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 Healthcare Support Staffing
- 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 - $45 per hour
Canon Recruiting Group is seeking an experienced RN / Utilization Review Nurse in Sacramento, CA. The role involves reviewing medical records... ...collaborating with internal teams. Candidates should have an active LVN license and a minimum of 3 years of clinical experience....SuggestedContract work- Canon Recruiting Group is hiring an RN / Utilization Review Nurse for a potential contract to hire position in Sacramento, CA. This role involves... ...timely care decisions. Applicants must have an active LVN license and at least 3 years of clinical experience. Strong communication...SuggestedWeekly payContract workMonday to Friday
- ...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...HEDISWork at 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$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- ...and constant keying of information into data system. Employee carries one carton of documents... ...and job requirements: The Data Entry Specialist pulls individual medical files from the... ...is entered. When all files have been reviewed, they are returned to the box, which is...
$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- ...Item Processing Specialist The Item Processing Specialist is a seasoned... ...processing efficiently. Utilize various item processing... ...transactions. Conduct thorough reviews of processed transactions to... ...process of items. Perform data entry tasks with a high level...Work at officeImmediate start
$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$60.93 per hour
...Job Description: The Disaster Program Delivery Specialist: • Collects, coordinates and/or reviews applicant data to determine eligibility and priority of... ...documents through FEMA’s Consolidated Resource Centers utilizing a web-based tool, schedules site inspections...Full timeContract workTemporary workFor contractorsH1bWork at officeFlexible hours$23.09 - $26 per hour
...Job Title: Asset Recovery Specialist Status: Non-exempt Reports to: Sup - Asset Protection... ..., disputes and balance updates. Review for accuracy and submit monthly invoices... .... Assist management with the analysis - utilize industry knowledge and critical thinking...Hourly pay- ...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 workWork at office
$7.86k - $10.54k
...as an Information Technology Specialist I i n the Solution Services Unit... ...and provides oversight to, Data Solutions Services, Solution... ...information and be required to utilize a personal broker from a... ...selected by application packet review only. Multiple positions may...Permanent employmentFull timeSeasonal workWork at officeRemote workFlexible hours$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- ...Asset Recovery Specialist You support Golden 1's financial health and member experience... ...complaints, disputes and balance updates. Review for accuracy and submit monthly invoices... .... Assist management with the analysis – utilize industry knowledge and critical thinking...
$50k - $75k
...Job Summary The Deal Desk Specialist supports the day-to-day operational... ...cycles while maintaining data integrity and compliance.... ...process for SOS engagements by reviewing, and validating deal documentation... ...personal workflow, and utilize basic tools to keep track of...Work experience placementWorldwideFlexible hours- ...patient outcomes and resource utilization. Work Experience Minimum... ...metrics (e.g., UDS, HEDIS), conducting audits, and leading... ...programs including utilization review, discharge planning, and managed... ...Monitor and evaluate patient care data to ensure compliance with...HEDISWork experience placementWork at officeNight shift
$77.91k - $116.86k
...Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient... ...to the QM department. 14. Enters data as necessary for the generation of reports... ...an active, valid, and unrestricted LVN or RN license in California (Non-...Immediate startRemote workMonday to Friday$132k
...engage in the Lean Methodology using visual management in operating reviews to cross-functionally identify and solve problems and create... ...while maintaining compliance with the California Public Utility Commission General Orders, all Safety regulations and other regulatory...Flexible hoursNight shift$15 per hour
Datavant is the data collaboration platform trusted for healthcare. Guided by our mission... ...Basic computer proficiency. Comfortable utilizing phones, fax machine, printers, and other... ...exempted from these requirements will be reviewed by Datavant Human Resources and...Hourly payFull timeWork experience placementWork at office$36 - $42 per hour
...Graduate of an approved and certified LVN program. Current and unencumbered license... ...experience preferred. Ability to effectively utilize EMR and other technology to maintain... ...laws. For further information, please review the Know Your Rights notice from the...Hourly payDaily paidFull timeLocal area- ...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...
$55.93k - $107.62k
...details about this job. Realty Specialist (CASIE) (1) Sacramento, CA... ...senior Realty Specialists. Review, analyze and make recommendations... ..., disposal and changing utilization of property. Prepare standard... ...Prepare reports by inputting data into appropriate authoritative...$100k
...Provider Enrollment Specialist Remote, Nationwide Seeking Provider... ...Ability to use Salesforce data loader for bulk import of data... ...with multiple departments to review proforma for new contracts and... ...Clinical Activities objects), and utilizing dashboards and reporting to...Remote jobFull timeContract workTemporary workWork experience placementWork at officeLocal areaFlexible hours- ...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
$27.3 per hour
Job Title FEMA - Program Delivery Specialist Employment Type Temporary Job Site Location... ...Collects, coordinates and/or reviews applicant data to determine eligibility and priority... ...FEMA’s Consolidated Resource Centers utilizing a web-based tool, schedules site inspections...Contract workTemporary workFor contractorsH1bFlexible hours- Responsibilities Plan, schedule, direct, accomplish, supervise, and review all civil works projects, and work for others real estate... ...are not limited to, agricultural and grazing leases, road and utility easements, public park leases, permits to other Federal agencies...Permanent employmentContract workTrial period
- ...Safety Specialist ERM is hiring a Safety Specialist regionally in Northern, CA (Sacramento... ...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 workShift work
- ...Platform to leverage employed specialists to deliver in-home specialty... ...providers the MPE is expected to review and approve care plans and... ..., inpatient/outpatient utilization, pharmacological prescribing... ...multi-specialty platform and HEDIS/Gap Closure. Actively lead daily...HEDISLocal areaRemote workFlexible hours
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