Hedis Review Nurse jobs in Los Angeles, CA

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Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
IBM 4,034 reviews - Long Beach, CA
HEDIS medical record review and/or Quality Improvement with experience in clinical data/chart reviews and... plus ample experience in HEDIS review and/or quality...
Sponsored by Nurse.com - 8 days ago
Quality Improvement Registered Nurse / HEDIS Registered Nurs...
Healthcare Support Staffing 24 reviews - Long Beach, CA
Job Description: HEDIS Practice Advisor Are you an experienced Registered Nurse in the Greater Long... with HEDIS or Quality Management Registered Nurse...
Easily apply
Sponsored by ZipRecruiter - 9 days ago

QI Compliance Spec II RN

Molina Healthcare 97 reviews - Long Beach, CA
Functions • Conduct review and investigation of... and review of potential quality of care issues or other activities related to medical record review that...
10 days ago - save job - email - more...

RN Travel Hospital Case Manager

Pathway Medical Staffing - Los Angeles, CA
management issues and discharge planning delays Reviews admissions for appropriateness Care coordination... we are only considering nurses with the following...
10 days ago - save job - email - more...

National Director of Quality

AIDS Healthcare Foundation 40 reviews - Los Angeles, CA
Health plan specific HEDIS, HOS, CAHPS, NCQA SNP... at a minimum DUR, Medicare DDI review, Formulary review, ADR review, and denial/appeal process. Complaint...
16 days ago - save job - email - more...

RN, Manager of Utilization Review/ Medical Management (field...

Healthcare Support Staffing 24 reviews - Long Beach, CA 90802
and monitor Utilization Review, Quality Improvement... CA Knowledge of Utilization Review, Quality Improvement, STARS, HEDIS,compliance, accreditation, service... $129,000 a year
CareerBuilder - 3 days ago - save job - email - more...

RN, Clinical Claims Review

HealthCare Partners 59 reviews - Torrance, CA
Claims Review: Responsible for review, research and complete retrospective clinical claims review for Commercial, Senior and Medi-Cal products. Reviews...
30+ days ago - save job - email - more...

Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...

WellCare 74 reviews - Long Beach, CA
HEDIS Practice Advisor, RN (Registered Nurse) Long... HEDIS medical record review and/or Quality Improvement with experience in clinical data/chart reviews and...
30+ days ago - save job - email - more...

Director of Quality Improvement / Registered Nurse (RN)

Kern Health Systems - Los Angeles, CA
medical record reviews, report writing, and... position is responsible for quality improvement, HEDIS reporting, health education and disease management...
CareerBuilder - 15 days ago - save job - email - more...

Travel Medical Social Worker

Pathway Medical Staffing - Los Angeles, CA
managers, review organizations, insurance companies and families Job Requirements Please be advised that we are only considering nurses with the following...
9 days ago - save job - email - more...

Medical Director Behavioral Health

Molina Healthcare 97 reviews - Long Beach, CA
Reviews quality referred issues, focused reviews and... support of nurse reviewers and manages the denial process. • Reviews cases with concurrent review nurses...
30+ days ago - save job - email - more...

Medical Director – Long Term Care/Skilled Nursing Facility

Molina Healthcare 97 reviews - Long Beach, CA
Reviews quality referred issues, focused reviews and... support of nurse reviewers and manages the denial process. • Reviews cases with concurrent review nurses...
30+ days ago - save job - email - more...
RN, Manager of Utilization Review/ Medical Management (field...
Healthcare Support Staffing 24 reviews - Long Beach, CA
and monitor Utilization Review, Quality Improvement... CA Knowledge of Utilization Review, Quality Improvement, STARS, HEDIS,compliance, accreditation, service... $129,000 a year
Sponsored by CareerBuilder - 3 days ago
QI Compliance Spec II RN
Molina Healthcare Inc. - Long Beach, CA
Functions * Conduct review and investigation of... and review of potential quality of care issues or other activities related to medical record review that...
Sponsored by CareerBuilder - 10 days ago
Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
WellCare Health Plans, Inc. 20 reviews - Long Beach, CA
HEDIS medical record review and/or Quality Improvement with experience in clinical data/chart reviews and... plus ample experience in HEDIS review and/or quality...
Sponsored by National Senior Living Providers Network - 20 days ago
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