Hedis Review Nurse jobs in California

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RN/LPN/LVN Nurse Reviewer (Hedis/Qarr)
Healthcare Support Staffing 21 reviews - Long Beach, CA
an experienced Registered Nurse in the Greater Long... reviews, screening for quality of care issues, discharge planning, pre and post payment review of...
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Sponsored by ZipRecruiter - 15 days ago
Regional Nurse Practitioner Manager, Telecommute, San Franci...
UnitedHealth Group 1,170 reviews - Fairfield, CA
other initiatives. • Review and implement policies... to random drug testing. Keywords: Job, Nurse Manager, Nurse Practitioner, Manager, Leadership, Senior...
Sponsored by UnitedHealth Group - 12 days ago

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

WellCare 66 reviews - Long Beach, CA
Intermediate Ability to implement process improvements. Required Other Clinical license as an RN, pharmacist, LCSW, MD, DO, APRN, ANP, CPHARM, etc....
30+ days ago - save job - block - email - more...

Orange CONTRACT Concurrent Review Nurse (RN) – Managed Care

CareNational Healthcare Services, LLC - Orange, CA
You will obtain the information necessary to assess a member's clinical condition, identify ongoing clinical care needs and ensure that members receive services... $33 - $38 an hour
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5 days ago - save job - block - email - more...

San Francisco Utilization Review RN - Managed Care

CareNational Healthcare Services, LLC - San Francisco, CA
Generally work is self-directed and not prescribed. The nurse will perform prospective, concurrent & retrospective review of inpatient, outpatient, ambulatory &... $90,000 - $100,000 a year
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3 days ago - save job - block - email - more...

San Diego CONTRACT Concurrent Review RN – Managed Care

CareNational Healthcare Services, LLC - San Diego, CA
You will assist the provider in identifying appropriate options for the level of care that will assist the member in achieving optimum stability of health.... $28 - $40 an hour
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3 days ago - save job - block - email - more...

Quality Improvement Nurse - Part-time

Central California Alliance for Health - Scotts Valley, CA
develops, manages and measures a comprehensive preventive healthcare strategy in collaboration with internal stakeholders and network providers to promoted best...
5 days ago - save job - block - email - more...

RN, Clinical Claims Review

HealthCare Partners 54 reviews - Torrance, CA
Current California RN license Over 5 years and up to and including 7 years of experience. 3 to 5 years prior acute care nursing experience....
30+ days ago - save job - block - email - more...

Quality Management Coordinator RN Registered Nurse

ComplexCare Solutions - Fresno, CA 93728 (Fresno-High area)
Associate’s degree in nursing or related field. 2. Analyze data and prepare concise, accurate and meaningful quality management reports in accordance with QM... $75,000 - $85,000 a year
30+ days ago - save job - block - email - more...

Quality Improvement Nurse

Central California Alliance for Health - Scotts Valley, CA
develops, manages and measures a comprehensive preventive healthcare strategy in collaboration with internal stakeholders and network providers to promoted best...
30+ days ago - save job - block - email - more...

Long Beach Utilization Review Nurse (LVN) - Managed Care

CareNational Healthcare Services, LLC - Long Beach, CA
Utilization Review Nurse (LVN) - Managed Care. The Utilization Review Nurse is responsible for utilization management, utilization review, or concurrent review.... $60,000 - $65,000 a year
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30+ days ago - save job - block - email - more...

Registered Nurse - RN

Healthcare Support Staffing 21 reviews - Sacramento, CA 95833 (South Natomas area)
$33+ / 68k+ (Based on Experience ). Registered Nurse -Medical Review Nurse/ Utilization Management. Some of the responsibilities that you will perform on a... $33 - $35 an hour
CareerBuilder - 18 days ago - save job - block - email - more...
Coordinator Quality Management RN
TRN 4 reviews - Fresno, CA
Management, Pharmacy, Radiology/Imaging, Nurse/Nurse Management, Nurse Practitioner/Physician Assistant... and medical record reviews. 2. Analyze data and... $75,000 - $87,000 a year
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Sponsored by ZipRecruiter - 26 days ago
SPECIAL PROJECTS NURSES/MED PRO - SANTA ANA
The Judge Group 24 reviews - Santa Ana, CA
HEDIS Technical Specifications Access member record in HEDIS software Document medical record review... 2. Medical record review / prefer HEDIS experience...
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Sponsored by ZipRecruiter - 2 days ago
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Company with Hedis Review Nurse jobs
1,170 reviews
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