Hedis Review Nurse $50,000 jobs in Los Angeles, CA

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Medical Record Field Reviewer

Altegra Health 80 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 147 reviews - Long Beach, CA
Assists in the HEDIS medical record review scheduling project. Organizes review of required practitioners, and chart review process....

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...

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare 118 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...

Medical Director - Southern CaliforniaSY

Anthem, Inc. 596 reviews - Glendale, CA
Participates in policy review, reviews trends and makes recommendations; Provides support to nurses and clinical leaders in pre-authorization, concurrent and...

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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Medical Director for Medical Claims and Code Edit Review

Molina Healthcare 147 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 147 reviews - Long Beach, CA
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....
Quality Improvement Registered Nurse Job
Yoh 82 reviews - California
Actively participates in HEDIS project; Vendors, data pull, chart abstraction - Manage all potential quality issues and escalate as needed to the Peer Review...
Sponsored by Jobomas
Allied - Registered Nurse
Wellcare 118 reviews - California
Advises and educates Provider practices in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9 / CPT coding in accordance with...
Sponsored by NicheMedicalJobs.com
Medical Director - Southern California - 103244SY
Anthem, Inc. 596 reviews - Glendale, CA
Participates in policy review, reviews trends and makes recommendations; Provides support to nurses and clinical leaders in pre-authorization, concurrent and...
Sponsored by HEALTHeCAREERS Network

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