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

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Medical Director - Southern California - 103244SY
Anthem, Inc. 566 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 Anthem, Inc. - 6 days ago
Managed Care Director of Pharmacy
GLC Group - 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...
Easily apply
Sponsored by GLC Group - 7 days ago
Managed Care Director of Pharmacy
GLC Associates - 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...
Sponsored by Miracle Workers - 5 days ago

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare 111 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. 566 reviews - Glendale, CA
Participates in policy review, reviews trends and makes recommendations; Provides support to nurses and clinical leaders in pre-authorization, concurrent and...

FSR Nurse Coordinator

L.A. Care Health Plan 11 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....

QI Compliance Specialist II RN -

Molina Healthcare 133 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...

Medical Director - Remote

Molina Healthcare 133 reviews - Long Beach, CA
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

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

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...

Managed Care Director of Pharmacy

GLC Group - 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...
Easily apply

Managed Care Director of Pharmacy

GLC Associates - 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...

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Company with Hedis Review Nurse $50,000 jobs
566 reviews
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.