Jobs by Simply Hired

Search for Jobs

Job Title, Skills, or Company

City, State, or ZIP

Hedis Nurse jobs - Irvine, CA

Viewing 1 - 10 of 49 jobs

  • Manager, Nursing (RN)

    Altamed - Santa Ana, 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.

    24 days ago from MiracleWorkers.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 Clin Med RcrdsData Consultant

    Health Net - Huntington Beach, CA

    Job Summary The HEDIS (Health Plan Employer/Healthcare Effectiveness Data and Information Set) Clinical Medical Records ... met. Reviews, analyzes and interprets data for required HEDIS and NCQA compliance, and related reporting.

    24 days ago from Health Net Inc

  • 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...

    30+ days ago from CareNational Healthcare Services, LLC

  • Orange Inpatient Concurrent Review Nurse (RN or LVN) – Managed Care

    Carenational Healthcare Services - Orange, CA

    Inpatient Concurrent Review Nurse (RN or LVN) – Managed Care Orange, CA Your Job Summary: As a Concurrent Review Nurse ... state nursing license, either Registered Nurse (R.N.) or Licensed Vocational Nurse (L.V.N.). Around 3-4...

    30+ 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,...

    30+ days ago from Alignment Healthcare

  • Orange CONTRACT Concurrent Review Nurse (RN or LVN) – Managed Care

    Carenational Healthcare Services - Orange, CA

    with disease management interventions. The nurse will perform prospective, concurrent & retrospective review ... Current unrestricted state license as Registered Nurse (R.N.) or Licensed Vocational Nurse (L.V.N.) Certified Case...

    30+ days ago from CareNational Healthcare Services, LLC

  • 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...

    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...

    30+ days ago from Anthem, Inc

  • Quality Manager

    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. Assist in developing policies, procedures,...

    3 days ago from Alignment Healthcare