Department of Computer Science. As an Application Review Specialist, you will play a critical role in evaluating graduate applications and providing feedback to applicants.Key ResponsibilitiesEvaluate a high volume of graduate applications...

Job SummaryWe are seeking a highly organized and detail-oriented Application Review Specialist to join our team at the Department of Computer Science. As a key member of our admissions team, you will be responsible for reviewing and evaluating a high volume of graduate applications.Key ResponsibilitiesReview and evaluate applications for graduate admission,...

Job Summary:Centene Corporation is seeking a skilled Clinical Review Specialist to join our Medical Management/Health Services team. As a key member of our team, you will play a critical role in ensuring the medical appropriateness of care and services related to mental health and substance abuse.Key Responsibilities:Perform clinical reviews and assessments...

Job Summary We are seeking a highly skilled Application Review Specialist to join our team at the University of Texas at Austin. As a key member of the Department of Computer Science, you will play a critical role in evaluating graduate applications and ensuring that our admissions process is fair, efficient, and effective. Responsibilities * Evaluate a...

Job SummaryWe are seeking a highly organized and detail-oriented Application Review Specialist to join our team at the Department of Computer Science. As a key member of our admissions team, you will be responsible for reviewing and evaluating a high volume of graduate applications.Key ResponsibilitiesReview and evaluate applications for graduate admission,...

Job Title: Clinical Review NurseJoin Centene Corporation, a leading healthcare company, as a Clinical Review Nurse and play a vital role in ensuring the quality and cost-effectiveness of medical care for our 28 million members.Job Summary:We are seeking a highly skilled and experienced Clinical Review Nurse to join our Medical Management/Health Services...

About the RoleKLDiscovery, a leading provider of eDiscovery solutions, is seeking highly skilled attorneys to join our team as Document Review Specialists. As a Document Review Specialist, you will play a critical role in supporting our clients' litigation needs by reviewing and analyzing documents for complex litigation matters.Key ResponsibilitiesReview...

Pain Specialist of America LLC Job DescriptionWe are seeking a highly skilled Medical Assistant to join our team at Pain Specialist of America LLC. As a Medical Assistant, you will play a vital role in providing exceptional patient care and supporting our healthcare professionals in a fast-paced environment.Key Responsibilities:Prepare for daily clinic...

Job Title: Document ReviewerKLDiscovery, a leading eDiscovery provider, is seeking attorneys with active licenses in any U.S. jurisdiction to join our team as Document Reviewers.Job SummaryWe are looking for highly skilled attorneys to review documents for complex litigation matters using our electronic review platform. As a Document Reviewer, you will code...

Job Summary:This position reports to the Acute Care Utilization Review Manager in the Office of the Medical Director, Medicaid and CHIP Services Department. The Behavioral Health Analyst (Program Specialist VI) performs complex behavioral health managed care utilization review oversight and consultation related to the prior authorization (PA) and...

Travel Nurse ICU Specialist OpportunityJackson Nurse Professionals is seeking a skilled travel nurse ICU specialist to fill a critical need in patient care at a top-rated hospital in Austin, Texas.Job Details:Specialty: ICU - Intensive Care UnitDiscipline: RNShift: NightsDuration: 13 weeksEmployment Type: TravelAbout the Role:As a travel nurse ICU...

Pain Management Registered Nurse Job SummaryWe are seeking a highly skilled and compassionate Registered Nurse to join our team at Pain Specialists of America LLC. As a Pain Management Registered Nurse, you will play a critical role in providing exceptional patient care and supporting our team in achieving our strategic objectives.Key Responsibilities:Ensure...

Job Summary: We are seeking a highly skilled Nurse III to join our team as a Managed Care Nurse Analyst - Clinical Review. This senior-level position reports to the Acute Care Utilization Review Unit's (ACUR) Managed Care Clinical Review Manager. As a key member of our team, you will perform complex assessments and analyses of Medicaid MCO utilization...

Job Title: Travel Nurse ICU SpecialistAt Jackson Nurse Professionals, we're seeking a skilled Travel Nurse ICU Specialist to join our team for a 13-week contract at a reputable area hospital in Austin, Texas.Job Summary:We're looking for a Registered Nurse with experience responding to life-saving medical situations by providing emergency care and life...

Travel Nurse RN Job OpportunityWe are working with QS Nurses to find a qualified PCU RN in Austin, Texas. This is a great opportunity for a nurse who wants to travel and experience new places while continuing to practice their skills.About the PositionQS Nurses is a leading provider of travel and per diem services, with over 30 years of experience. We are...

Job Title: Travel Nurse RN PACU SpecialistJackson Nurse Professionals is seeking a skilled travel nurse RN PACU specialist to fill a critical need in patient care at a top-rated hospital in Austin, Texas.Job Requirements:Specialty: PACU - Post Anesthesia CareDiscipline: RNEmployment Type: TravelShift: DaysThe ideal candidate will have a strong background in...

Travel Nurse RN Job OpportunityWe are working with QS Nurses to find a qualified PCU RN in Austin, Texas. This is a great opportunity for a nurse who wants to travel and experience new places while continuing to practice their skills.About the PositionQS Nurses is a leading provider of travel and per diem services, with over 30 years of experience. We are...