Hedis Review Nurse jobs in Los Angeles, CA

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RN/LPN/LVN Nurse Reviewer (Hedis/Qarr)
Healthcare Support Staffing 21 reviews - Long Beach, CA
an experienced Registered Nurse in the Greater Long... reviews, screening for quality of care issues, discharge planning, pre and post payment review of...
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Sponsored by ZipRecruiter - 15 days ago
SPECIAL PROJECTS NURSES/MED PRO - SANTA ANA
The Judge Group 24 reviews - Santa Ana, CA
HEDIS Technical Specifications Access member record in HEDIS software Document medical record review... 2. Medical record review / prefer HEDIS experience...
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Sponsored by ZipRecruiter - 2 days ago

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

WellCare 66 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 - block - 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
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6 days ago - save job - block - email - more...

RN, Clinical Claims Review

HealthCare Partners 54 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 - block - email - more...

Long Beach Utilization Review Nurse (LVN) - Managed Care

CareNational Healthcare Services, LLC - Long Beach, CA
Utilization Review Nurse (LVN) - Managed Care. The Utilization Review Nurse is responsible for utilization management, utilization review, or concurrent review.... $60,000 - $65,000 a year
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30+ days ago - save job - block - email - more...

Medical Director – Long Term Care/Skilled Nursing Facility

Molina Healthcare 83 reviews - Long Beach, CA
Geriatrics, Family Medicine or Internal Medicine desired. Facilitates conformance to DHS, DMHC, NCQA and other regulatory requirements....
12 days ago - save job - block - email - more...

Medical Director Behavioral Health

Molina Healthcare 83 reviews - Long Beach, CA
To all current Molina employees if you are interested in applying for this position please apply through the....
14 days ago - save job - block - email - more...

QI Compliance Supervisor

Molina Healthcare 83 reviews - Long Beach, CA
2+ years supervisory or team lead experience. Identifies and reports differences and discrepancies where Health Plan policies and procedures differ materially...
12 days ago - save job - block - email - more...

RN Quality Management | Managed Care

Edge Recruitment Solutions - Hollywood, CA
Candidates must be a graduate of an accredited school of nursing and be licensed as an RN in the state of California....
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30+ days ago - save job - block - email - more...

Orange CONTRACT TO HIRE Inpatient Concurrent Review Nurse (R...

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 - $36 an hour
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30+ days ago - save job - block - 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 - block - email - more...
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