| Resume alert | Resumes 41 - 50 of 1723 |
Clinical Documentation Medical Staff
Brooklyn, NY
ad4hr9@r.postjobfree.com 347-***-**** Skills Revenue Cycle HEDIS Chart Reviews ICD-9-CM & ICD-10- CM CPT Coding Risk Adjustment Coding HCC Coding DRG Reviews Policy updates Data analysis JCAHO Auditing RADV Audits Compliance reviews Investigative ... - Mar 21
ad4hr9@r.postjobfree.com 347-***-**** Skills Revenue Cycle HEDIS Chart Reviews ICD-9-CM & ICD-10- CM CPT Coding Risk Adjustment Coding HCC Coding DRG Reviews Policy updates Data analysis JCAHO Auditing RADV Audits Compliance reviews Investigative ... - Mar 21
Project Manager Management
Glenwood, IL
... •Major data extractions for reporting for NCQA, HEDIS, Department of Insurance reporting Education LAKE FOREST GRADUATE SCHOOL OF MANAGEMENT, Lake Forest, Illinois M.B.A., Healthcare Management NORTHERN ILLINOIS UNIVERSITY, DeKalb, Illinois B.S., ... - Mar 21
... •Major data extractions for reporting for NCQA, HEDIS, Department of Insurance reporting Education LAKE FOREST GRADUATE SCHOOL OF MANAGEMENT, Lake Forest, Illinois M.B.A., Healthcare Management NORTHERN ILLINOIS UNIVERSITY, DeKalb, Illinois B.S., ... - Mar 21
Patient Care General Surgery
Houston, TX
... Educating New Mothers and their families with proper discharge instructions on Post Partum Depression and helpful resources HEDIS Nurse Abstractor The CSI Companies November 2021 to May 2022 Responsible for managing and utilizing confidential ... - Mar 21
... Educating New Mothers and their families with proper discharge instructions on Post Partum Depression and helpful resources HEDIS Nurse Abstractor The CSI Companies November 2021 to May 2022 Responsible for managing and utilizing confidential ... - Mar 21
Human Services Quality Assurance
Millsboro, DE, 19966
... • Manage community events, member services CAHPS survey outcomes, HEDIS benchmarks. PUBLIC PROGRAMS RESOURCE NAVIGATOR • MARCH 2017 – JULY 2018 Clearstone Solutions (Blue Cross Blue Shield of Minnesota), Eagan, MN • Assisted on Medicare Blue Rx (PDP ... - Mar 20
... • Manage community events, member services CAHPS survey outcomes, HEDIS benchmarks. PUBLIC PROGRAMS RESOURCE NAVIGATOR • MARCH 2017 – JULY 2018 Clearstone Solutions (Blue Cross Blue Shield of Minnesota), Eagan, MN • Assisted on Medicare Blue Rx (PDP ... - Mar 20
Customer Service Medical Records
Washington, DC
... Experience structured auditing criteria for medical record documentation sent for HEDIS measures. Maintained productivity. Knowledgeable, dependable and professional Licensed Practical Nurse/ Wellness Nurse 25 + years. level with less than 5% error ... - Mar 19
... Experience structured auditing criteria for medical record documentation sent for HEDIS measures. Maintained productivity. Knowledgeable, dependable and professional Licensed Practical Nurse/ Wellness Nurse 25 + years. level with less than 5% error ... - Mar 19
Practical Nurse Licensed
Fort Worth, TX
... Epic Nursing Agency – Part Time - 12/2015 - 07/2016 Provided professional home care nursing, HEDIS Review Nurse – Contract (Remote) – 02/2016 - 03/2016 Supported and assisted Director of Quality Affairs with quality data collection and performed all ... - Mar 18
... Epic Nursing Agency – Part Time - 12/2015 - 07/2016 Provided professional home care nursing, HEDIS Review Nurse – Contract (Remote) – 02/2016 - 03/2016 Supported and assisted Director of Quality Affairs with quality data collection and performed all ... - Mar 18
Grievance and Appeals
Columbus, OH
... Served as a subject matter expert for EPSDT program and educated team members on HEDIS and EPSDT principles Provided leadership and oversight to a new outbound call center for Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Created ... - Mar 18
... Served as a subject matter expert for EPSDT program and educated team members on HEDIS and EPSDT principles Provided leadership and oversight to a new outbound call center for Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Created ... - Mar 18
Sql Server Power Bi
Robbinsville Center, NJ, 08691
... Design, Production, Development, Implementation and Unit Testing Experienced in medium to large scale environments in various domains like Finance and Healthcare Worked on packages to load HEDIS measures, ICD codes, Claims data into the servers. ... - Mar 18
... Design, Production, Development, Implementation and Unit Testing Experienced in medium to large scale environments in various domains like Finance and Healthcare Worked on packages to load HEDIS measures, ICD codes, Claims data into the servers. ... - Mar 18
Patient Care Pharmacy Manager
Miami, FL
... Experience with HEDIS, Stars, Medicare Quality metrics, Quality improvement and Auditing. Familiar with pharmacy adjudication systems (Utilization Management) such as Prior Authorizations, Lost medications, and Vacation supplies. Conduct the ... - Mar 18
... Experience with HEDIS, Stars, Medicare Quality metrics, Quality improvement and Auditing. Familiar with pharmacy adjudication systems (Utilization Management) such as Prior Authorizations, Lost medications, and Vacation supplies. Conduct the ... - Mar 18
Nurse Practitioner Registered
Miami, FL
... University Health Rehabilitation Center, 07/2022 - 10/2022 MRA Reviewer and Audit, Corpore Office American Care Inc., 07/2019 - 06/2022 Medical Center Coordinator, Cuter Ridge American Care, 04/2019 - 06/2019 HEDIS Associate, American Care Inc. ... - Mar 17
... University Health Rehabilitation Center, 07/2022 - 10/2022 MRA Reviewer and Audit, Corpore Office American Care Inc., 07/2019 - 06/2022 Medical Center Coordinator, Cuter Ridge American Care, 04/2019 - 06/2019 HEDIS Associate, American Care Inc. ... - Mar 17