LVN HEDIS Data Abstractor & Utilization Review Specialist
HealthCare Support
A prominent healthcare recruiting firm in California is seeking a Licensed Vocational Nurse to manage data abstraction from medical records and coordinate clinical quality initiatives. The ideal candidate will have an active vocational nurse license and solid experience in paper charting. Responsibilities include managing HEDIS projects and improving clinical quality metrics. This position offers a competitive salary and benefits including medical, dental, and vision coverage. #J-18808-Ljbffr
- ...Licensed Vocational Nurse /LVN – Utilization Review (HEDIS Abstractor) HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare... ...rewarding career! • This person will be abstracting data from medical records and entering into the database....HEDISPrivate practiceWork at officeMonday to Friday
$35.62 - $52.99 per hour
...Job Summary and Responsibilities As our Utilization Review LVN, your focus will be to provide high quality, cost-effective care which will... ...Strong organization skills Effective telephone and computer data entry skills Ability to formulate ideas and solutions...SuggestedContract workRemote work$35 - $45 per hour
Neier Inc. is looking for an experienced RN / Utilization Review Nurse in Sacramento for a potential contract to hire position. This role involves... ...regulations. The ideal candidate will have an active LVN license, a minimum of 3 years of clinical experience, and strong...SuggestedHourly payContract work- ...Promise Health Plan Senior Medical Director, Utilization Management. The Promise Health Plan... ...and retrospective utilization review, and retrospective provider claims dispute... ...requirements, measurement of health care quality (HEDIS and CAHPS) and California Department of...HEDISFull timePart timeWork at officeWork from homeHome officeAfternoon shift2 days per week
$27.61 - $53.83 per hour
...Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services... ...multidisciplinary teams to promote the Molina care model. • Adheres to utilization management (UM) policies and procedures. Required...SuggestedHourly payContract workWork experience placementWork at office$40 - $45 per hour
Gold Coast Utility Specialists, LLC in Sacramento is seeking a qualified Vegetation Management Quality Control Specialist. This full-time position involves conducting quality control assessments, inspecting vegetation around power lines, and documenting findings. Candidates...Full time$275k - $300k
...members through clinical leadership in Utilization Management, Quality Improvement, Population... ...initiatives. Key Responsibilities Review complex medical cases and medical necessity... ...and Population Health teams to improve HEDIS measures, care gap closure, health equity...HEDISFull timePart time- ...Data Entry Specialist Most work is seated but involves intensive and constant keying of information into data system. Employee carries one... ...are pulled and data is entered. When all files have been reviewed, they are returned to the box, which is in turn carried back...
$120k - $185k
A leading infrastructure company based in California is seeking experienced Utility Coordinators for future opportunities. The ideal candidates will manage utility coordination for complex infrastructure projects, ensuring alignment with stakeholders and regulatory requirements...Flexible hours- ...Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services... ...multidisciplinary teams to promote the Molina care model. Adheres to utilization management (UM) policies and procedures. Required...Contract workWork at office
$2,400 - $10,000 per month
...CMS Regulations and NCQA HEDIS Guidelines Knowledge... ...accurate and thorough review of the assigned member... ...respect to any aspect of the data handled or services... ...or Clinical Nurse Specialist in Family, Adult, Gerontology... ...This company utilizes E-Verify. ComplexCare...HEDISDaily paidLocal areaRemote work$24.77 - $27.86 per hour
...treatment team, the Independent Living Specialist (ILS) is responsible for providing vocational... ...plans for each child.Attends and utilizes all training that is provided, in compliance... ...in staff meetings, training, case reviews and other meetings as required.Communicates...Hourly payTemporary workWork at officeMonday to FridayWeekend work$38.29 - $42.54 per hour
...organization and the quality of patient data used for critical decision-... ...What You Will Do: Review medical record documentation... ...with clinical documentation specialists and medical staff to clarify... ...and optimal reimbursement. Utilize industry-standard coding and...Hourly payTemporary workMonday to FridayWeekend work- ...clients nationwide. As a Senior Proposal Specialist , you will play a crucial role in... ...high‑quality, client‑focused proposals. Utilizing your expertise, you will craft persuasive... ...teaming partners and subconsultants. Write, review, and edit original content for clarity,...Relocation
$75.2k - $112.8k
...provider engagement and leveraging data to improve value delivered to... ...care and achievement of HEDIS performance; implement... ...Analyze provider reports on cost, utilization, and outcomes, and present data... ...quarterly physician record reviews or as needed with network providers...HEDISLocal areaRemote work$19.46 - $29.19 per hour
