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Qi Manager jobs - Huntington Beach, CA

Viewing 1 - 10 of 110 jobs

  • Medical Director - Medicare Utilization Management

    Nexus Healthcare - Irvine, CA

    of our clients and serves in a supporting role as medical manager and policy advisor to the company and our clients. ... management (UM) goals and clinical quality improvement (QI) objectives. Provides periodic written and verbal reports...

    30+ days ago from The Ladders

  • Clinical Auditor, Sr. (RN) Registered Nurse managed Care

    Xpert Recruiters - Orange, CA

    position serves as the auditor for Quality Improvement (QI), Utilization Management (UM), and Clinical Grievances (GARS) oversight. This position will ensure regulatory (Medicare, Medi-Cal, Cal MediConnect) and accreditation (NCQA)...

    30+ days ago from MiracleWorkers.com

  • QI Specialist

    Kurz Solutions - Long Beach, CA

    QI Specialist MEASURING SUCCESS ABOUT OUR CLIENT Our Client is a FORTUNE 500 managed care company, which offers health ... Certified Medical Audit Specialists (CMAS) Certified Case Manager (CCM) Certified Professional Healthcare Management...

    30+ days ago from KURZ Solutions

  • Senior, Reporting Analyst QI

    Healthcare Partners - Torrance, CA

    Senior, Reporting Analyst QI Req: 16415 Department: Schedule: Shift: Hours: Job Details: HEALTHCARE PARTNERS MEDICAL ... you. We are currently seeking aSenior, Reporting Analyst QI: _OVERVIEW OF THE POSITION: Responsible for data mining,...

    30+ days ago from Healthcare Partners

  • QI Spec I - Interventions

    Molina Healthcare - Long Beach, CA

    Job SummaryResponsible for implementing and monitoring local QI and HEDIS interventions ... Essential Functions • Assists Interventions Manager in implementing provider or member interventions •...

    30+ days ago from Molina Healthcare, Inc

  • QI Specialist III, Interventions

    Molina Healthcare - Long Beach, CA

    ob SummaryResponsible for implementing and monitoring local QI and HEDIS interventions. Essential FunctionsThe ... Record Review projects. • Assists Interventions Manager in implementing provider or member interventions • Works on...

    30+ days ago from Molina Healthcare, Inc

  • QI Compliance Specialist 1 -HP

    Molina Healthcare - Long Beach, CA

    Summary Creates and manages the required documentation for QI Compliance. Essential Functions • Gathers and documents ... Care and other activities as required. • Surfaces to Manager and Director any gaps in processes that may require...

    30+ days ago from Molina Healthcare, Inc

  • Registered Nurse Quality Improvement Specialist (QI, QA)

    Managed Care Resources - Whittier, CA

    RegisteredNurse Quality Improvement Specialist (QI, QA) MajorHome Health, Hospice Department ImprovementSpecialist with 3 + Years Experience in Quality Hospice/ Home Health / LongTerm Care Setting Detailed orientated, excellent computer...

    13 days ago from StartWire

  • RN UM Case Management Capitation Nurse (Rady Children's)

    Childrens Hospital Orange County (choc) - Fountain Valley, CA

    Under the supervision of the UM/QI Supervisor and/or Manager and Compliance Liaison, the Utilization/Case Manager ... Qualifications Under the supervision of the UM/QI Supervisor and/or Manager and Compliance Liaison, the...

    14 days ago from Childrens Hospital Orange County (CHOC)

  • Manager, QA/PI/QM

    Western Medical Center - Santa Ana, CA

    Qualification: Five (5) years recent experience in QI, management, experience a plus, Min. three (3) recent clinical experience, Current California RN license, Bachelor’s degree required, Masters preferredta Ana is looking for a...

    30+ days ago from Western Medical Center