Hedis Review Nurse jobs in Culver City, CA

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Jobs 1 to 8 of 11
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Clinical HEDIS Practice Advisor, RN (Registered Nurse) Long...
IBM 4,349 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 - 30 days ago

Medical Records Field Reviewer

Altegra Health 52 reviews - Los Angeles, CA
Outcomes' nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations....
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15 days ago - save job - email - more...

Northridge RN Manager of Medical Management (UM/CM) - Manage...

CareNational Healthcare Services, LLC - Northridge, 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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3 hours ago - save job - email - more...

RN, Clinical Claims Review

HealthCare Partners 64 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 - email - more...

QI Compliance Specialist III - RN

Molina Healthcare 100 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...
19 days ago - save job - email - more...

LA Utilization Management RN - Managed Care

CareNational Healthcare Services, LLC - Los Angeles, CA
The Utilization Management RN will oversee the review of current inpatient services, and determine medical appropriateness of inpatient and outpatient services... $80,000 - $100,000 a year
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4 days ago - save job - email - more...

LA Lead Utilization Management RN - Managed Care

CareNational Healthcare Services, LLC - Los Angeles, CA
The Lead Utilization Management RN will oversee the review of current inpatient services, and determine medical appropriateness of inpatient and outpatient... $87,000 - $105,000 a year
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30+ days ago - save job - email - more...

Long Beach Utilization Review Nurse (RN) - Managed Care

CareNational Healthcare Services, LLC - Long Beach, CA
Utilization Review Nurse (RN) - Managed Care. The Utilization Review Nurse is responsible for utilization management, utilization review, or concurrent review.... $70,000 - $75,000 a year
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30+ days ago - save job - email - more...

Medical Director Behavioral Health

Molina Healthcare 100 reviews - Long Beach, CA
• Reviews quality referred issues, focused reviews and recommends corrective actions. • Attends or chairs committees such as Credentialing, P&T, UM Ops, as...
30+ days ago - save job - email - more...

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