Hedis Review Nurse jobs in Los Angeles, CA

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QI Compliance Specialist II RN -
Molina Healthcare 126 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...
Sponsored by Molina Healthcare - 30+ days ago
HEDIS NURSE
Healthcare Scouts - Cypress, CA
The HEDIS Registered Nurse RN will need to be extremely detailed oriented with exceptional medical record review skills....
Easily apply
Sponsored by Healthcare Scouts - 26 days ago

Santa Monica Utilization Review RN - Managed Care

CareNational Healthcare Services, LLC - Santa Monica, CA
The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review....
Easily apply

LVN, Clinical Claims Review

HealthCare Partners 73 reviews - Torrance, CA
Responsible for review, research and complete retrospective clinical claims review for Commercial, Senior and Medi-Cal products....

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

Easy Choice (a Wellcare Company) Office - 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...

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

Easy Choice (a Wellcare Company) Office - 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...

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

Cypress - FIELD - 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...

Travel Registered Nurse Case Manager

Medical Staffing Network Care Management - Los Angeles, CA
Review admissions for appropriateness. Please be advised that we are only considering nurses with the following:....

Medical Director for Medical Claims and Code Edit Review

Molina Healthcare 126 reviews - Long Beach, CA
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

QI Compliance Specialist II RN -

Molina Healthcare 126 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 Director

St. John’s Well Child & Family Center - Los Angeles, CA
Reviews patient file/record, including allergies, problems, medications and immunization status. Considerable knowledge of the nurse practitioner guidelines,...

HEDIS Abstractor -External Audits and Quality Control

L.A. Care Health Plan 10 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...
Medical Director for Medical Claims and Code Edit Review
Molina Healthcare 126 reviews - Long Beach, CA
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....
Sponsored by Molina Healthcare - 9 days ago

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