Hedis Review Nurse jobs in Los Angeles, CA

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QI Compliance Spec II RN

Molina Healthcare 113 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...
21 hours ago - save job - email - more...

HEDIS - Nurse Abstractor

L.A. Care Health Plan 9 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...
5 days ago - save job - email - more...

HEDIS - Nurse or RHIA (West Coast)

Allmed Staffing 2 reviews - Los Angeles, CA
*Travel is required to complete onsite HEDIS reviews. Medical record review and collection. Clinical Quality Specialist – HEDIS Abstractor/Reviewer**....
Miracle Workers - 6 days ago - save job - email - more...

Santa Monica Utilization Review Nurse (RN) - Managed Care

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

We're hiring Nurse Case Managers

Regal Medical Group - Northridge, CA - +1 location
Manager of Nurse Case Management. We are looking for Nurse Case Managers in the following areas:. We are hiring experienced Nurse Case Managers for Northridge,...
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30+ days ago - save job - email - more...

RN Clinical Data &Audit Consultant-INTEGRATED TELECOMMUTING...

Health Net, Inc. - 4002 - Woodland Hills, CA
Reviews, analyzes, and interprets data for required HEDIS, URAC, NCQA compliance, and related reporting for clinical service teams....
Health Net - 30+ days ago - save job - email - more...

Medical Records Field Reviewer

Altegra Health 59 reviews - Los Angeles, CA
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...
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30+ days ago - save job - email - more...

HEDIS Abstractor -External Audits and Quality Control

L.A. Care Health Plan 9 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...
30+ days ago - save job - email - more...

RN, Clinical Claims Review

HealthCare Partners 68 reviews - Torrance, CA
Responsible for review, research and complete retrospective clinical claims review for Commercial, Senior and Medi-Cal products....
30+ days ago - save job - email - more...

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

WellCare 89 reviews - Cypress, CA
Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypress, CA. Required 2+ years of experience in directly related HEDIS medical record review and/or...
30+ days ago - save job - email - more...
Santa Monica Utilization Review Nurse (RN) - Managed Care
CareNational Healthcare Services, LLC - Santa Monica, CA
$83,000 a year
Utilization Review Nurse (RN) - Managed Care. The Utilization Review Nurse is responsible for utilization management and utilization review for prospective,...
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Sponsored by CareNational Healthcare Services, LLC - 6 days ago
We're hiring Nurse Case Managers
Regal Medical Group - Covina, CA
Manager of Nurse Case Management. We are looking for Nurse Case Managers in the following areas:. We are hiring experienced Nurse Case Managers for Northridge,...
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Sponsored by Regal Medical Group - 30+ days ago

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