...Enrollment Specialist Job Category: Administration Requisition Number... ...and eligibility. Utilizes waiting lists in accordance with... ...governing regulations. Data Compliance Support Completes... ...further information, please review the Know Your Rights notice...Hourly payFull timeMonday to FridayFlexible hoursShift work$55.93k - $107.62k
...details about this job. Realty Specialist (CASIE) (1) Sacramento, CA... ...more senior Realty Specialists. Review, analyze and make... ...grants, disposal and changing utilization of property. Prepare standard... ...Prepare reports by inputting data into appropriate authoritative...$23.24 - $28.25 per hour
...Information The Eligibility Specialist classifications determine the... ...numerical and narrative data and issues benefits from an... ...analyzing the results Reviews and interprets information provided... ...data from various sources Utilize multiple electronic...Hourly payFull timeFor contractorsWork at officeLocal area$23 per hour
...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing... ...assigned store/multiple stores. They utilize tools to minimize loss to the Company, including... ...incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the...Local area- ...experienced Information Technology Specialist II (IT Spec II) to serve as a... ..., and accessibility. Review software architecture and recommend... ...recovery/restoration of data, system software, and/or hardware... ...components, workloads, and utilities (e.g., JES2/JES3, TSO, ISPF,...Remote work
$23 - $27 per hour
...compliance with all federal regulations Utilize intake methods such as email, Ebond (... ...processing from intake to billing, including review of order provisioning and billing setup... ...intake and management and/or experience with data entry. ~ Experience within federal...Contract workTemporary workWork at office- ...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing... ...their assigned store/multiple stores. They utilize tools to minimize loss to the Company,... ...identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring...
- ...Division hires a Senior Personnel Specialist to serve as an expert... ...establish account receivables. Utilize PC software and applications... ...maintain unit training manuals. Review, monitor, and evaluate work... ..., document, and provide test data to analytical staff for system...Temporary workWork at officeNight shift
- ...Unit within the Department of Utilities (DOU) is seeking qualified applicants for the Office Specialist position. Under general direction... ..., coordinate meetings, and review documents to make sure they are... ...may include word processing, data entry and organization, telephone...Permanent employmentContract workFor contractorsInterim roleWork at officeRemote workTrial period
$27 per hour
...OVERVIEW The Outreach and Engagement Specialist (OES) reports to Cal Voices' CalAIM Quality... ...eligibility verifications; monitors and reviews clients' eligibility, insurance, and... ...solving Regularly maintain resilience and utilize effective coping techniques in response...Work experience placementWork at officeLocal areaImmediate startMonday to FridayShift workNight shift3 days per week$15 - $18.32 per hour
...Datavant is the data collaboration platform trusted for healthcare. Guided by our mission... ...computer proficiency. Comfortable utilizing phones, fax machine, printers, and other... ...exempted from these requirements will be reviewed by Datavant Human Resources and determined...Hourly payWork experience placementWork at officeMonday to Friday- ERM is hiring a Safety Specialist regionally in Northern, CA (Sacramento to Bakersfield) .... ...the roles and responsibilities related to reviewing drawings; identifying known hazards; and... ...the client company‑wide initiatives. Utilize safety trend analysis (Field safety observations...Full timeFor contractorsFixed term contractFor subcontractorCasual workRemote work
- ...one. AKS is seeking an experienced Senior NEPA Specialist to build, lead, and personally deliver a best-... ...client relationships with federal, state, and utility decision-makers. Lead and deliver EAs, EISs, programmatic reviews, and permitting strategies from start to...
$75k - $90k
Title: DOT Compliance Specialist (Open) Location: Rancho Cordova, CA... ...fundamental routing and tool utilization. Train new front line leaders... ...and participate in incident review committees to recommend sophisticated... ...ability to translate complex data into meaningful insights....For contractorsWork at officeNight shift$144.5k - $175.1k
## Senior Therapeutic Area Specialist, Hematology- Sacramento, CASacramento... ...expertise on emerging data for approved indications. + Engages... ...and interacting with HCPs.* Utilizing various digital communication... ...Requisition number so we can review. Communications related to...Hourly payFull timeTemporary workPart timeFor contractorsSummer workPrivate practiceLive inWork at officeLocal areaRemote workFlexible hoursShift work
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