Hedis Review Nurse jobs in Los Angeles, CA

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Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
IBM 3,999 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 - 4 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 - 6 days ago

QI Compliance Spec II RN

Molina Healthcare 96 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...
6 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...
12 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...
6 days ago - save job - email - more...

Orange CONTRACT Concurrent Review Nurse (RN) – Managed Care

CareNational Healthcare Services, LLC - Orange, CA
CONTRACT Concurrent Review Nurse (RN) – Managed Care... Job Summary: As a Concurrent Review Nurse you will utilize your clinical skills to review and monitor... $33 - $38 an hour
Easily apply
14 days ago - save job - email - more...

RN, Clinical Claims Review

HealthCare Partners 58 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...

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...
5 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...

Medical Director Behavioral Health

Molina Healthcare 96 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 96 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...

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

CareNational Healthcare Services, LLC - Los Angeles, CA
of Utilization Review nurse caseloads and makes... of health care delivery system, utilization review and case review procedures. Computer skills to include... $80,000 - $85,000 a year
Easily apply
30+ days ago - save job - email - more...
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 - 16 days ago
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