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

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Delegation Oversight Specialist - RN
HealthCare Support Staffing - 58 reviews - Long Beach, CA
$35 - $40 an hour
Clinical review experience and chart auditing. Some form of Auditing NCQA, HEDIS, HSAG. They will be working to support our Clinical Delegation Oversight Nurse...
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RN; LVN / Managed Care / UM / QM / Case Manager
CMS, DMHC, NCQA, HEDIS). Knowledge/understanding of clinical case management criteria, medical chart review, medication management....
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HN75 - Registered Nurse
HEDIS Season and Quality Projects are HERE! Completes medical record reviews and other related functions. Prepares, reviews, and analyzes daily/weekly/monthly...
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RN Clinical Data & Audit Consultant-TELECOMMUTING OPTION! (C...

Health Net, Inc. - 8 reviews - Glendale, CA 91203
Reviews, analyzes, and interprets data for required HEDIS, URAC, NCQA compliance, and related reporting for clinical service teams....

Utilization Review Nurse / Chart Review

Hired On - Los Angeles, CA
Utilization Review Nurse / Chart Review / Chart Abstraction. Quality measure chart review/abstraction experience (ACO, HEDIS, etc.)....
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QI Compliance Specialist RN

Molina Healthcare - 189 reviews - Long Beach, CA 90844
HEDIS reporting or collection. Gather and review medical records from providers and facilities to complete activities related to quality of care issues, HEDIS...

QI Compliance Specialist II

Molina Healthcare - 189 reviews - Long Beach, CA 90844
HEDIS reporting or collection. Gather and review medical records from providers and facilities to complete activities related to quality of care issues, HEDIS...

Director, HO&A Quality Performance

L.A. Care Health Plan - 24 reviews - Los Angeles, CA 90017
The Director, HOA Quality Performance is responsible for directing data and operations for HEDIS, CAHPS and other related surveys and related staff, including...

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare - 151 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...

La Habra REMOTE Oncology Utilization Review Nurse (RN/LVN) -...

CareNational Healthcare Services, LLC - La Habra, CA
$60,000 - $85,000 a year
The Utilization Review Nurse is responsible for utilization management, utilization review, or concurrent review....

RN Clinical Data & Audit Consultant-14803-INTEGRATED TELECOM...

Health Net, Inc. - 8 reviews - Woodland Hills, CA 91367
Reviews, analyzes, and interprets data for required HEDIS, URAC, NCQA compliance, and related reporting for clinical service teams....

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

CareNational Healthcare Services, LLC - Redondo Beach, CA
$80,000 - $85,000 a year
Perform Utilization Review pre-authorization, concurrent and retrospective review as needed for inpatient or outpatient services and predetermination reviews....

HN75 - Registered Nurse

Kelly Services - 3,850 reviews - Cerritos, CA 90703
HEDIS Season and Quality Projects are HERE! Completes medical record reviews and other related functions. Prepares, reviews, and analyzes daily/weekly/monthly...
HEDIS Practice Advisor
2+ years of experience in HEDIS record collection and analytical review and/or Quality Improvement (MUST have HEDIS experience for this role!)....
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