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Clinical Quality Reviewer - Hybrid.

Clinical Quality Reviewer – Seasonal. Clinical Quality Reviewer - Hybrid. Clinical background: Health Educator, LPN, RN, LMSW, or LCSW.

Clinical background: Health Educator, LPN, RN, LMSW, or LCSW Minimum 2 years of HEDIS review experience in a managed care or health plan setting Experience with medical record review for HEDIS/QARR measures Licensure/Certification Required: Health Educator, LPN, RN, LMSW, or LCSW with ≥2 years HED

Paying $63 an hour Position Overview: The primary function of the Clinical Quality Reviewer - Seasonal is to conduct audit of medical charts for compliance with HEDIS, QARR, Medicare Advantage Star measure specifications. TOP HEALTH INSURANCE COMPANY NOW HIRING CLINICAL QUALITY REVIEWER Located in

Responsibilities include reviewing medical records and providing clinical summaries, while offering advisory services without establishing doctor-patient relationships.

Clinical Quality Reviewer - Hybrid.

Immediate need for a Neurosurgery-Nurse Practitioner to join a Locums position in New Jersey Coverage dates: ASAP - Ongoing Schedule is 3 days per week, approx.Shift is Mon, Tues, Wed 8 hour days 8am-5pm (hospital rounding will take place within those hours).Able to speak Spanish as well as English

Investigate potentially fraudulent or abusive claims patterns in coordination with clinical and legal partners.

Seeking a Cardiovascular - Nurse Practitioner to join a permanent practice in New York Medical Office Hours of Operation are:?? Monday-Wednesday 8:00AM ??? 6:00PM?? Thursday 8:00AM ??? 8:00PM?? Friday 8:00AM ??? 5:00PM?? Saturday 8:00AM ??? 1:00PM Candidate must be Graduate of a Nurse Practitioner e

Registered Nurse (RN) Floor Nurse Day Shift at Centers Healthcare summary:.As a Registered Nurse (RN) at Beth Abraham Center, I provide essential support and care to residents in a skilled nursing facility.My responsibilities include monitoring residents, administering medications, and collaborating

Outpatient Registered Nurse, Nephrology Nursing, Patient Care, Hemodialysis, Clinical Nursing, Patient Assessment, Healthcare Team, Nursing Practice, Patient Education, Clinical Advancement Program. The nurse ensures compliance with healthcare policies and assists in training and orientation of new

The essence of Amsterdam includes a unique combination of old-world charm, comfortable surroundings, and a state-of-the-art clinical care. Registered Nurse, nursing supervisor, long-term care, New York City, skilled nursing, resident care, healthcare, patient support, clinical care, nursing guidelin

Registered Nurse Unit Manager, RN perform professional supervision, guidance and direction to staff in both clinical and personnel issues on the Sub-Acute (Short Term Unit). Provide support to resident/families in dealing with clinical issues and challenges. Ensure Assessment: Document clinical obse

Registered Nurse (RN) - Surg General at Centers Healthcare summary:.The Registered Nurse (RN) at Beth Abraham Center provides critical support and care for residents in a skilled nursing facility.Responsibilities include administering medications, monitoring patient health, and collaborating with a

At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service.As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member i

Registered Nurse (RN) at Centers Healthcare summary:.A Registered Nurse (RN) is responsible for providing care and support to residents in a skilled nursing facility, ensuring adherence to medication and treatment protocols, and maintaining accurate documentation of care services.The role emphasizes

Host Healthcare is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Neptune City, New Jersey.Shift: 12 hours, days ~ Employment Type: Travel Host Healthcare is an award-winning travel healthcare company with an immediate opening for this Registered Nurse - Cardiac Cath Lab

Licensed Clinical Social Worker LCSW - Bilingual Spanish Speaking Are you passionate about working with an underserved and rewarding population? Looking for a clinical role without the administrative burden, and one that offers real work-life balance? If so, read on and apply today! Senior Care Ther

Zone IT Solutions is seeking an experienced Data Analyst with a strong background in Python and SQL.In this role, you will be responsible for gathering, processing, and analyzing large datasets, ensuring data integrity while developing actionable insights for our clients.Your ability to translate co

Position at New York City Transit.Department: Department of Subways.Location: 2 Broadway, New York, NY 10004.Position Title: Data Analyst, Subways & Admin Support - Emerging Talent Intern (Summe

Prizeout is a fast-growing fintech transforming how people interact with their money by turning everyday transactions into rewarding, value-driven moments.We sit at the intersection of payments, rewards, and loyalty, empowering financial institutions to build deeper connections with their users.Our

Full-time employees will enjoy a competitive benefits package with options for you and your family including:.The compensation and benefits information is accurate as of the date of this posting.The Company reserves the right to modify this information at any time, with or without notice, subject to

We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for. Of course, if you need anything, your Director of Nursing is only a phone call away we offer 24-hour, 365-day support and on-demand clinical resources. Taking direction from clinical t

Current is a leading US-based fintech company dedicated to empowering individuals to achieve their financial goals.We're committed to providing innovative and accessible financial solutions, and data plays a crucial role in driving our success.We're looking for a talented and passionate Data Analyst

Taking direction from clinical team and being overseen by a registered nurse. Following all clinical and office policies. We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for.

