Hedis Review Nurse jobs in California

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Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
IBM 4,013 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 - 6 days ago
QI Compliance Spec II RN
Molina Healthcare Inc. - Long Beach, CA
Functions * Conduct review and investigation of... and review of potential quality of care issues or other activities related to medical record review that...
Sponsored by CareerBuilder - 8 days ago

QI Compliance Spec II RN

Molina Healthcare 96 reviews - Long Beach, CA
Functions • Conduct review and investigation of... and review of potential quality of care issues or other activities related to medical record review that...
8 days ago - save job - block - email - more...

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

WellCare 74 reviews - Santa Clara, CA
HEDIS Practice Advisor, RN (Registered Nurse) Santa... HEDIS medical record review and/or Quality Improvement with experience in clinical data/chart reviews and...
19 days ago - save job - block - email - more...

Director of Medical Quality Assurance

Blue Shield of California 115 reviews - San Jose, CA
working with HEDIS, including deep familiarity with the clinical aspects of HEDIS clinical measures and... nurses conducting HEDIS chart review strongly...
10 days ago - save job - block - email - more...

RN Travel Hospital Case Manager

Pathway Medical Staffing - Los Angeles, CA
management issues and discharge planning delays Reviews admissions for appropriateness Care coordination... we are only considering nurses with the following...
8 days ago - save job - block - email - more...

National Director of Quality

AIDS Healthcare Foundation 40 reviews - Los Angeles, CA
Health plan specific HEDIS, HOS, CAHPS, NCQA SNP... at a minimum DUR, Medicare DDI review, Formulary review, ADR review, and denial/appeal process. Complaint...
14 days ago - save job - block - email - more...

Orange CONTRACT Concurrent Review Nurse (RN) – Managed Care

CareNational Healthcare Services, LLC - Orange, CA
CONTRACT Concurrent Review Nurse (RN) – Managed Care... Job Summary: As a Concurrent Review Nurse you will utilize your clinical skills to review and monitor... $33 - $38 an hour
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16 days ago - save job - block - email - more...

Quality Improvement Nurse

Central California Alliance for Health - Scotts Valley, CA
Quality Improvement Nurse (Scotts Valley) 2... Nurse will ensure patient safety through Facility site Review (FSR) and Medical Record Review (MRR) and...
30+ days ago - save job - block - email - more...

RN, Manager of Utilization Review/ Medical Management (field...

Healthcare Support Staffing 24 reviews - Long Beach, CA 90802
and monitor Utilization Review, Quality Improvement... CA Knowledge of Utilization Review, Quality Improvement, STARS, HEDIS,compliance, accreditation, service... $129,000 a year
CareerBuilder - 1 day ago - save job - block - email - more...

Manager, Quality Management

Health Plan of San Joaquin 2 reviews - French Camp, CA
Coordinators, HEDIS Coordinator Required Skills... in the planning and implementation of the annual HEDIS process, associated activities and interventions...
30+ days ago - save job - block - email - more...

California WORK FROM HOME Utilization Review Nurse (RN) - Ma...

CareNational Healthcare Services, LLC - California
The Utilization Review Nurse is responsible for utilization management, utilization review, or concurrent review. The UR Nurse will performs reviews of current... $70,000 - $80,000 a year
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30+ days ago - save job - block - email - more...

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