Hedis Review Nurse jobs in Los Angeles, CA

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Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
IBM 4,336 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 - 27 days ago
Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypre...
WellCare Health Plans, Inc. 21 reviews - Cypress, 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 - 4 days ago
Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
WellCare 81 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 CareerBuilder - 30 days ago

Medical Records Field Reviewer

Altegra Health 52 reviews - Los Angeles, CA
Outcomes' nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations....
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11 days ago - save job - email - more...

RN, Clinical Claims Review

HealthCare Partners 64 reviews - Torrance, CA
We are currently seeking a RN, Clinical Claims Review:. Responsible for review, research and complete retrospective clinical claims review for Commercial,...
27 days ago - save job - email - more...

Director of Quality Improvement

Gold Coast Health Plan 2 reviews - Camarillo, CA
Develops targeted activities to improve HEDIS, CAHPS, provider satisfaction and other identified performance measures....
CareerBuilder - 2 days ago - save job - email - more...

Santa Monica Utilization Review Nurse (RN) - Managed Care

CareNational Healthcare Services, LLC - Santa Monica, CA - +1 location
Utilization Review Nurse (RN) - Managed Care. The Utilization Review Nurse is responsible for utilization management and utilization review for prospective,... $83,000 a year
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8 days ago - save job - email - more...

QI Compliance Specialist III - RN

Molina Healthcare 100 reviews - Long Beach, CA
Conduct review and investigation of potential quality of care issues in collaboration with dedicated clinical and non-clinical health plan staff in the Quality...
16 days ago - save job - email - more...

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

WellCare 81 reviews - Cypress, CA
*Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypress, CA. Care Health Plans, Inc. provides managed care services targeted to government-sponsored...
30+ days ago - save job - email - more...

Case Manager

Alignment Healthcare - Orange, CA
collaborates with IPA/MG on Members admitted to the hospital/facility and obtains review from IPAs/MGs with LOS 3 days or longer to determine if continued stay...
30+ days ago - save job - email - more...

Medical Director Behavioral Health

Molina Healthcare 100 reviews - Long Beach, CA
• Reviews quality referred issues, focused reviews and recommends corrective actions. • Attends or chairs committees such as Credentialing, P&T, UM Ops, as...
30+ days ago - save job - email - more...

LA Utilization Management RN - Managed Care

CareNational Healthcare Services, LLC - Los Angeles, CA
The Utilization Management RN will oversee the review of current inpatient services, and determine medical appropriateness of inpatient and outpatient services... $80,000 - $100,000 a year
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23 hours ago - save job - email - more...

LA Lead Utilization Management RN - Managed Care

CareNational Healthcare Services, LLC - Los Angeles, CA
The Lead Utilization Management RN will oversee the review of current inpatient services, and determine medical appropriateness of inpatient and outpatient... $87,000 - $105,000 a year
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30+ days ago - save job - email - more...
Registered Nurse- Various Openings!
Mitchell/Martin, Inc. 12 reviews - United States
review this job posting shortly. Registered Nurse... New York Posted by Chase - New York, NY - HEDIS Review Nurse Posted by Verisk Health - Jersey City, NJ... $71,445 a year
Sponsored by Resume-Library - 3 hours ago

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