Hedis Review Nurse jobs in Los Angeles, CA

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RN, Clinical Claims Review

HealthCare Partners 63 reviews - Torrance, CA
We are currently seeking a RN, Clinical Claims Review:. Responsible for review, research and complete retrospective clinical claims review for Commercial,...
6 days ago - save job - block - email - more...

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

WellCare 78 reviews - Cypress, CA
*Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypress, CA. Care Health Plans, Inc. provides managed care services targeted to government-sponsored...
10 days ago - save job - block - email - more...

Director of Quality Improvement / Registered Nurse (RN)

Kern Health Systems - Los Angeles, CA
Related duties will include ongoing data collection, medical record reviews, report writing, and collaboration and coordination with other KHS departments, as...
CareerBuilder - 13 days ago - save job - block - email - more...

Quality Improvement Nurse Specialist

AltaMed Health Services Corporation 2 reviews - Los Angeles, CA 90033
This position will perform medical records data review and analysis related quality of care issues, project development and coordination, project reports, and...
18 days ago - save job - block - email - more...

Medical Director – Long Term Care/Skilled Nursing Facility

Molina Healthcare 99 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...
23 days ago - save job - block - email - more...

Long Beach Utilization Review Nurse (RN) - Managed Care

CareNational Healthcare Services, LLC - Long Beach, CA
Utilization Review Nurse (RN) - Managed Care. The Utilization Review Nurse is responsible for utilization management, utilization review, or concurrent review.... $70,000 - $75,000 a year
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23 days ago - save job - block - email - more...

Medical Director Behavioral Health

Molina Healthcare 99 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...
25 days ago - save job - block - email - more...

QI Compliance Spec II RN

Molina Healthcare 99 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...
30+ days ago - save job - block - email - more...
Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
IBM 4,175 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 - 6 days ago
Director of Quality Improvement / Registered Nurse (RN)
Kern Health Systems - Los Angeles, CA
medical record reviews, report writing, and... position is responsible for quality improvement, HEDIS reporting, health education and disease management...
Sponsored by CareerBuilder - 13 days ago
Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
WellCare 78 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 - 10 days ago

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