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Performance Improvement Clinical Specialist Peer Review
Conducts Inter-Rater (IRR) review on HEDIS Abstractors’ records. Performs Facility Site Reviews (resources and medical record review) per contractual...
Director of Nursing - Registered Nurse
Peach Tree Healthcare - Marysville, CA
Develops and maintains the nursing budget including staffing levels for licensed nurses, medical assistants, licensed vocational nurses and ancillary medical...
Easily apply
Delegation Oversight Specialist IV- RN/LVN
HealthCare Support Staffing - 71 reviews - Long Beach, CA
$28 - $32 an hour
Clinical review experience and chart auditing. Some form of Auditing NCQA, HEDIS, HSAG. Are you an experienced LVN Quality Improvement Nurse looking for a new...
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Facility Review RN

Molina Healthcare - 237 reviews - Sacramento, CA
HEDIS reporting or collection. Knowledge of HEDIS measurement and reporting. Gather and review medical records from providers and facilities to complete...

Quality Accreditation Coordinator

WESTERN HEALTH ADVANTAGE - 5 reviews - Sacramento, CA
Participate in medical record documentation and HEDIS hybrid medical record review projects. Valid California Registered Nurse license required....
Easily apply

FSR Nurse Coordinator

L.A. Care Health Plan - 26 reviews - Los Angeles, CA 90017
The FSR (Facility Site Review) Nurse Coordinator will be responsible for the coordination of facility site review processes and delegation activities....

HEDIS Project Manager

Santa Clara Family Health Plan - 6 reviews - Campbell, CA 95008
Ensures completion of HEDIS Roadmap and prepares staff and organization for HEDIS audit. 1 year of Medicare HEDIS reporting (D)....

Telephonic RN Case Manager - Telecommute in Sacramento, CA

UnitedHealth Group - 3,955 reviews - Sacramento, CA
RN, Registered Nurse, Case Manager, Nursing, HEDIS, EMR, Managed Care, Medicare, Medicaid, Sacramento, CA, California....

Quality Management Nurse (LVN or RN) Direct-Hire

Medical Professionals - 15 reviews - Redlands, CA
$85,000 a year
Our thriving IPA is seeking an experienced and adaptable Registered Nurse or Licensed Vocational Nurse to play a pivotal role in our Quality Management...
Easily apply

Risk Adjustment Coding Analyst

AIDS Healthcare Foundation - 70 reviews - Los Angeles, CA
Maintains productivity standards for RA reviews. Valid Registered Nurse license in CA and/or FL. Participates in interrater-reliability review (IRR) process to...

Associate Director of Quality

AIDS Healthcare Foundation - 70 reviews - Los Angeles, CA
Certified by State of California as Facility Site Review Nurse. Performs the functions required and maintains certification as the Facility Site Review Nurse....

Supervisor, Care Team-LVN

HealthCare Partners - 127 reviews - Pasadena, CA 91105
Develops processes for review of. Reviews prior authorization requests for content,. Utilization review, case management or discharge planning....

Quality Improvement Coordinator

Central California Alliance for Health - 7 reviews - Scotts Valley, CA
Maintaining HEDIS member exclusion data; Maintaining a problem log of certified HEDIS software issues; Collaborating with other County Operated Health Systems...
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Company with Hedis Review Nurse jobs
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HEDIS Nurse salaries in California

$88,158 per year

32.0% higher than national average


Estimated salary from 2 employees and 17 jobs