Hedis Review Nurse jobs in California

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Quality Improvement Registered Nurse (RN) I
Kern Health Systems - Bakersfield, CA
Registered Nurse (RN) I 2,000 SIGN ON BONUS Under the direction of the Director of Quality Improvement, Health Education and Disease Management, the QI Nurse...
Sponsored by CareerBuilder - 8 days ago
Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
WellCare 78 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 CareerBuilder - 10 days ago

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

WellCare 78 reviews - Cypress, CA
*Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypress, CA. Care Health Plans, Inc. provides managed care services targeted to government-sponsored...
10 days ago - save job - block - email - more...

RN, Clinical Claims Review

HealthCare Partners 63 reviews - Torrance, CA
We are currently seeking a RN, Clinical Claims Review:. Responsible for review, research and complete retrospective clinical claims review for Commercial,...
6 days ago - save job - block - email - more...

QUALITY IMPROVEMENT NURSE - QUALITY MANAGEMENT

Epic Management 4 reviews - Redlands, CA
The QI Nurse is responsible for maintaining the quality management program under the direction of the QI Chair and assists in providing patients and internal...
Easily apply
9 days ago - save job - block - email - more...

Quality Improvement Nurse Specialist

AltaMed Health Services Corporation 2 reviews - Los Angeles, CA 90033
This position will perform medical records data review and analysis related quality of care issues, project development and coordination, project reports, and...
18 days ago - save job - block - email - more...

Quality Management Supervisor, RN

Health Plan of San Joaquin 3 reviews - French Camp, CA
Leads the planning and implementation of the annual HEDIS process;. participates in HEDIS activities as required....
8 days ago - save job - block - email - more...

Medical Record Field Reviewer

Altegra Health 50 reviews - San Jose, CA
Outcomes’ nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations....
28 days ago - save job - block - email - more...

Manager, Quality Management

Health Plan of San Joaquin 3 reviews - French Camp, CA
Participates in the planning and implementation of the annual HEDIS process, associated activities and interventions....
23 days ago - save job - block - email - more...

Medical Director Behavioral Health

Molina Healthcare 99 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...
25 days ago - save job - block - email - more...

Case Manager

Alignment Healthcare - Orange, CA
collaborates with IPA/MG on Members admitted to the hospital/facility and obtains review from IPAs/MGs with LOS 3 days or longer to determine if continued stay...
18 days ago - save job - block - email - more...

QI Compliance Spec II RN

Molina Healthcare 99 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...
30+ days ago - save job - block - email - more...
Director of Quality Improvement / Registered Nurse (RN)
Kern Health Systems - Los Angeles, CA
medical record reviews, report writing, and... position is responsible for quality improvement, HEDIS reporting, health education and disease management...
Sponsored by CareerBuilder - 13 days ago

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