Hedis Review Nurse jobs in Los Angeles, CA

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Healthcare Scouts - Cypress, CA
The HEDIS Registered Nurse RN will need to be extremely detailed oriented with exceptional medical record review skills....
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Sponsored by Healthcare Scouts - 2 days ago
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 - 30+ days ago

Medical Record Field Reviewer

Altegra Health 70 reviews - Riverside, CA
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

LVN, Clinical Claims Review

HealthCare Partners 75 reviews - Torrance, CA
Responsible for review, research and complete retrospective clinical claims review for Commercial, Senior and Medi-Cal products....

FSR Nurse Coordinator

L.A. Care Health Plan 10 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....

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare 108 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...

QI Compliance Specialist II RN -

Molina Healthcare 129 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...

Medical Director - Remote

Molina Healthcare 129 reviews - Long Beach, CA
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

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...

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...

Quality Improvement Nurse (Temp)

Prospect Medical Systems - Orange, CA 92868
(Access audits / coalitions / HEDIS) Site Audit Review:. Quality Improvement Nurse. Review with Medical Director on each case to determine leveling....

Travel Registered Nurse Case Manager

Medical Staffing Network Care Management - Los Angeles, CA
Please be advised that we are only considering nurses with the following:. We will review YOUR resume to make certain it emphasizes the important skills and...

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