Licensed Vocational Nurse /LVN - Utilization Review (HEDIS Abstractor)
HealthCare Support
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
$25.1 - $48.94 per hour
...Healthcare is seeking a Quality Improvement Sr. Abstractor in Sacramento, CA, to conduct data... ...and abstraction of medical records for HEDIS projects. Responsibilities include... ...abstractors, coordinating HEDIS medical record reviews, and participating in quality meetings....HEDISHourly pay$25.1 - $48.94 per hour
...Molina's Quality Improvement Sr. Abstractor conducts data collection and... ...of medical records for HEDIS projects, HEDIS‑like projects... ...of the HEDIS medical record review which includes ongoing review... ...HEDIS and NCQA. Preference License, Certification, and Authorization...HEDISRemote jobHourly payWork experience placement- ...Plan Senior Medical Director, Utilization Management. The Promise... ...and retrospective utilization review, and retrospective provider claims... ...of health care quality (HEDIS and CAHPS) and California Department... ...California State Medical License required; Maintain active,...HEDISWork at officeAfternoon shift2 days per week
$22.81 - $44.49 per hour
...Effectiveness Data and Information Set (HEDIS) and HEDIS-like initiatives and... ...• Facilitates HEDIS medical record review, including ongoing review of records submitted... ...Quality Assurance (NCQA). • Registered Nurse (RN). If licensed, licensed must be active and...HEDISHourly payFull timeWork experience placementWork at officeRemote work$27.61 - $53.83 per hour
...Provides support for clinical member services review assessment processes. Responsible for... ...the Molina care model. • Adheres to utilization management (UM) policies and procedures.... ...operating model, or state board licensing mandates. If licensed, license must be active...Hourly payContract workWork experience placementWork at office$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$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- ...patient outcomes and resource utilization. Work Experience... ...performance metrics (e.g., UDS, HEDIS), conducting audits, and leading... ...programs including utilization review, discharge planning, and managed... ...Must have a clean CA Driver License Tools & Technology...HEDISWork experience placementWork at officeNight shift
$40 - $44.44 per hour
...Licensed Vocational Nurse (On-Call) As a nonprofit leader in aging, Eskaton helps people live well... ...to community resources and/or utilizing resource materials as needed. This position... ...laws. For further information, please review the Know Your Rights notice from the...Hourly payTemporary work- ...providers (APP), registered nurses (RN), licensed clinical social workers (... ...providers the MPE is expected to review and approve care plans and... ..., inpatient/outpatient utilization, pharmacological prescribing... ...-specialty platform and HEDIS/Gap Closure. Actively lead...HEDISLocal areaRemote workFlexible hours
- ...care • Respond to patient messages and review clinical reports in a timely manner • Work... ...Active, unrestricted California medical license • Active DEA registration • Current... ...) • Familiarity with quality measures (HEDIS, HRSA, PCMH) • Bilingual skills are a plus...HEDISFull timeRelocation package
- ...Managing the member/provider satisfaction survey process. Overseeing HEDIS reporting and developing action plans to meet improvement... ...external audit processes with the Health Plans External Quality Review Organization (EQRO). Participating in the Quality Improvement Council...HEDISFull timeRelocation package
$30 - $31.84 per hour
...Programs is seeking a LVN/LPT for our Viking... ...direction of the director of nursing or the medical... ...basic client assessment utilizing a plan of care... ...Carries out social and vocational training tasks. Facilitates... ...compliance with State licensing standards. Schedule...Hourly payFull timePart timeLocal areaMonday to FridayShift work- ...deliver virtual training to enhance their ability to navigate and utilize the system efficiently. · Credentialing Support: Partner... ...and compliance. · Quality Improvement Collaboration: Support HEDIS and RAF initiatives by obtaining medical records, contributing to...HEDIS
$77.91k - $116.86k
...Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient... ...completion of an accredited Licensed Vocational Nursing Program • Preferred:... ...active, valid, and unrestricted LVN or RN license in California (Non-...Immediate startRemote workMonday to Friday$66.23k - $80.53k
...Licensed Vocational Nurse D/CF Print ( Apply Licensed Vocational Nurse D/CF Salary $66,231.36 - $80,534.16 Annually Location... ...candidate's application and/or attachments will not be reviewed, therefore, a candidate's responses to the questions should...Bi-weekly payPermanent employmentFull timePart timeWork experience placementWork at officeLocal areaImmediate startFlexible hoursWeekend workAfternoon shift$5,913 - $6,090 per month
