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
Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Licensed Vocational Nurse /LVN - Utilization Review (HEDIS Abstractor) in Sacramento, CA vacancy
- ...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
- ...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
Blue Shield Of California
Rancho Cordova, CA5 days ago $90.86k - $136.29k
...Clinical Quality Reviewer – Nurse, Senior The Clinical Quality Team is responsible for reviewing... ...reviewing medical records to support HEDIS and other regulatory audits. This role... ...: Requires current CA RN license Bachelor of Science in nursing or advanced...HEDISFull timePart timeWork at officeLocal areaWork from homeHome office2 days per weekBlue Shield Of California
Rancho Cordova, CA3 days ago$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.... ...business operating model, or state board licensing mandates. If licensed, license must be active...SuggestedHourly 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 workComplexCare Solutions
Sacramento, CA1 day ago- ...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
- ...Services is hiring Registered Nurses (RN) for assignments with Sacramento... ...: Current California RN License Current CPR/BLS... ...Effectiveness Data and Information Set (HEDIS) standards and mandates.... ...reminders as needed or assigned. Review patient charts to monitor...HEDISDaily paidMonday to FridayShift work
Avid Health Services
Sacramento, CA4 days ago - ...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
Synectics
Sacramento, CA4 days ago $27.61 - $53.83 per hour
Molina Healthcare is seeking support for clinical member services review in Sacramento, California. This role verifies that services align with clinical guidelines and regulations, promoting cost-effective member care. Responsibilities include assessing member services...Hourly pay- ...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
$78.4k - $107.8k
...Clinical Competency & Quality Nurse is a Center of Excellence (CoE... ...care practices; perform targeted reviews of charts and recorded... ...BSN) ~ Active, unrestricted RN license ~5+ years of clinical nursing... ...of Medicare Advantage Stars, HEDIS, CAHPS, and CMS quality requirements...HEDISBi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayCenterWell
Sacramento, CA5 days ago$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 workTurning Point Community Programs
Sacramento, CA2 days ago$36.65 - $44.5 per hour
...Licensed Vocational Nurse Sierra Health and Wellness use evidence-based methods to accomplish the... ...delivery of patient care. Prepare and review medical records and nurses' notes to... ...Current Licensed Vocational Nurse (LVN) license, or LPT license Basic computer...Hourly payDaily paidFull timeAll shiftsShift workSierra Health and Wellness
Sacramento, CA5 days ago$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 shiftSacramento County
Sacramento, CA2 days ago$36.49 - $47.44 per hour
...Licensed Vocational Nurse (LVN) 123 - 7th and H Health Center - Sacramento, CA 95811 Overview Salary Range $36.49 - $47.44 Hourly Description... ...; rotate inventory regularly to minimize expirations. Review patient medical charts and prepare documentation....Hourly payExtra incomeLocal areaFlexible hoursShift workWeekend workWellSpace Health
Sacramento, CA5 days ago$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 areaASSURANCE HOMECARE, INC.
Sacramento, CA3 days ago$2,400 - $2,500 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location:... ...Required Qualifications Active RN License (CA or Compact if applicable)... ...and external facilities Review and assess clinical... ...appropriate facility assignment Utilize systems such as Cerner, TeleTracking...Full timeContract workCasual workImmediate startFlexible hoursShift workNight shiftWeekend workUnited Health Care Staffing, Inc.
Rancho Cordova, CA23 days ago$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$22.81 - $44.49 per hour
Molina Healthcare is seeking a candidate in Sacramento for a role focusing on quality improvement and medical record abstraction for HEDIS initiatives. You'll be responsible for ensuring compliance and engaging with various stakeholders. The ideal candidate has at least...HEDISHourly payWork at office$36 - $44.54 per hour
...Licensed Psychiatric Technicians - LPT, LVN Carmichael, CA 95608 Overview Salary Range... ...School or GED Category Nursing Description LVN and... ...as needed. Prepare and review medical records and nurses... ...and procedures. Utilizes good infection control procedures...Hourly payFull timePart timeSierra Health and Wellness
Carmichael, CA5 days ago$132.23k - $145.78k
...worked. Note: For additional nursing opportunities please see ,... ...plan Conduct and review reports of interviews of patients... ...of a current Registered Nurse license issued by the State of California... ...resolution skills you utilized to resolve the issue. If you...Bi-weekly payHourly payDaily paidPermanent employmentFull timePart timeWork experience placementWork at officeImmediate startFlexible hoursShift workNight shiftWeekend workDay shiftAfternoon shiftSacramento County, CA
Sacramento, CA4 days ago$29 - $38.97 per hour
Licensed Vocational Nurse (LVN) | Licensed Psychiatric Technician (LPT) Be among the first 25 applicants. Are you looking for a meaningful role in... ...Pursuant to the California Consumer Privacy Act (CCPA), please review this link to provide information on how we collect and use...Hourly payFull timeLocal areaShift work$275k - $300k
...through clinical leadership in Utilization Management, Quality... .... Key Responsibilities Review complex medical cases and medical... ...Population Health teams to improve HEDIS measures, care gap closure,... ...unrestricted California medical license. Current Board...HEDISFull timePart time- ...injury) in an ambulatory setting. Reviews referrals and applies UM... ...required. Graduate of an accredited LVN program. A.A., Diploma... ...and experience. Certificates, licenses, and registrations: Current... ...eligibility and benefits. Monitor utilization of resources and readjust...Temporary workLocal areaMonday to Friday
$29 - $33 per hour
...Scope: We are looking for a compassionate, detail-oriented Licensed Vocational Nurse (LVN) to join our interdisciplinary team at our PACE (Program... ...beliefs will be considered and may be granted based upon review. We also require that team members adhere to all infection...Hourly payFull timeTemporary workFlexible hours$55 - $60 per hour
...Registered Nurse (RN) | Ambulatory Care Location: Sacramento, CA Agency: United Health Care Staffing, Inc. Pay: $55 to... ...weekend coverage Collaborate with multidisciplinary teams Utilize Cerner EMR system Perform various GI procedures Education...Hourly payFull timeContract workFlexible hoursShift workRotating shiftUnited Health Care Staffing, Inc.
Sacramento, CA23 days ago$97.9k - $133.5k
...Membership, Medicare Risk Adjustment, and quality metrics (such as HEDIS). Experience working with Snowflake Cloud. Experience with... ...-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent...HEDISFull timeTemporary workApprenticeshipWork at officeRemote workCenterWell
Sacramento, CA5 days ago$94.4k - $293.8k
...Qualifications Experience with cost accounting, service‑line economics, or payer payment models. Exposure to quality programs (Stars, HEDIS, CMS, state regulatory measures). Experience partnering with CFO, finance, or revenue cycle leadership. Strong analytical skills...HEDISLive inWork at officeLocal areaWorldwide- ...LVN - Licensed Vocational Nurse - Corrections Job Description: Ro Health is looking for a dedicated Licensed Vocational Nurse (LVN) to join our healthcare team at a California State Prison! This position plays a vital role in providing essential medical...Contract workDay shift
Ro Health
Sacramento, CA3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Licensed Vocational Nurse /LVN - Utilization Review (HEDIS Abstractor). Be the first to apply!
Related searches