Licensed Vocational Nurse /LVN - Utilization Review (HEDIS Abstractor)
Healthcare Support Staffing
Licensed Vocational Nurse /LVN – Utilization Review (HEDIS Abstractor) HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
- This person will be abstracting data from medical records and entering into the database. They will occasionally be traveling to provider offices and work with their staff to review charts
- Coordinate, complete, and update management on clinical quality
- Establish and maintain an action plan to improve HEDIS scores
- Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities
- Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality
- Active license for a vocational nurse
- Solid paper charting experience
- ...prominent healthcare recruiting firm in California is seeking a Licensed Vocational Nurse to manage data abstraction from medical records and... ...experience in paper charting. Responsibilities include managing HEDIS projects and improving clinical quality metrics. This...HEDIS
$35 - $38.59 per hour
...clinical supervision of Nursing Administration, the Licensed Vocational Nurse (LVN) shall perform licensed... ..., and local recourses. Utilize Evidence Based Practice... ...and ongoing nursing review meetings. Assists internal... ...as Meaningful Use, HEDIS, UDS and Regulatory compliance...HEDISWork at officeLocal areaFlexible hoursAfternoon shift- ...country. Feel free to check us out at Job Description Candidate with HEDIS experience, medical record review experience, and computer skills including Excel and Outlook. Licensed nurse required: RN, LPN, LVN, or equivalent licensed practical nurse credential from an...HEDISWork at office
$155k - $170k
...seeking a Pharmacist to support utilization management, prior... ...populations. What You'll Do Review prior authorizations, TARs, and... ...formulary compliance Support HEDIS, Star Ratings, and quality... ...Active California Pharmacist License ~3+ years of clinical pharmacy...HEDISContract workTemporary work$2,400 - $10,000 per month
...Overview Nurse Practitioner Per Diem This position... ...Regulations and NCQA HEDIS Guidelines Knowledge... ...accurate and thorough review of the assigned member... ...Active un-encumbered license to practice nursing... ...tools This company utilizes E-Verify. ComplexCare...HEDISDaily paidLocal areaRemote work$110k - $120k
...following inpatient, skilled nursing facility, and... ...outcomes, reduced avoidable utilization, and long-term member... ...plans are regularly reviewed and updated based on... ...Registered Nurse (RN) license in California Minimum... ...Familiarity with HEDIS, NCQA, CMS, and other...HEDIS$155k - $170k
...Care, Job Summary: Responsibilities Utilization Review & Benefit Administration Conduct... ...Support priority Star Ratings and HEDIS pharmacy measures, with an emphasis on... ...program. Active California pharmacist license in good standing. Board certification...HEDISFull timeShift work$75.2k - $112.8k
...quality care and achievement of HEDIS performance; implement... ...Analyze provider reports on cost, utilization, and outcomes, and present... ...Conduct quarterly physician record reviews or as needed with network... ...independent, and unrestricted license such as RN, LCSW, LMFT, LMHC,...HEDISLocal areaRemote work- ...programs. This remote role (Mon-Fri, 8AM-5PM PST) focuses on pharmacy utilization and improving patient outcomes under pharmacist supervision. Responsibilities include addressing gaps in care, supporting CMS/HEDIS STAR measures, and communicating with providers and health...HEDISRemote job
- ...largest Community Health System, WellSpace utilizes a Confluence Model to integrate an... ...standards, SAMHSA standards, HIPAA, OSHA, HEDIS/UDS metrics, The Joint Commissions, FTCA... ...Support the quarterly and annual performance review process for care stream support staff and...HEDISFull timeWork at officeLocal areaFlexible hours
$36 - $44 per hour
LVN and LPTSierra Health and Wellness uses evidence... ...needed.Prepare and review medical records and nurses' notes to evaluate... ...and procedures.Utilizes good infection control... ...with State licensing standards and accreditation... ...experience:Current Licensed Vocational Nurse (LVN)...Full timeShift work- ...workups, and treatment planning Order and review labs, imaging, and other diagnostic... ...Active, unrestricted California medical license ~ Active DEA certificate ~ Current CPR... ...strongly preferred ~ Familiarity with HRSA, HEDIS, or PCMH quality measures preferred ~...HEDISFull timeMonday to Friday
$33.71 - $60.67 per hour
...coordinate internal and external audits. Review, analyze, and interpret data for HEDIS, URAC, NCQA compliance. Address... ...Education BA/BS in Psychology, Nursing, or related clinical field;... ...analysis, preferably in Healthcare Licenses & Certifications Licensed Clinician...HEDISHourly payFull timeRemote workFlexible hoursDay shift$123k - $164k
