Hedis Review Nurse jobs in Los Angeles, CA

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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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5 days ago - save job - block - email - more...

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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5 days ago - save job - block - 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...
13 days ago - save job - block - 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,...
24 days ago - save job - block - 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...
28 days ago - save job - block - 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 - block - email - more...
Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
IBM 4,303 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 - 24 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 - 1 day 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 - 27 days ago

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