Hedis Review Nurse jobs in Sunnyvale, CA

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Registered Nurse UM Manager
Meritage Medical Network - San Francisco Bay Area, CA
California Registered Nurse (Required). Develop reporting to review utilization patterns and trends and out of network utilization to assist in identifying...
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RN Medical Management Consultant, Northern CA
Medical Management Consultant, Clinical Consultant, RN, Registered Nurse, Managed Care Consultant, Clinic Administrator, Utilization Review, Ambulatory,...
Senior Clinical Quality Improvement Manager
CMS, Medical, HealthGrades, US News & World Report, HEDIS). Valid license as Registered Nurse in the State of California....

RN Medical Management Consultant, Northern CA

UnitedHealth Group - 10,676 reviews - San Jose, CA
6+ years of relevant work experience in the Medical Group / IPA or Health Plan setting for concurrent review, prior authorizations, case management, referral...

RN Quality Nurse

University HealthCare Alliance - 22 reviews - Newark, CA
HEDIS Experience required. Partners with UHA Manager of Quality Reporting and Analytics for HEDIS audit serving as a subject matter expert on HEDIS measure...

Quality Improvement Coordinator

Santa Clara Family Health Plan - 13 reviews - Campbell, CA 95008
$51,511 - $77,267 a year
Contribute to annual HEDIS project through data analysis for review by the HEDIS project manager. Coordinate Facility Site Review (FSR) and Potential Quality of...
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