Hedis Review Nurse jobs in Los Angeles, CA

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Medical Director - Southern California - 103244SY
Anthem, Inc. 566 reviews - Glendale, CA
Participates in policy review, reviews trends and makes recommendations; Provides support to nurses and clinical leaders in pre-authorization, concurrent and...
Sponsored by Anthem, Inc. - 6 days ago
HEDIS Abstractor
Synectics 15 reviews - United States
The HEDIS Abstractor, External Audits and Quality Control, conducts validation and production checks on medical records abstracted for the HEDIS Project and...
Sponsored by Resume-Library - 3 days ago
Managed Care Director of Pharmacy
GLC Associates - Los Angeles, CA
Collaborates with Chronic Care Model nurse care management staff in designing and executing the Medi. Annual formulary review and regulatory and/or contractual...
Sponsored by Miracle Workers - 6 days ago

HEDIS Abstractor

Synectics 15 reviews - Los Angeles, CA
The HEDIS Abstractor, External Audits and Quality Control, conducts validation and production checks on medical records abstracted for the HEDIS Project and...

HEDIS Abstractor -External Audits and Quality Control

L.A. Care Health Plan 11 reviews - Los Angeles, CA
The HEDIS Abstractor, External Audits and Quality Control conducts validation and production checks on medical records abstracted for the HEDIS Project and...

HEDIS ABSTRACTOR NEEDED!

HealthCare Talent 2 reviews - Los Angeles, CA
The HEDIS Abstractor, External Audits and Quality Control conducts validation and production checks on medical records abstracted for the HEDIS Project and...

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare 111 reviews - Cypress, CA
Required 2 years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in clinical data/chart reviews and...

Medical Director - Southern CaliforniaSY

Anthem, Inc. 566 reviews - Glendale, CA
Participates in policy review, reviews trends and makes recommendations; Provides support to nurses and clinical leaders in pre-authorization, concurrent and...

FSR Nurse Coordinator

L.A. Care Health Plan 11 reviews - Los Angeles, CA
The FSR (Facility Site Review) Nurse Coordinator will be responsible for the coordination of facility site review processes and delegation activities....

FSR Nurse Coordinator

L.A. Care Health Plan 11 reviews - Los Angeles, CA
The FSR (Facility Site Review) Nurse Coordinator will be responsible for the coordination of facility site review processes and delegation activities....

QI Compliance Specialist II RN -

Molina Healthcare 133 reviews - Long Beach, CA
HEDIS reporting or collection. Gather and review medical records from providers and facilities to complete activities related to quality of care issues, HEDIS...

Quality Improvement Coordinator

Network Medical Management 2 reviews - Alhambra, CA 91801
Schedule and coordinate medical records audits for the review nurses. Collect member records and conduct reviews of these records as per NCQA HEDIS...

Medical Director - Remote

Molina Healthcare 133 reviews - Long Beach, CA
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....
Managed Care Director of Pharmacy
GLC Group - Los Angeles, CA
Collaborates with Chronic Care Model nurse care management staff in designing and executing the Medi. Annual formulary review and regulatory and/or contractual...
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Sponsored by GLC Group - 7 days ago

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Company with Hedis Review Nurse jobs
566 reviews
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.