Hedis Review Nurse jobs in Los Angeles, CA

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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....
9 days ago - save job - 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...
9 days ago - save job - 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....
11 days ago - save job - email - more...

Administrative Assistant -Managed Care-BILINGUAL

Nurse Resolutions. - Long Beach, CA
Microsoft Excel with formatting and developing spreadsheets experience. Answers and transfers incoming telephone calls....
CareerBuilder - 21 days ago - save job - email - more...

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 - 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 - 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 - 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 - 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 - email - more...
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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