Hedis Review Nurse jobs in Los Angeles, CA

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Travel Case Manager RN/Case Manager Registered Nurse
Medical Staffing Network 324 reviews - Northridge, CA
Current state registered nurse license. Hospital case management utilization review experience. Travel Case Manager RN/Case Manager Registered Nurse....
Sponsored by Medical Staffing Network - 8 days ago
Quality Improvement Specialisit
Molina Healthcare 141 reviews - Long Beach, CA
Assists in the HEDIS medical record review scheduling project. Organizes review of required practitioners, and chart review process....
Sponsored by TweetMyJobs.com - 2 days ago
Medical Director - Southern California - 103244SY
Anthem, Inc. 582 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 HEALTHeCAREERS Network - 22 days ago

Quality Improvement Specialisit

Molina Healthcare 141 reviews - Long Beach, CA
Assists in the HEDIS medical record review scheduling project. Organizes review of required practitioners, and chart review process....

HEDIS Abstractor -External Audits and Quality Control

L.A. Care Health Plan 14 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...

Orange RN Supervisor of Inpatient Concurrent Review - Manage...

CareNational Healthcare Services, LLC - Orange, CA
Performs daily oversight of Concurrent Utilization Review nurse caseloads and makes adjustments as needed for effective utilization....
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FSR Nurse Coordinator

L.A. Care Health Plan 14 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....

Quality Improvement Manager/Nursing Educator

Alignment Healthcare - Orange, CA
Knowledge of Medicare Managed Care Plans, NCQA and HEDIS. Training, coaching and/or counseling new and current QM staff, UM and CM nurses....

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare 113 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...

Travel Case Manager RN/Case Manager Registered Nurse

Medical Staffing Network 324 reviews - Northridge, CA
Current state registered nurse license. Hospital case management utilization review experience. Travel Case Manager RN/Case Manager Registered Nurse....

Medical Director - Southern CaliforniaSY

Anthem, Inc. 582 reviews - Glendale, CA
Participates in policy review, reviews trends and makes recommendations; Provides support to nurses and clinical leaders in pre-authorization, concurrent and...

Medical Director for Medical Claims and Code Edit Review

Molina Healthcare 141 reviews - Long Beach, CA
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

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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