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

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Travel Case Manager RN/Case Manager Registered Nurse
Medical Staffing Network 324 reviews - Northridge, CA
Current state registered nurse license. Hospital case management utilization review experience. Travel Case Manager RN/Case Manager Registered Nurse....
Sponsored by Medical Staffing Network - 13 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...
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Sponsored by GLC Group - 30+ days ago

Quality Improvement Specialisit

Molina Healthcare 142 reviews - Long Beach, CA
Assists in the HEDIS medical record review scheduling project. Organizes review of required practitioners, and chart review process....

FSR Nurse Coordinator

L.A. Care Health Plan 14 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....

Medical Director - Southern CaliforniaSY

Anthem, Inc. 583 reviews - Glendale, CA
Participates in policy review, reviews trends and makes recommendations; Provides support to nurses and clinical leaders in pre-authorization, concurrent and...

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare 114 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...

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....
Easily apply

Travel Case Manager RN/Case Manager Registered Nurse

Medical Staffing Network 324 reviews - Northridge, CA
Current state registered nurse license. Hospital case management utilization review experience. Travel Case Manager RN/Case Manager Registered Nurse....

Medical Director for Medical Claims and Code Edit Review

Molina Healthcare 142 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 - Remote

Molina Healthcare 142 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 53 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...

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