Hedis Review Nurse jobs in Los Angeles, CA

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Quality Improvement Coordinator

Network Medical Management 2 reviews - Alhambra, CA 91801
Schedule and coordinate medical records audits for the review nurses. Collect member records and conduct reviews of these records as per NCQA HEDIS...

FSR Nurse Coordinator

L.A. Care Health Plan 10 reviews - Los Angeles, CA
The FSR (Facility Site Review) Nurse Coordinator will be responsible for the coordination of facility site review processes and delegation activities....

LVN, Clinical Claims Review

HealthCare Partners 75 reviews - Torrance, CA
Responsible for review, research and complete retrospective clinical claims review for Commercial, Senior and Medi-Cal products....

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 Director for Medical Claims and Code Edit Review

Molina Healthcare 129 reviews - Long Beach, CA
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

Medical Director - Remote

Molina Healthcare 129 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 108 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...

QI Compliance Specialist II RN -

Molina Healthcare 129 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...

Managed Care Director of Pharmacy

AIDS Healthcare Foundation 50 reviews - Los Angeles, CA
Collaborates with Chronic Care Model nurse care management staff in designing and executing the Medi. Annual formulary review and regulatory and/or contractual...

HEDIS Abstractor -External Audits and Quality Control

L.A. Care Health Plan 10 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...
HEDIS NURSE
Healthcare Scouts - Cypress, CA
The HEDIS Registered Nurse RN will need to be extremely detailed oriented with exceptional medical record review skills....
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