Hedis Review Nurse jobs in Los Angeles, CA

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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 - 4 hours ago

QI Compliance Spec II RN

Molina Healthcare 96 reviews - Long Beach, CA
Minimum of 3 years experience in health care industry, preferably quality improvement activities. Clinical or healthcare related degree preferred....
19 hours ago - save job - email - more...

Orange CONTRACT Concurrent Review Nurse (RN) – Managed Care

CareNational Healthcare Services, LLC - Orange, CA
You will obtain the information necessary to assess a member's clinical condition, identify ongoing clinical care needs and ensure that members receive services... $33 - $38 an hour
Easily apply
8 days ago - save job - email - more...

RN Travel Hospital Case Manager

Pathway Medical Staffing - Los Angeles, CA
Must by a licensed RN in the state of California. Must have 5+ years of clinical experience. Previous experience in hospital case management and guidelines...
15 hours ago - save job - email - more...

RN, Clinical Claims Review

HealthCare Partners 58 reviews - Torrance, CA
Current California RN license Over 5 years and up to and including 7 years of experience. 3 to 5 years prior acute care nursing experience....
30+ days ago - save job - email - more...

National Director of Quality

AIDS Healthcare Foundation 40 reviews - Los Angeles, CA
Valid Drivers License. Multiple Ryan White contract specific quality improvement work plans, with contract required reporting, monitoring and evaluation for all...
6 days ago - save job - email - more...

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

WellCare 74 reviews - Long Beach, CA
Intermediate Ability to implement process improvements. Required Other Clinical license as an RN, pharmacist, LCSW, MD, DO, APRN, ANP, CPHARM, etc....
30+ days ago - save job - email - more...

Medical Director Behavioral Health

Molina Healthcare 96 reviews - Long Beach, CA
To all current Molina employees if you are interested in applying for this position please apply through the....
30+ days ago - save job - email - more...

Los Angeles CONTRACT Lead Utilization Management RN - Manage...

CareNational Healthcare Services, LLC - Los Angeles, CA
The Lead Utilization Management RN supports the Supervisor in overseeing the day-to day operations of the Disease Management, Care Management, and Utilization... $80,000 - $85,000 a year
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30+ days ago - save job - email - more...

Medical Director – Long Term Care/Skilled Nursing Facility

Molina Healthcare 96 reviews - Long Beach, CA
Geriatrics, Family Medicine or Internal Medicine desired. Facilitates conformance to DHS, DMHC, NCQA and other regulatory requirements....
30+ days ago - save job - email - more...

Orange CONTRACT TO HIRE RN Supervisor of Utilization Managem...

CareNational Healthcare Services, LLC - Orange, CA
The role of Utilization Management Supervisor is to promote the quality and cost effectiveness of medical care through auditing the fair and timely resolution... $40.00 - $41.50 an hour
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30+ days ago - save job - email - more...
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