Hedis Review Nurse jobs in California

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Travel Case Manager RN/Case Manager Registered Nurse
Medical Staffing Network 338 reviews - San Jose, 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
Quality Manager - RN
Imperial Beach Community Clinic - Imperial Beach, CA
Review existing clinic information system capabilities for the tracking and monitoring of quality indicators....
Easily apply
Sponsored by Imperial Beach Community Clinic
Senior Manager, HOA Quality Performance Management
L.A. Care Health Plan 15 reviews - Los Angeles, CA
The Senior Manager, Quality Performance Management is responsible for managing the HEDIS and CAHPS data and operations staff which includes overseeing the HEDIS...
Sponsored by L.A. Care Health Plan

Medical Record Field Reviewer

Altegra Health 87 reviews - Bakersfield, CA  +1 location
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

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...

Orange CONTRACT Concurrent Review Nurse (RN or LVN) – Manage...

CareNational Healthcare Services, LLC - Orange, CA
$31 an hour
Perform Utilization Review pre-authorization, concurrent and retrospective review as needed for inpatient or outpatient services and predetermination reviews....
Easily apply

Independent Contractor (Medical Data Abstraction)

WVMI and Quality Insights - Fresno, CA
Must be a licensed Registered Nurse *OR*. Data abstraction experience and knowledge of HEDIS and Joint Commission hospital quality measures a plus....
Easily apply

Quality Improvement Nurse I

Central California Alliance for Health 6 reviews - Scotts Valley, CA
Facility Site Review Certification preferred. Ensuring patient safety through Facility Site Review (FSR) and Medical Record Review (MRR) and Physical...

Quality Manager - RN

Imperial Beach Community Clinic - Imperial Beach, CA
Review existing clinic information system capabilities for the tracking and monitoring of quality indicators....
Easily apply

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

Registered Nurse Case Manager

Medical Staffing Network Care Management - Palo Alto, CA
Please be advised that we are only considering nurses with the following:. A premiere California Health System has an immediate need for a Registered Nurse Case...

HEDIS Abstractor -External Audits and Quality Control

L.A. Care Health Plan 15 reviews - Los Angeles, CA
The HEDIS Abstractor, External Audits and Quality Control conducts validation and production checks on medical records abstracted for the HEDIS Project and...

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....
Quality Management Nurse
Dignity Health Medical Foundation 553 reviews - Redlands, CA
Greivances and complaints) to appropriate forum for review (i.e., IPA Peer Review, QM Committee, Department/Groups)....
Sponsored by Nurse.com
Quality Assessment Manager
Chinese Community Health Plan - San Francisco, CA
Q Registered Nurse with current CA California license. Monitors member access to provider network through HEDIS practitioner turnover measures;...
Easily apply
Sponsored by Chinese Community Health Plan

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