Hedis Review Nurse jobs in California

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Travel Case Manager RN/Case Manager Registered Nurse
Medical Staffing Network 332 reviews - Apple Valley, 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  - 8 days ago
Quality Improvement Registered Nurse Job
Yoh 85 reviews - Santa Clara, CA
Actively participates in HEDIS project; Registered Nurse in State of CA (Active and in Good Standing). Manage all potential quality issues and escalate as...
Sponsored by NurseJobsNationwide.com  - 16 days ago
Quality Improvement Manager Registered Nurse Job
Yoh 85 reviews - South San Francisco, CA
Actively participates in HEDIS project; Registered Nurse in State of CA (Active and in Good Standing). Manage all potential quality issues and escalate as...
Sponsored by Hospital Dream Jobs  - 16 days ago

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare 119 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...

Independent Contractor (Medical Data Abstraction)

WVMI and Quality Insights - San Francisco Bay Area, CA - +1 location
Must be a licensed Registered Nurse *OR*. Data abstraction experience and knowledge of HEDIS and Joint Commission hospital quality measures a plus....
Easily apply

Medical Record Field Reviewer

Altegra Health 81 reviews - Los Angeles, CA
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

Quality Assessment Manager

Chinese Community Health Plan - San Francisco, CA 94133(Russian Hill area)
Q Registered Nurse with current CA California license. Monitors member access to provider network through HEDIS practitioner turnover measures;...
Easily apply

Manager I AGP Quality Management - Plan 100564SY

Anthem, Inc. 600 reviews - Rancho Cordova, CA
Manages HEDIS nurses, facility sight review nurses, or other clinical and non-clinical staff trained to work with providers to ensure quality of care delivery....

Quality Improvement Specialisit

Molina Healthcare 147 reviews - Long Beach, CA
Assists in the HEDIS medical record review scheduling project. Organizes review of required practitioners, and chart review process....

Quality Improvement Manager Registered Nurse Job

Yoh 85 reviews - South San Francisco, CA
Actively participates in HEDIS project; Registered Nurse in State of CA (Active and in Good Standing). Manage all potential quality issues and escalate as...

Quality Improvement Registered Nurse Job

Yoh 85 reviews - Santa Clara, CA
Actively participates in HEDIS project; Registered Nurse in State of CA (Active and in Good Standing). Manage all potential quality issues and escalate as...

Orange Inpatient Concurrent Review Nurse (RN or LVN) – Manag...

CareNational Healthcare Services, LLC - Orange, CA
Perform Utilization Review pre-authorization, concurrent and retrospective review as needed for inpatient or outpatient services and predetermination reviews....
Easily apply

Registered Nurse - Quality Improvement -

ALL's WELL 11 reviews - Santa Clara, CA 95050
Primary responsibilities are to support the Quality Management program, statewide and internal Quality Improvement projects, annual HEDIS, FSR, PQI review, and...
Clinical Quality Nurse
Sutter Gould Medical Foundation 224 reviews - Modesto, CA
Knowledge in the principles of NCQA (Pay for Performance) and HEDIS quality measures. Assists with other functions of the Quality Department including but not...
Sponsored by TweetMyJobs.com  - 18 days ago
RN, Registered Nurse - Vice President, Quality Improvement
Infinity MedStaff - Sacramento, CA
Responsible for all activities related to National Committee for Quality Assurance (NCQA) Accreditation and/or Healthcare Effectiveness Data and Information Set...
Sponsored by NurseJobsNationwide.com  - 6 hours ago

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