Hedis Review Nurse jobs in Los Angeles, CA

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Senior Manager, HOA Quality Performance Management
L.A. Care Health Plan 16 reviews - Los Angeles, CA
The Senior Manager, Quality Performance Management is responsible for managing the HEDIS and CAHPS data and operations staff which includes overseeing the HEDIS...
Sponsored by L.A. Care Health Plan

Senior Manager, HOA Quality Performance Management

L.A. Care Health Plan 16 reviews - Los Angeles, CA
The Senior Manager, Quality Performance Management is responsible for managing the HEDIS and CAHPS data and operations staff which includes overseeing the HEDIS...

Medical Director - Remote

Molina Healthcare 155 reviews - Long Beach, CA
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare 124 reviews - Cypress, CA
Required 2 years of experience in directly related HEDIS medical record review and/or Quality Improvement with experience in clinical data/chart reviews and...

Travel Registered Nurse Case Manager

Medical Staffing Network Care Management - Los Angeles, CA
Please be advised that we are only considering nurses with the following:. We will review YOUR resume to make certain it emphasizes the important skills and...

Medical Record Field Reviewer

Altegra Health 88 reviews - Los Angeles, CA
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

Quality Improvement Specialisit

Molina Healthcare 155 reviews - Long Beach, CA
Assists in the HEDIS medical record review scheduling project. Organizes review of required practitioners, and chart review process....

Redondo Beach CONTRACT-TO-HIRE Inpatient Concurrent Review R...

CareNational Healthcare Services, LLC - Redondo Beach, CA
Perform Utilization Review pre-authorization, concurrent and retrospective review as needed for inpatient or outpatient services and predetermination reviews....
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HEDIS Abstractor -External Audits and Quality Control

L.A. Care Health Plan 16 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...

Medical Director - Southern CaliforniaSY

Anthem, Inc. 617 reviews - Glendale, CA
Participates in policy review, reviews trends and makes recommendations; Provides support to nurses and clinical leaders in pre-authorization, concurrent and...
Quality Improvement Specialisit
Molina Healthcare 155 reviews - Long Beach, CA
Assists in the HEDIS medical record review scheduling project. Organizes review of required practitioners, and chart review process....
Sponsored by CareerArc.com

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