Hedis Review Nurse jobs in California

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Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
IBM 4,408 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 Nurse.com - 7 days ago

Medical Record Field Reviewer

Altegra Health 54 reviews - San Jose, CA - +1 location
Outcomes’ nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations....
5 days ago - save job - block - email - more...

QI Compliance Specialist III - RN

Molina Healthcare 103 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 Quality...
28 days ago - save job - block - email - more...

RN, Clinical Claims Review

HealthCare Partners 65 reviews - Torrance, CA
We are currently seeking a RN, Clinical Claims Review:. Responsible for review, research and complete retrospective clinical claims review for Commercial,...
30+ days ago - save job - block - email - more...

HEDIS ABSTRACTOR- RN OR LPN

The Judge Group 32 reviews - Sacramento, CA - +1 location
Judge Healthcare is currently seeking HEDIS RNand LPN Abstractors in Sacramento CA. Candidate will work with the HEDIS team to collectmember records and conduct...
12 hours ago - save job - block - email - more...

Sacramento Utilization Review Nurse (RN) - Managed Care

CareNational Healthcare Services, LLC - Sacramento, CA - +2 locations
Utilization Review Nurse (RN) - Managed Care. The Utilization Review Nurse is responsible for utilization management, utilization review, or concurrent review....
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21 hours 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...
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30+ days ago - save job - block - email - more...

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

WellCare 82 reviews - Cypress, CA
*Clinical HEDIS Practice Advisor, RN (Registered Nurse) Cypress, CA. Care Health Plans, Inc. provides managed care services targeted to government-sponsored...
30+ days ago - save job - block - email - more...

Arcadia RN Manager of Medical Management (UM/CM) - Managed C...

CareNational Healthcare Services, LLC - Arcadia, CA - +1 location
The role of the Manager of Medical Management (Utilization & Case Management) is to promote the quality and cost effectiveness of utilization management (prior... $90,000 - $100,000 a year
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8 days ago - save job - block - email - more...

TRAVEL HEDIS ABSTRACTOR- RN OR LPN

The Judge Group 32 reviews - San Jose, CA
Judge Healthcare is looking for a HEDIS RN or. LPN Abstractor in the Santa Clara County area. This Nurse will be covering thewhole county and may be required to...
11 hours ago - save job - block - email - more...

Director of Quality Improvement

Amtec Human Capital - Camarillo, CA
• Develops targeted activities to improve HEDIS, CAHPS, provider satisfaction and other identified performance measures....
5 days ago - save job - block - email - more...

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