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

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Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare 124 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...

Delegation Oversight Nurse - RN

Molina Healthcare 154 reviews - Long Beach, CA
Knowledge of NCQA, HEDIS. Reviews all pre-contractual UM Programs/Plans from entities applying for a contract with MMC....

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...

Quality Improvement Specialisit

Molina Healthcare 154 reviews - Long Beach, CA
Assists in the HEDIS medical record review scheduling project. Organizes review of required practitioners, and chart review process....

Medical Director - Remote

Molina Healthcare 154 reviews - Long Beach, CA
Reviews cases with concurrent review nurses. Reviews quality referred issues, focused reviews and recommends corrective actions....

Medical Director - Southern CaliforniaSY

Anthem, Inc. 612 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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Quality Improvement Specialisit
Molina Healthcare 154 reviews - Long Beach, CA
Assists in the HEDIS medical record review scheduling project. Organizes review of required practitioners, and chart review process....
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