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Hedis Nurse jobs - Irvine, CA

Viewing 1 - 10 of 39 jobs

  • Manager, Nursing (RN)

    Altamed - Anaheim, CA

    (i.e.,Healthcare Effectiveness Data and Information Set (HEDIS), preventive care and ‘meaningful use’). 7. Ensures ... preferred. 2. Current valid license as a registered nurse through the California Board of Registered Nursing required.

    10 hours ago from Nurse.com

  • Clinical HEDIS Practice Advisor - Registered Nurse (RN)

    WellCare - Cypress, CA

    HEDIS measures, medical record documentation guidelines and HEDIS ICD-9 / CPT coding in accordance with NCQA ... Bachelor's degree/education plus ample experience in HEDIS review and/or quality improvement Required Required...

    30+ days ago from WellCare

  • ?HEDIS / Medical Records Specialist

    Morgan Stephens - Long Beach, CA

    HEDIS specialist coordinates the preparation of the annual HEDIS medical record review project which includes Chase ... and distribution together with other staff. Prepares Annual HEDIS Medical Record abstraction and data entry training...

    2 days ago from Morgan Stephens

  • Orange RN Supervisor of Inpatient Concurrent Review - Managed Care

    Carenational Healthcare Services - Santa Ana, CA

    Your Background: Current unrestricted state Registered Nurse (R.N.) license. Prefer Bachelors of Science in Nursing ... daily oversight of Concurrent Utilization Review nurse caseloads and makes adjustments as needed for effective...

    15 days ago from CareNational Healthcare Services, LLC

  • Quality Improvement Manager/Nursing Educator

    Alignment Healthcare - Orange, CA

    Health Care Services Director with annual QI projects (HEDIS, Satisfaction Surveys, etc.) Interfaces with Medical ... meeting the goals for the company related to STARs/HEDIS/CAHPs/HOS. Reviews, evaluates and develops policies,...

    17 days ago from Alignment Healthcare

  • Nurse (RN) Case Manager – Care Coordination Team Leader

    Altamed Health Services - Los Angeles, CA

    Under general supervision by the Supervisor, Nursing and oversight by the PACE Physicians, the Nurse (RN) Case Manager/C ... PACE regulations, NCQA, JCAHO and HEDIS standards. Knowledge of HIPAA Guidelines including the Protected Health...

    27 days ago from AltaMed Health Services Corporation

  • Nursing Manager (RN)

    Altamed Health Services - Los Angeles, CA

    (i.e.,Healthcare Effectiveness Data and Information Set (HEDIS), preventive care and ‘meaningful use’). 7. Ensures ... preferred. 2. Current valid license as a registered nurse through the California Board of Registered Nursing required.

    30+ days ago from AltaMed Health Services Corporation

  • Clinical Program Development Manager - Behavioral Health (102476 KT)

    Anthem - Costa Mesa, CA

    for population-based clinical quality measures including HEDIS within a clinical area and across all lines of business. Primary duties to include, but are not limited to: * Evaluates industry best practices, medical research and other...

    19 days ago from Anthem, Inc

  • Quality Management (QM) Manager

    Alignment Healthcare - Orange, CA

    Health Care Services Director with annual QI projects (HEDIS, Satisfaction Surveys, etc) Interfaces with the Medical ... : Knowledge of Medicare Managed Care Plans, NCQA and HEDIS Computer Skills: Word, Excel, Microsoft Outlook Experience...

    17 days ago from Alignment Healthcare

  • Solutions Architect, PHM

    Quality Systems - Costa Mesa, CA

    Meaningful Use, NCQA Medical Home and HEDIS, National Quality Forum measures in both ambulatory and inpatient setting Knowledge of contracting process helpful Sales background helpful Project Management Professional (PMP) Master’s Degree...

    4 days ago from Quality Systems, Inc.