...supervision of the Supervising Registered Nurse (SRN) II/III, Correctional Facility (... ...the Registered Nurse (RN), CF, the Licensed Vocational Nurse (LVN), California Department of... ...submit a background investigation process utilizing Live Scan Fingerprinting, and Tuberculosis...Permanent employmentFull timePart timeWork at officeRemote workWeekend work$30 - $38 per hour
...Job Description The LPN/LVN administers nursing care according to the plan... ...response to care. Utilizes a wide variety of supportive... ...required liability insurance and license. QUALIFICATIONS 1.... ...school of Practical/Vocational nursing. 2. Currently licensed...Flexible hoursNight shiftRotating shiftWeekend workDay shiftWeekday work$27.75 - $41.6 per hour
...: 2360445 Job category: Nursing Explore opportunities with... ...Community Based Services Licensed Vocational Nurse, you will be providing... ...the electronic medical record utilizing the agency's electronic visit... ...nursing experience as an LVN Preferred Qualifications...Hourly payMinimum wageFull timeWork experience placementLocal areaFlexible hours$5,913 - $6,090 per month
...supervision of the Supervising Registered Nurse (SRN) II/III, Correctional Facility (... ...the Registered Nurse (RN), CF, the Licensed Vocational Nurse (LVN), California Department of... ...to a background investigation process utilizing Live Scan Fingerprinting. Tuberculosis...Permanent employmentFull timeWork at officeRemote work$36.65 - $44.5 per hour
...Licensed Vocational Nurse Salary Range $36.65 - $44.50 Hourly Position Type Per Diem Job Shift Any... ...Description Licensed Vocational Nurse LVN; Licensed Psychiatric Technician LPT... ...delivery of patient care. Prepare and review medical records and nurses' notes to...Hourly payDaily paidFull timeAll shiftsShift work$36 - $42 per hour
...seeking a dedicated Field Licensed Vocational Nurse to join our outstanding healthcare... ...an approved and certified LVN program. Current and... .... Ability to effectively utilize EMR and other technology to... ...further information, please review the Know Your Rights notice...Hourly payDaily paidFull timeLocal area- ...026, 10/2/2026. In a detention/correctional facility, the Licensed Vocational Nurse D/CF performs a wide variety of vocational nursing duties,... ...the candidate's application and/or attachments will not be reviewed, therefore, a candidate's responses to the questions...Work experience placementWork at officeLocal areaImmediate startWeekend workAfternoon shift
$38.3 - $52.05 per hour
Licensed Vocational Nursing Instructor (Part-Time Faculty Pool) Madera Community College Join to apply... ...effective working relationships; Developing/utilizing technologies used for classroom... ...nursing; Participating in program review, student learning outcome development...Ongoing contractFull timePart timeAfternoon shift$27.11 - $40.66 per hour
...the supervision of the Supervisor, Peer Review and Credentialing and assists in all aspects... ...Monitor ongoing state, federal, and licensing agencies to identify potential provider sanctions... ...or internal credentialing audits, HEDIS, and other projects as assigned. Assist...HEDISHourly payWork at officeLocal area$86.4k - $138.6k
A leading healthcare organization seeks an experienced manager to oversee Risk Adjustment and Quality/HEDIS operations. The role includes managing audits, ensuring compliance, and leading a team to improve processes. The ideal candidate will have a Bachelor’s in a health...HEDISRemote job- ...procedures align with regulatory standards. Ideal candidates will have over 6 years of experience in data analysis, strong knowledge of HEDIS, and expertise in tools like SQL and Tableau. Join us to directly influence healthcare delivery for millions. #J-18808-Ljbffr...HEDIS
$86.4k
...of Risk Adjustment and Quality/HEDIS. Directs the daily activities... ...office visits and medical records reviews. Conducts specialized provider... ...field or current state RN/LPN license Substitutions 6 years of... ...Preferred 3 years in a clinical nursing role, in a hospital or office...HEDISFor contractorsWork at officeLocal areaRemote work$27.75 - $41.6 per hour
...Home and Community Based Services Licensed Vocational Nurse As the Home and Community Based Services... ...in the electronic medical record utilizing the agency's electronic visit verification... ...professional nursing experience as an LVN Preferred Qualifications: Current...Hourly payMinimum wageFull timeWork experience placementLocal areaFlexible hours
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