Hedis Review Nurse jobs in California

Sort by: relevance - date
Salary Estimate
Title
Company
Location
Job Type
Employer/Recruiter
Jobs 1 to 10 of 39
Upload your resume - Let employers find you
Clinical Quality Nurse
Sutter Health - 241 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 Sutter Health
Senior Manager, HOA Quality Performance Management
L.A. Care Health Plan - 18 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
Vice President - Clinical Services - Work Remotely
Gorman Health Group - United States
Must have at least 10 years of clinical experience as a licensed vocational orregistered nurse in addition to the requirements below....
Easily apply
Sponsored by Gorman Health Group

Quality Improvement Nurse

Alignment Healthcare - Orange, CA
Quality Improvement Nurse. Knowledge of Medicare Managed Care Plans, NCQA and HEDIS. Assists various departments with annual quality related projects (internal...

Utilization Review Nurse - 90,000k

ALL's WELL - 12 reviews - Oakland, CA 94601 (Harrington area)
Apply for this great position as a Utilization Review Nurse today! We are in search for nurses with utilization review, discharge planning and Interqual/HEDIS...

San Francisco Utilization Review Nurse (RN) - Managed Care

CareNational Healthcare Services, LLC - San Francisco, CA
$90,000 - $100,000 a year
The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review....
Easily apply

Clinical HEDIS Practice Advisor - Registered Nurse (RN)

WellCare - 130 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...

HEDIS Abstractor -External Audits and Quality Control

L.A. Care Health Plan - 18 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...

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...

Supervisor QI Compliance - HP

Molina Healthcare - 158 reviews - Long Beach, CA
HEDIS reporting or collection. Registered Nurse with active State License. Provider credentialing, PQOC and Grievance and Appeals review....

Utilization Review Nurse - 90,000k

Alls Well Health Care Services - Oakland, CA
Apply for this great position as a Utilization Review Nurse today! We are in search for nurses with utilization review, discharge planning and Interqual/HEDIS...

Quality Management Nurse

Dignity Health Med Grp Inland Empire - 564 reviews - Redlands, CA 92374
Greivances and complaints) to appropriate forum for review (i.e., IPA Peer Review, QM Committee, Department/Groups)....

Medical Record Field Reviewer

Altegra Health - 89 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...
Quality Management Nurse
Greivances and complaints) to appropriate forum for review (i.e., IPA Peer Review, QM Committee, Department/Groups)....
Sponsored by Dignity Health
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

Never miss a job. Get new jobs emailed to you daily.

Get email updates for the latest Hedis Review Nurse jobs in California
You can cancel email alerts at any time.
Get new jobs for this search by email
You can cancel email alerts at any time.
Company with Hedis Review Nurse jobs
Gorman Health Group, LLC is a leading consulting and software solutions firm specializing in government health programs.