Job Title: Data Analyst Intern.Asheville Cottages is seeking a highly motivated and detail-oriented Data Analyst Intern to join our team.We are a luxury vacation rental company located in the beautiful mountains of Asheville, North Carolina.Our company prides itself on providing our guests with exce

We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for. Of course, if you need anything, your Director of Nursing is only a phone call away we offer 24-hour, 365-day support and on-demand clinical resources. Taking direction from clinical t

Optimove is a global marketing tech company, recognized as a Leader by Forrester and a Challenger by Gartner.We work with some of the world's most exciting brands, such as Sephora, Staples, and Entain, who love our thought-provoking combination of art and science.With a strong product, a proven busi

Our team members are the heart of what makes us better.At Hackensack Meridian we help our patients live better, healthier lives - and we help one another to succeed.With a culture rooted in connection and collaboration, our employees are team members.Here, competitive benefits are just the

Weedmaps, you will shape how the business understands and acts on data insights.You will be a key thought leader helping senior leadership from across the business turn their objectives into data strategies that drive multi-million dollar decisions.Rather than waiting for requests, you will proactiv

Thanks for your interest in Success Academy! Running a large, fast-growing, and high-performing network of public charter schools takes a village - families, children, teachers, staff and faculty, advocates, and supporters alike.We would love to welcome you to our community! We work tirelessly every

Troveo is building the next-generation data platform to train AI video models.We offer the world’s largest library of AI video training data, offering millions of hours of licensed, training-ready content.Our end-to-end data pipeline connects creators, rights holders, and AI research labs, enabli

Valon is building the AI-native operating system for regulated finance, starting with mortgage servicing.We're a Series C company backed by a16z, transforming industries that others have written off as too complex to innovate.Rather than build on top of broken legacy systems, we took a different app

GlossGenius is building an ecosystem enabling entrepreneurs to succeed.We empower small business owners to focus on being creators, not admins, by offering a range of business management tools including booking and scheduling, marketing, analytics, payment processing and much more.Over 100,000 small

We are a product-focused organization that dreams big and achieves those dreams.Our customers are large players in the construction industry.This is an opportunity to be part of a nimble team where every individual becomes an expert in their area.We work fast, iterate quickly, and create a product t

Cambio is a software platform for world-class real estate decarbonization.We help commercial real estate owners and tenants bring their real estate portfolios to net-zero using a powerful suite of software tools and AI-based recommendations.Our mission: to take the real estate industry into the clim

Partner with Client Success and Commercial teams to build and deliver data-driven narratives that highlight Maven’s measurable impact on clinical outcomes, cost reduction, and employee well-being for enterprise clients. Support adoption automation tools (such as Matik) to scale client reporting an

At Talkspace, we are committed to fostering a diverse, equitable, inclusive, and belonging-centered workplace where everyone can thrive while making a difference in mental health.Want to help over two million people receive quality mental healthcare? Come join our mission of getting therapy in the h

We are seeking a highly motivated an.Analyst and IT Administrator for the Arc Companies’ real estate, venture and family office activities.Arc is an entrepreneur led firm where bright, creative thinkers have joined together to do.We foster learning from each other and growing personally and profes

PLEASE NOTE - This is NOT a technical role for a Data Analyst, Data Scientist or someone with an IT background.Candidates MUST have experience in the Market Data realm and be able to administer Market Data contracts.Please read the description before you apply**.The Market Data Analyst at S4 Market

At True Venture Group, we are more than a leader in community-based healthcare—we are catalysts for meaningful change.Our mission is to identify and nurture business opportunities that drive innovation, enhancing the health and well-being of the communities we serve.Our unwavering commitment to ex

At The Knot Worldwide, we champion celebration - and that starts with celebrating our people.Our employees are passionate dreamers, thoughtful doers, and lifelong learners who power meaningful moments for millions around the world.We’re united by authentic connection, shared purpose, and a deep co

Social Care Network Data Analyst .Full-time at 35 hours per week .Director of Community Services and Director of Data Systems & Analytics.Center for Family Life in Sunset Park (CFL) is a neighborhood-based 501(c)3 non-profit organization that aims to promote positive outcomes for children and adul

We’re a next-generation platform that provides a comprehensive,.Whether you're a travel enthusiast or an experienced professional, Fora equips you with everything needed to.At the heart of Fora is our mission: to.We believe that everyone, from seasoned travel professionals to first-time entreprene

Our client is a leading force in advancing safer, smarter AI technology.Their work has been featured in.They have built a global community of expert contributors and have paid more than.No contracts, no 9-to-5 - you control your schedule.Most experts work 5-10 hours/week, with the option to work up

MongoDB’s mission is to empower innovators to create, transform, and disrupt industries by unleashing the power of software and data.We enable organizations of all sizes to easily build, scale, and run modern applications by helping them modernize legacy workloads, embrace innovation, and unleash

We value your clinical knowledge and respect the deep one-on-one bond you establish with the families you care for. Of course, if you need anything, your Director of Nursing is only a phone call away we offer 24-hour, 365-day support and on-demand clinical resources. Taking direction from clinical t

The RN participates in performance improvement/research activities; maintains professional practice standards and clinical expertise; and demonstrates leadership skills. Join us as we further our reputation as a leader in clinical care, healthcare research, education and social commitment.