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
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...HEDISWork at officeAfternoon shift2 days per week
$33 - $38 per hour
Overview Serenity Knolls is seeking a Full Time On‑Site Utilization Review Specialist at our substance use facility. Proactively monitor utilization of services for patients to optimize reimbursement for the facility. Hourly pay rate: $33.00‑$38.00 Serenity Knolls is...SuggestedHourly payFull timeWork at office$33 - $38 per hour
Serenity Knolls is seeking a Full Time On-Site Utilization Review Specialist at our substance use facility located in the beautiful San Geronimo Valley. The role involves monitoring service utilization and ensuring optimal reimbursement. Candidates should possess a high...SuggestedHourly payFull time$90.86k - $136.29k
...Clinical Quality Reviewer – Nurse, Senior The Clinical Quality Team is responsible for... ...and abstracting medical records to capture data and to ensure accuracy and completeness.... ...be reviewing medical records to support HEDIS and other regulatory audits. This role will...HEDISFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week$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$27.61 - $53.83 per hour
...DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services... ...teams to promote the Molina care model. Adheres to utilization management (UM) policies and procedures. Required Qualifications...Hourly payContract workWork experience placementWork at office$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$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- ...Cyber Defense Specialist, Experienced The Information Security team is looking for a certified... ...with a high-functioning 24/7/365 team utilizing industry leading technology to identify,... ...are subject to change with periodic reviews. Physical Requirements: Office Environment...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week
- ...The Enrollment Specialist provides multi-site administrative, clerical... ...and eligibility. Utilizes waiting lists in accordance with... ...governing regulations. Data Compliance Support Completes... ...further information, please review the Know Your Rights notice from...Full timeMonday to FridayFlexible hoursShift work
$144.5k - $175.1k
...working expertise on emerging data for approved indications.... ...interacting with HCPs. Utilizing various digital communication... ...Requisition number so we can review. Communications related to your... ...EG-90 - Senior Therapeutic Area Specialist, Oncology (Sacramento, CA)Hourly payFull timeTemporary workPart timeFor contractorsSummer workPrivate practiceLive inWork at officeLocal areaRemote workFlexible hoursShift work$23.09 - $24.5 per hour
...TITLE: ITEM PROCESSING SPECIALIST STATUS: NON-EXEMPT REPORTS... ...processing efficiently. Utilize various item processing systems... .... Conduct thorough reviews of processed transactions to... ...process of items. Perform data entry tasks with a high level...Hourly payWork at officeImmediate start- ...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...
$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$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- ...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
- ...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
- ...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
$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 jobDaily paidFull timeContract workTemporary workPart timeWork experience placementWork at officeLocal areaFlexible hours$26.35 per hour
...12, 2026 Next review date: Monday, Jun 29, 2026 at... ...qualified applicants for a Junior Specialist position. Candidates will... ...: collecting questionnaire data and administering cognitive exams... ...and video data analysis. Utilizing data management systems such...Work at officeLocal area$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$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$55.93k - $107.62k
Wayne State University is hiring a Realty Specialist in Sacramento, CA, offering a starting salary of $55,934 - $107,620 per... ...real property management, developing acquisition plans, and reviewing property utilization requests. Candidates must be U.S. citizens and have a...$101.5k - $245.4k
...Amyloidosis Multi-disciplinary Specialist (AMS) will target healthcare... ...goals, you will effectively utilize approved marketing resources... ...impact; leveraging all available data sets and stakeholder input to... .... Subject to further legal review and statutory or regulatory...Permanent employmentLocal areaRemote workNight shift- ...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...
- ...Application Window Open date: May 15, 2026 Next review date: Saturday, May 30, 2026 at 11:59pm (... ...manage databases, collect and process data. Contribute to publishable research by... .... Demonstrated problem‑solving skills, utilizing available resources and good judgment....Full timeAfternoon shift
$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...- ...Federally Qualified Health Center (FQHC), Uniform Data System (UDS), and Healthcare Effectiveness Data and Information Set (HEDIS) standards and mandates. Duties include... ...reminders as needed or assigned. Review patient charts to monitor clinical performance...HEDISDaily paidMonday to FridayShift work
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