Talent.com
Remote RN - HEDIS

Remote RN - HEDIS

VirtualVocationsRiverside, 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 • Riverside, California, United States

Related jobs
  • Promoted
Travel Registered Nurse Case Manager

Travel Registered Nurse Case Manager

HonorVet TechnologiesMission Viejo, CA, US
Full-time
HonorVet Technologies is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California. Job Description & Requirements.Manage caseload of ~20 patients, ensuring...Show moreLast updated: 5 days ago
  • Promoted
RN Clinical Appeals Reviewer

RN Clinical Appeals Reviewer

VirtualVocationsOntario, 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
RN Appeals Nurse Consultant

RN Appeals Nurse Consultant

VirtualVocationsMission Viejo, California, United States
Full-time
A company is looking for an Appeals Nurse Consultant.Key Responsibilities Process medical necessity appeals for Medicare Part C from members and providers Collaborate with internal and external ...Show moreLast updated: 30+ days ago
  • Promoted
Patient Concierge

Patient Concierge

Lifekind HealthSan Jacinto, CA, US
Full-time
Our mission is to bring care that’s.Blending medical, behavioral, and lifestyle support into a single plan because restoring life takes more than a prescription. At Lifekind Health we strive e...Show moreLast updated: 30+ days ago
  • Promoted
RN - Complex Case Management & Readmission Coordinator FT / DAYS

RN - Complex Case Management & Readmission Coordinator FT / DAYS

Universal Health Services, Inc.Corona, CA, United States
Full-time
RN - Complex Case Management & Readmission Coordinator.Full-time at Corona Regional Medical Center located in Corona, Ca. The RN Complex Case Management and Readmission Coordinator is responsible fo...Show moreLast updated: 30+ days ago
  • Promoted
Remote Registered Nurse

Remote Registered Nurse

VirtualVocationsOntario, 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
  • New!
Licensed Telehealth Nurse Practitioner

Licensed Telehealth Nurse Practitioner

VirtualVocationsIrvine, 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: 22 hours ago
  • Promoted
  • New!
South Carolina Licensed RN Case Manager

South Carolina Licensed RN Case Manager

VirtualVocationsOntario, 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: 22 hours ago
  • Promoted
  • New!
California Licensed Review Nurse

California Licensed Review Nurse

VirtualVocationsSan Bernardino, 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: 6 hours ago
  • Promoted
Licensed RN Clinical Appeals Reviewer

Licensed RN Clinical Appeals Reviewer

VirtualVocationsMission Viejo, 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: 1 day ago
  • Promoted
  • New!
RN Clinical Coordinator

RN Clinical Coordinator

VirtualVocationsMoreno Valley, 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: 18 hours ago
  • Promoted
  • New!
New York RN Case Manager

New York RN Case Manager

VirtualVocationsCorona, California, United States
Full-time
A company is looking for an RN Case Manager.Key Responsibilities Coordinate all aspects of a patient's care, including medical, behavioral, functional, and social needs Conduct ongoing care coor...Show moreLast updated: less than 1 hour ago
  • Promoted
Travel Registered Nurse Case Manager

Travel Registered Nurse Case Manager

American TravelerMission Viejo, CA, US
Permanent
American Traveler is seeking a travel nurse RN Case Management for a travel nursing job in Mission Viejo, California.Job Description & Requirements. American Traveler is hiring a Case Manager RN...Show moreLast updated: 3 days ago
  • Promoted
  • New!
Massachusetts Licensed Telehealth Physician

Massachusetts Licensed Telehealth Physician

VirtualVocationsCorona, 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: 20 hours ago
  • Promoted
Local Contract Nurse RN - Infection Control

Local Contract Nurse RN - Infection Control

Host HealthcareMission Viejo, CA, US
Full-time
Host Healthcare is seeking a local contract nurse RN Infection Control for a local contract nursing job in Mission Viejo, California. Job Description & Requirements.Pay package is based on 8 hou...Show moreLast updated: 4 days ago
  • Promoted
  • New!
Certified Medical Coder III

Certified Medical Coder III

VirtualVocationsCorona, 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: 4 hours ago
  • Promoted
  • New!
South Carolina Licensed RN Reviewer

South Carolina Licensed RN Reviewer

VirtualVocationsCorona, 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: 16 hours ago
  • Promoted
  • New!
Data Analyst III Healthcare

Data Analyst III Healthcare

VirtualVocationsCorona, 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: 22 hours ago