Talent.com
Remote RN - HEDIS

Remote RN - HEDIS

VirtualVocationsStockton, California, United States
1 day ago
Job type
  • Full-time
  • Remote
Job description

A company is looking for a Clinical Quality RN - Hedis.

Key Responsibilities :

Conduct market-specific data entry and collection

Review and abstract medical records for HEDIS measures

Monitor and close gaps in care through data review and entry

Required Qualifications :

Active Registered Nurse license

Minimum 2 years of HEDIS experience

Strong understanding of managed care and clinical quality requirements

Proficient in medical record review and abstraction

Proficiency in Microsoft Office (Word, Excel, Adobe, PowerPoint)

Create a job alert for this search

Rn • Stockton, California, United States

Related jobs
  • Promoted
Respiratory Care Practitioner (RCP)

Respiratory Care Practitioner (RCP)

Care CareerIone, CA, US
Full-time
Care Career is seeking a travel Correctional Respiratory Therapist for a travel job in Ione, California.Job Description & Requirements. RCP Respiratory Care Practitioner.Perform care consistent ...Show moreLast updated: 3 days ago
  • Promoted
Remote RN - HEDIS

Remote RN - HEDIS

VirtualVocationsModesto, California, United States
Remote
Full-time
A company is looking for a Clinical Quality RN - Hedis.Key Responsibilities : Conduct market-specific data entry and collection Review and abstract medical records for HEDIS measures Monitor and...Show moreLast updated: 1 day ago
  • Promoted
RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsStockton, California, United States
Full-time
A company is looking for an IBR Clinical Appeals Reviewer - Remote.Key Responsibilities Analyze and respond to IBR Appeals inquiries Perform medical record reviews and prepare written appeals C...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
South Carolina Licensed RN Case Manager

South Carolina Licensed RN Case Manager

VirtualVocationsModesto, California, United States
Full-time
A company is looking for an RN Concierge Care Manager - Case Manager.Key Responsibilities Direct day-to-day high-touch member management, including treatment plan coordination for high-risk popul...Show moreLast updated: 18 hours ago
  • Promoted
Urgent Care APP

Urgent Care APP

HealthEcareers - ClientModesto, CA, USA
Full-time
Gould Medical Group is looking for board-certified Urgent Care APPs in Lathrop, Modesto, and Riverbank, California.Gould Medical Group is a growing, 525+ clinician multi-specialty group located abo...Show moreLast updated: 4 days ago
  • Promoted
  • New!
Licensed RN Clinical Appeals Reviewer

Licensed RN Clinical Appeals Reviewer

VirtualVocationsStockton, California, United States
Full-time
A company is looking for an IBR Clinical Appeals Reviewer who will analyze and respond to client and hospital claim review appeal inquiries. Key Responsibilities : Analyze scope and resolution of I...Show moreLast updated: 22 hours ago
  • Promoted
  • New!
Healthcare Plan Configuration Specialist

Healthcare Plan Configuration Specialist

VirtualVocationsModesto, California, United States
Full-time
A company is looking for a Plan Build Coordinator to optimize auto adjudication processes in healthcare systems.Key Responsibilities : Develop, configure, and maintain healthcare plan designs and ...Show moreLast updated: 14 hours ago
  • Promoted
  • New!
Licensed Telehealth Nurse Practitioner

Licensed Telehealth Nurse Practitioner

VirtualVocationsModesto, California, United States
Full-time
A company is looking for a Telehealth Nurse Practitioner to provide telemedicine services focused on hormone and wellness optimization. Key Responsibilities Conduct virtual consultations for new a...Show moreLast updated: 18 hours ago
  • Promoted
A Facility in CA Seeks a Locums Hospitalist

A Facility in CA Seeks a Locums Hospitalist

HealthEcareers - ClientModesto, CA, USA
Full-time
Though your CompHealth recruiter will be your single point of contact, they are backed by dozens of specialized teams, giving them the ability to focus on the details that matter to you.That means ...Show moreLast updated: 10 days ago
  • Promoted
  • New!
Massachusetts Licensed Telehealth Physician

