RN / LVN HEDIS Nurse

2 weeks ago

Rancho Cucamonga, CA, United States HealthCare Support Full time
Onsite RN and LVN HEDIS Nurse

HealthCare Support is actively seeking multiple Onsite Registered Nurse and LVN HEDIS professional to fill a new hire class for the upcoming HEDIS Season with our prestigious healthcare client in Rancho Cucamonga, CA.

Daily Responsibilities for RN and LVN HEDIS Nurse:
  • Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related studies for medical management.
  • This position maintains a working knowledge of the current medical management system (MedHOK), business processes and workflows. Maintains summarized information for Quality Systems related to modified and new regulatory requirements for medical management from DHCS, DMHC and CMS.
  • Hybrid, in office 2-3 days a week, WFH the remaining days
  • January - May (HEDIS Season)

Required Qualifications for RN and LVN HEDIS Nurse:
  • Associates degree in Nursing required
    • Bachelors preferred
  • RN in California
  • 3+ years of experience as a nurse
  • 1 year of quality assurance or HEDIS experience from any setting
  • Working knowledge of NCQA HEDIS technical specifications, medical terminology, and health plan processes

Preferred Qualifications for RN LVN HEDIS
  • Health plan HEDIS Overread and Abstraction Experience

Benefits for RN and LVN HEDIS Nurse:
  • Immediate enrollment in Health Insurance
  • Dental Insurance
  • Life Insurance
  • Employee Assistance Program (EAP)
  • Access to Investment Accounts
  • Career and educational tools within our Ingenovis ACT (Advocacy) Program

Pay Details: $30.72 to $43.87 an hour

Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.

For additional consideration, please email a copy of your resume to hirememanagedcare@healthcaresupport.com with your phone number, the position title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

  • HEDIS Clinical Review Nurse, LVN

    1 week ago

    Rancho Cucamonga, CA, United States Alura Workforce Solutions Full time

    POSITION HEDIS Clinical Review Nurse, LVN Position Type: Temporary/Temp-Hire Schedule: M-F, 8:00 am - 5:00 pm Hybrid (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA) Assignment Length: 6 months DESCRIPTION Interpret, clarify, and implement changes accurately through the maintenance of current knowledge of HEDIS technical specifications...

  • HEDIS Clinical Review Nurse, LVN

    4 days ago

    Rancho Cucamonga, CA, United States Alura Workforce Solutions Full time

    POSITION HEDIS Clinical Review Nurse, LVN Position Type: Temporary/Temp-Hire Schedule: M-F, 8:00 am - 5:00 pm Hybrid (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA) Assignment Length: 6 months DESCRIPTION Interpret, clarify, and implement changes accurately through the maintenance of current knowledge of HEDIS technical specifications...

  • HEDIS Clinical Review Nurse, LVN

    2 weeks ago

    Rancho Cucamonga, CA, United States Alura Workforce Solutions Full time

    POSITION HEDIS Clinical Review Nurse, LVN Position Type: Temporary/Temp-Hire Schedule: M-F, 8:00 am - 5:00 pm Hybrid (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA) Assignment Length: 6 months DESCRIPTION Interpret, clarify, and implement changes accurately through the maintenance of current knowledge of HEDIS technical specifications...

  • Care Manager, LVN

    2 weeks ago

    Rancho Cucamonga, CA, United States Alura Workforce Solutions Full time

    POSITION Care Manager, LVN Position Type: Temporary Schedule: M-F, 8:00 am - 5:00 pm Assignment Length: Approximately 6-Months, possibly Longer. DESCRIPTION The Care Manager, LVN is responsible for working directly with the Plan, IPA medical groups, providers, hospitals, community agencies, Members/caregivers, and other entities supporting Member care to...

  • Care Manager, LVN

    6 days ago

    Rancho Cucamonga, CA, United States Alura Workforce Solutions Full time

    POSITION Care Manager, LVN Position Type: Temporary Schedule: M-F, 8:00 am - 5:00 pm Assignment Length: Approximately 6-Months, possibly Longer. DESCRIPTION The Care Manager, LVN is responsible for working directly with the Plan, IPA medical groups, providers, hospitals, community agencies, Members/caregivers, and other entities supporting Member care to...

  • Care Manager, LVN

    2 days ago

    Rancho Cucamonga, CA, United States Alura Workforce Solutions Full time

    POSITION Care Manager, LVN Position Type: Temporary Schedule: M-F, 8:00 am - 5:00 pm Assignment Length: Approximately 6-Months, possibly Longer. DESCRIPTION The Care Manager, LVN is responsible for working directly with the Plan, IPA medical groups, providers, hospitals, community agencies, Members/caregivers, and other entities supporting Member care to...

  • Hospice OnCall LVN

    4 days ago

    Rancho Cucamonga, CA, United States NEWPORT HOSPICE CARE INC Full time

    Benefits: 401(k) Competitive salary Paid time off Full-Time Hospice On-Call Licensed Vocational Nurse (LVN) Location: Various service areas across California Schedule: Full-Time On-Call (Evenings/Overnights/Weekends as assigned) About Us We are a compassionate hospice agency committed to providing exceptional end-of-life care to patients and their families....

  • Quality Improvement, RN

    1 week ago

    Rancho Cucamonga, CA, United States Inland Empire Health Plan Full time

    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! Reporting to Director of Hospital Relations, the Quality Improvement, RN will facilitate quality improvement initiatives across the continuum of care (i.e....

  • Quality Improvement, RN

    1 week ago

    Rancho Cucamonga, CA, United States Inland Empire Health Plan Full time

    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! Reporting to Director of Hospital Relations, the Quality Improvement, RN will facilitate quality improvement initiatives across the continuum of care (i.e....

  • Quality Improvement, RN

    4 days ago

    Rancho Cucamonga, CA, United States Inland Empire Health Plan Full time

    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! Reporting to Director of Hospital Relations, the Quality Improvement, RN will facilitate quality improvement initiatives across the continuum of care (i.e....