...assure quality, cost-effectiveness, and ROI Utilize analytics dashboards that help you... ...Qualifications PharmD with advanced practice license in good standing in California Completion... ...outreach campaigns including for HEDIS gaps in care History of experience with medication...HEDISWork from homeHome office- ...incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only... ...areas: Medical claims system, ICD-10 and CPT coding Reviewing medical authorizations Provider contract rate interpretation,...HEDISContract workTemporary workWork at officeFlexible hours
$20.91 - $25.09 per hour
...- 5PM PST. You will focus on: Support the Pharmacy Team on CMS/HEDIS Quality STAR measures by targeting patient populations include,... ...information andsupportvarious clinical programs. Assistwith data reviews, reports, and presentations for pharmacy related items. Support...HEDISContract workCasual workLocal areaRemote workFlexible hours- ...Objective Provides nursing care within scope of practice to ensure patient’s needs... ...implementing the Quality Improvement Program. Utilizes the Quality Life Manual for... ...necessary. Qualifications Currently licensed as LVN in state California. One-year prior...Local areaNight shift
- MUST HAVE A VALID CA LICENSE VOCATIONAL NURSE (LVN) LICENSE Lead Care Manager (LVN) works in collaboration and continuous partnership with chronically... ...Promote timely access to appropriate care Increase utilization of preventative care Reduce emergency room utilization and...Work at officeLocal areaRemote work
- ...populations of Los Angeles County. Position Purpose: The Licensed Vocational Nurse (LVN) will be a crucial part of a care team, dedicated to delivering... ...scope of education, training, and responsibilities. Utilizes and practices "basic assessment" (e.g., data collection)...Temporary workWork at officeImmediate start
$38 - $41 per hour
...Licensed Vocational Nurse (LVN) Full Time: 7AM-3:30PM or 3PM-11:30PM, 4:2 schedule Full Time: 2 days 7AM-3:30PM, 2 days 3PM-11:30PM, 2 days off... ...with Employer Match. Tuition Assistance. Talent development reviews and growth opportunities. Commuter Reimbursement. General...Hourly payFull timeTemporary workPart timeShift work$24.9 - $32.37 per hour
...As the region's largest Community Health System, WellSpace utilizes a Confluence Model to integrate an internal network of healthcare... ...WellSpace Health's Quality team, whose primary role is to improve HEDIS and UDS rates through meaningful patient engagement. This...HEDISFull timeWork at officeLocal areaFlexible hours- ...program across clinical quality performance, safety, patient experience, nursing and credentialing activities. The role reports to the Chief Medical Officer and ensures compliance with NCQA, HEDIS, STARS, and state and federal standards while driving continuous improvement...HEDIS
- ...direction of the director of nursing or the medical... ...scope of practice of an LVN/LPT. Duties typically... ...basic client assessment utilizing a plan of care... ...Carries out social and vocational training tasks. Facilitates... ...compliance with State licensing standards. MINIMUM...
$120k - $150k
...credentialed physician, the Psychiatric Nurse Practitioner is responsible... ...new or existing patients by reviewing records, taking comprehensive... ...discuss clinical concerns. Utilizes the principles and practices... ...Practitioner required Licenses and Certifications...Monday to FridayWeekend work- ...treatment! Come meet our team! About You Hello Nurse! We are seeking a skilled Licensed Vocational Nurse (LVN) with experience working in a treatment... ...assessments Providing crisis intervention services Reviewing MARS weekly and monthly to review progress with...Shift work
- ...Job Description Job Description Licensed Vocational Nurse (LVN) – Behavioral Health Join El Hogar’s behavioral-health team providing medication... .... General supervision is provided in the form of chart review and consultation and collaboration with the Medical Director...Full time
- ...Health has excellent job opportunities for Licensed Vocational Nurses to work at San Mateo Medical Center... ...will: Have at least one year of paid LVN experience. Be willing to work shifts... ...with registered nurse or physician review. May perform duties normally assigned...Full timePart timeInterim roleImmediate startShift workNight shiftWeekend work
$36 - $44 per hour
...$36.00 - $44.00 per hour Job Shift: Any Job Category: Nursing - Licensed Vocational Nurse (LVN); Licensed Psychiatric Technician (LPT) Facility Overview... ...the day‑to‑day delivery of patient care. Prepare and review medical records and nurses' notes to evaluate the resident...Hourly payDaily paidFull timeShift work$2,000 per month
Treatment Licensed Vocational Nurse LVN w/ $2,000 SOB 19 days ago Requisition ID: 3439 Salary Range: $38.00 To $45.00 Hourly Join the dedicated healthcare... ...knowledge of assigned patient’s conditions at all times Reviews reports from previous shifts to determine changes in the...Hourly payFull timeShift work$40 - $45 per hour
...Time Case Manager (LPN/LVN) Are you ready to lead... ...care coordination and utilization of services to ensure the... ...and unencumbered license to practice as an LVN in... ...independently Knowledge of nursing practices, procedures,... ...information, please review the Know Your Rights notice...Hourly payFull timeLocal area
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