Massachusetts Licensed Telehealth Physician

VirtualVocationsModesto, California, United States
Full-time
A company is looking for a Telehealth Mental Health Physician in Massachusetts.Key Responsibilities Discuss and review patients' medical history, symptoms, allergies, and current medications Pre...Show moreLast updated: 16 hours ago
  • Promoted
  • New!
Data Analyst III Healthcare

Data Analyst III Healthcare

VirtualVocationsModesto, California, United States
Full-time
A company is looking for a Data Analyst III in Healthcare Analytics.Key Responsibilities Analyze integrated datasets to influence business decisions and improve clinical outcomes Develop, mainta...Show moreLast updated: 18 hours ago
  • Promoted
Registered Nurse Quality Assurance

Registered Nurse Quality Assurance

VirtualVocationsModesto, California, United States
Full-time
A company is looking for a Quality Assurance Registered Nurse (Telehealth Support) - Full-Time.Key Responsibilities Lead and support quality improvement initiatives across clinical programs Iden...Show moreLast updated: 30+ days ago
  • Promoted
  • New!
South Carolina Licensed RN Reviewer

South Carolina Licensed RN Reviewer

VirtualVocationsStockton, California, United States
Full-time
A company is looking for an RN Medical Reviewer II to perform medical reviews and support medical claims processing.Key Responsibilities Conduct medical claim reviews for complex services and det...Show moreLast updated: 12 hours ago
  • Promoted
  • New!
Healthcare Configuration Analyst

Healthcare Configuration Analyst

VirtualVocationsModesto, California, United States
Full-time
A company is looking for a Configuration Analyst to join their team.Key Responsibilities Design and configure benefits, system parameters, and pricing requirements on Healthcare Payer core admini...Show moreLast updated: 18 hours ago
  • Promoted
Remote Registered Nurse

Remote Registered Nurse

VirtualVocationsModesto, California, United States
Remote
Full-time
A company is looking for a Registered Nurse (Remote).Key Responsibilities Provide remote patient care and support through telehealth technologies Conduct virtual patient assessments and document...Show moreLast updated: 30+ days ago
  • Promoted
Family Practice Urgent Care

Family Practice Urgent Care

RecruitWellBrentwood, California, US
Full-time
Family Practice Urgent Care physician job in California : .PRN Dates Locums Brentwood, California, Urgent Care Job.Do you know someone who might be a good fit? Ask about our generous referral fees...Show moreLast updated: 7 days ago
  • Promoted
  • New!
Certified Medical Coder III

Certified Medical Coder III

VirtualVocationsStockton, California, United States
Full-time
A company is looking for a Medical Coder III with Cardiology experience.Key Responsibilities Review and submit 64 encounters per day related to various cardiology services Maintain coding knowle...Show moreLast updated: less than 1 hour ago
  • Promoted
  • New!
California Licensed Review Nurse

California Licensed Review Nurse

VirtualVocationsStockton, California, United States
Full-time
A company is looking for a Pre-Service Review Nurse RN to work remotely in the Pacific or Mountain Time Zones.Key Responsibilities Conduct utilization management, including Prior Authorization Re...Show moreLast updated: 2 hours ago
  • Promoted
  • New!
RN Clinical Coordinator

RN Clinical Coordinator

VirtualVocationsStockton, California, United States
Full-time
A company is looking for a Prior Authorization Clinical Review Coordinator.Key Responsibilities Review prior-authorization requests for post-acute levels of care based on medical necessity and In...Show moreLast updated: 14 hours ago
  • Promoted
Urgent Care APP

Urgent Care APP

Sutter Health Greater Central ValleyModesto, US
Full-time
Gould Medical Group is looking for board-certified Urgent Care APPs in Lathrop, Modesto, Riverbank, and Stockton, California. Gould Medical Group is a growing, 525+ clinician multi-specialty group l...Show moreLast updated: 5 days ago