LVN-HEDIS Clinical Review Nurse

POSITION Title HEDIS Review Nurse - LVN Position Type: Temporary Schedule: M-F, HYBRID Assignment Lenghth: Approximately 2-Months, possibley Longer. DESCRIPTION Under the direction of the Clinical Quality Improvement (CQI) Supervisor, the HEDIS Clinical Review, LVN provides support to the CQI Supervisor, HEDIS Nurse RN, and other departments on HEDIS and...

POSITION Title HEDIS Review Nurse - LVN Position Type: Temporary Schedule: M-F, HYBRID Assignment Lenghth: Approximately 2-Months, possibley Longer. DESCRIPTION Under the direction of the Clinical Quality Improvement (CQI) Supervisor, the HEDIS Clinical Review, LVN provides support to the CQI Supervisor,...

POSITION Title HEDIS Review Nurse - LVN Position Type: Temporary Schedule: M-F, HYBRID Assignment Lenghth: Approximately 2-Months, possibley Longer. DESCRIPTION Under the direction of the Clinical Quality Improvement (CQI) Supervisor, the HEDIS Clinical Review, LVN provides support to the CQI Supervisor, HEDIS Nurse RN, and other departments on HEDIS...

Job DescriptionWe are seeking an experienced LVN to join our team as a Clinical Quality Improvement Specialist. In this role, you will work closely with the Clinical Quality Improvement Supervisor to ensure compliance with regulatory requirements related to Quality Improvement Systems. You will also provide support to the HEDIS Nurse RN with HEDIS and...

Quality Improvement HEDIS LVNHealthCare Support is actively seeking a Quality Improvement HEDIS LVN to fill an opening with a Managed Care Company in Rancho Cucamonga, CA. This role is Hybrid/Remote, you must come to the office 2-3 days a week in Rancho Cucamonga. 6 month contract; M-F 8am-5pm.Daily Responsibilities for Quality Improvement HEDIS LVN:...

Quality Improvement HEDIS LVN HealthCare Support is actively seeking a Quality Improvement HEDIS LVN to fill an opening with a Managed Care Company in Rancho Cucamonga, CA. This role is Hybrid/Remote, you must come to the office 2-3 days a week in Rancho Cucamonga. 6 month contract; M-F 8am-5pm. Daily Responsibilities for Quality Improvement HEDIS LVN:...

Quality Improvement HEDIS LVN HealthCare Support is actively seeking a Quality Improvement HEDIS LVN to fill an opening with a Managed Care Company in Rancho Cucamonga, CA. This role is Hybrid/Remote, you must come to the office 2-3 days a week in Rancho Cucamonga. 6 month contract; M-F 8am-5pm. Daily Responsibilities for Quality Improvement HEDIS LVN:...

HEDIS Improvement Nurse, RNFind joy in serving your community! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality...

HEDIS Improvement Nurse-RNAt Alura Workforce Solutions, we are seeking a skilled HEDIS Improvement Nurse-RN to support our Clinical Quality Improvement team and other departments on HEDIS improvement related issues.The ideal candidate will be able to interpret clinical data for QI-related studies, maintain working knowledge of MedHOK, business processes, and...

Description ScionHealth is committed to a culture of service excellence as demonstrated by our employees' adherence to the service excellence principles of Pride, Teamwork, Compassion, Integrity, Respect, Fun, Professionalism, and Responsibility. As our most acute level of care, our specialty hospitals offer the same critical care patients receive in a...

OverviewWhat you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Join our dynamic team in the Integrated Transition Care Department! Under visionary leadership, you'll collaborate with hospitals and Independent Physician...

OverviewWhat you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Join our dynamic team in the Integrated Transition Care Department! Under visionary leadership, you'll collaborate with hospitals and Independent Physician...

Job Summary:We are seeking a Clinical Review Nurse to join our Utilization Management team. This role is responsible for reviewing inpatient stays and determining medical necessity using nationally recognized levels of care guidelines.About the Role:Perform prospective, concurrent, and retrospective utilization reviews to determine medical necessity and...

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in "healing and inspiring the human spirit" and to pivot from a "job" opportunity to an authentic experience! Join our dynamic team in the Integrated Transition Care Department! Under visionary leadership, you'll collaborate with hospitals and Independent Physician...

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Join our dynamic team in the Integrated Transition Care Department! Under visionary leadership, you’ll collaborate with hospitals and Independent Physician...

Job Description Liberty Healthcare is now hiring Licensed Vocational Nurse for PRN positions for our newest forensic mental health program. Weekday and weekend shifts are available. The goal of this program is to provide rapid mental health services to people in need, so they may achieve improved behavioral health outcomes as quickly as possible. The...

About this RoleThe Grievance and Appeals Nurse serves as a key liaison between the company, IPAs, hospitals, and other stakeholders to ensure that grievances and appeals are processed efficiently and in accordance with regulatory guidelines. This role involves coordinating care with members, PCPs, and IPAs to provide continuous quality care and assist in the...

CorVel Healthcare Corporation is seeking a skilled Utilization Review Specialist to join our team. As a key member of our healthcare services department, you will be responsible for conducting utilization reviews to ensure medical necessity and appropriateness of treatment plans.In this role, you will analyze clinical data, communicate with healthcare...

Job OverviewWe are seeking a skilled Clinical Review Specialist to join our Medi-Cal Appeals and Grievances team. This role involves performing accurate and timely clinical reviews of member appeals and grievances, ensuring compliance with National Coverage Determination (NCD) guidelines and other relevant regulations.The successful candidate will have...

What you can expect!Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!Join our dynamic team in the Integrated Transition Care Department! Under visionary leadership, you’ll collaborate with hospitals and Independent Physician...