Hedis Review Nurse $80,000 jobs in Los Angeles, CA

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Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
IBM 4,389 reviews - Long Beach, CA
HEDIS medical record review and/or Quality Improvement with experience in clinical data/chart reviews and... plus ample experience in HEDIS review and/or quality...
Sponsored by Nurse.com - 5 days ago
Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypre...
WellCare Health Plans, Inc. 22 reviews - Cypress, CA
HEDIS medical record review and/or Quality Improvement with experience in clinical data/chart reviews and... plus ample experience in HEDIS review and/or quality...
Sponsored by National Senior Living Providers Network - 14 days ago

RN, Clinical Claims Review

HealthCare Partners 64 reviews - Torrance, CA
We are currently seeking a RN, Clinical Claims Review:. Responsible for review, research and complete retrospective clinical claims review for Commercial,...
30+ days ago - save job - email - more...

Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypre...

WellCare 81 reviews - Cypress, CA
*Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypress, CA. Care Health Plans, Inc. provides managed care services targeted to government-sponsored...
30+ days ago - save job - email - more...

Arcadia RN Manager of Medical Management (UM/CM) - Managed C...

CareNational Healthcare Services, LLC - Arcadia, CA
The role of the Manager of Medical Management (Utilization & Case Management) is to promote the quality and cost effectiveness of utilization management (prior... $90,000 - $100,000 a year
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6 days ago - save job - email - more...

QI Compliance Specialist III - RN

Molina Healthcare 102 reviews - Long Beach, CA
Conduct review and investigation of potential quality of care issues in collaboration with dedicated clinical and non-clinical health plan staff in the Quality...
26 days ago - save job - email - more...

LA Utilization Management RN - Managed Care

CareNational Healthcare Services, LLC - Los Angeles, CA
The Utilization Management RN will oversee the review of current inpatient services, and determine medical appropriateness of inpatient and outpatient services... $80,000 - $100,000 a year
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10 days ago - save job - email - more...

Medical Director Behavioral Health

Molina Healthcare 102 reviews - Long Beach, CA
• Reviews quality referred issues, focused reviews and recommends corrective actions. • Attends or chairs committees such as Credentialing, P&T, UM Ops, as...
30+ days ago - save job - email - more...

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