Hedis Review Nurse jobs in California

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Medical Director - Southern California - 103244SY
Anthem, Inc. 566 reviews - Glendale, CA
Participates in policy review, reviews trends and makes recommendations; Provides support to nurses and clinical leaders in pre-authorization, concurrent and...
Sponsored by Anthem, Inc. - 6 days ago
SGMF-Clinical Quality Nurse
Sutter Health 206 reviews - Central Valley, CA
Knowledge in the principles of NCQA and HEDIS quality measures. Assists with other functions of the Quality Department including but not limited to P4P...
Sponsored by Sutter Health - 30+ days ago
HEDIS Abstractor
Synectics 15 reviews - California
The HEDIS Abstractor, External Audits and Quality Control, conducts validation and production checks on medical records abstracted for the HEDIS Project and...
Sponsored by Jobomas - 4 days ago

HEDIS Abstractor

Synectics 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...

HEDIS Abstractor -External Audits and Quality Control

L.A. Care Health Plan 11 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...

HEDIS ABSTRACTOR NEEDED!

HealthCare Talent 2 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...

Compliance Manager/Nursing Educator

Alignment Healthcare - Orange, CA
Knowledge of Medicare Managed Care Plans, NCQA and HEDIS. Training, coaching and/or counseling new and current QM staff, UM and CM nurses....

Quality Manager

Health Plan of San Joaquin 7 reviews - French Camp, CA
Credentialing Coordinators, HEDIS Coordinator. Participates in the planning and implementation of the annual HEDIS process, HEDIS reporting associated...

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare 111 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...

Medical Record Field Reviewer

Altegra Health 72 reviews - Riverside, CA - +3 locations
Medical Record Reviews (Accreditation). Accurately and efficiently conduct medical record review services. Scan relevant components of the medical record to...

Medical Director - Southern CaliforniaSY

Anthem, Inc. 566 reviews - Glendale, CA - +1 location
Participates in policy review, reviews trends and makes recommendations; Provides support to nurses and clinical leaders in pre-authorization, concurrent and...

Quality Management Nurse

Dignity Health 505 reviews - Redlands, CA 92374
Greivances and complaints) to appropriate forum for review (i.e., IPA Peer Review, QM Committee, Department/Groups)....

FSR Nurse Coordinator

L.A. Care Health Plan 11 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....
SGMF-Clinical Quality Nurse
Sutter Gould Medical Foundation 206 reviews - Modesto, CA
Knowledge in the principles of NCQA and HEDIS quality measures. Assists with other functions of the Quality Department including but not limited to P4P...
Sponsored by TweetMyJobs.com - 5 days ago

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Company with Hedis Review Nurse jobs
566 reviews
Anthem, Inc. is one of the nation's leading health benefits companies with nearly 69 million people served by its affiliated companies.