LVN HEDIS Data Abstractor & Utilization Review Specialist
Healthcare Support Staffing
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
- ...Data Entry Specialist Most work is seated but involves intensive and constant keying of information into data system. Employee carries one... ...are pulled and data is entered. When all files have been reviewed, they are returned to the box, which is in turn carried back...Suggested
$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- ...procedures. • Maintains photo equipment and utilizes store systems and technology to support... ...continuity during times when the Photo Specialist is not scheduled. • Follows company... ...role will remain open until filled. To review benefits, please click here jobs.walgreens...SuggestedWork experience placementSeasonal workFlexible hoursAfternoon shift
- ...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing... ...their assigned store/multiple stores. They utilize tools to minimize loss to the Company,... ...identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring...Suggested
$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...SuggestedLocal area$25 - $27 per hour
...id: R10094204R10094204 Cylinder Control Specialist (Open)Location:Rancho Cordova, CA (Regional... ..., physical counts at branch locations, review of cylinder records for negative and... ...with sales and branch operations.* Review utilized cylinder and dock stock trends by branch...Full timeTemporary workFor contractorsWork at officeLocal areaMonday to Friday- ...Job Title: Clinical Documentation Specialist (CDS) Hourly/Salary Compensation Range:... ...Perform concurrent medical record reviews to ensure documentation accurately reflects... ...mortality-related reviews as needed. Utilize risk adjustment tools to support accurate...Hourly payFull timeRemote work
$20.98 - $30.12 per hour
...up with insurers to recover inaccurate payments. Reviews accounts to ensure accuracy of billing/charging utilizing knowledge of pre-certification /prior authorization... ...Medical Assistance process. Gathers and records data for the purpose of enhancing and perfecting...Immediate startRemote work$25 - $29 per hour
...only accurate information is communicated. Utilize resources and subject matter experts as... ...and participates effectively in student review meetings. Networks to develop professional... ...skills. Uses enrollment services tools and data from the student information system and...Hourly payWork at office$25 - $26 per hour
...Appeals Specialist Department: Appeals & Grievances Classification: Non-Exempt Schedule... ...Specialist I to support the timely review, investigation, and resolution of member... ...processing, referrals, authorizations, or utilization management. Familiarity with...Hourly payTemporary workWork at officeLocal area- ...Enrollment Specialist The Enrollment Specialist provides multi-site... ...subsidized and full-fee programs by reviewing documentation, applying... ...determinations Maintain and utilize waiting lists in accordance with... ...status changes, and related data entry in a timely manner to maintain...Full timeShift work
- ...more information, visit . Job Title: RCM Specialist-Ophthalmology Must reside in the... .... Duties and Responsibilities •Prepare, review, and transmit claims using billing software... ...companies regarding payment discrepancies •Utilizing aging reports and workflow statuses to address...Work at officeRemote workHome officeFlexible hoursAfternoon shiftEarly shift
- ...ensuring precision in patient data and supporting critical... ...environment. What You Will Do Review medical record documentation... ...with clinical documentation specialists and medical staff to clarify... ...claims and optimal reimbursement. Utilize industry‑standard coding and...Monday to FridayWeekend work
$27 per hour
...POSITION OVERVIEW The Outreach and Engagement Specialist (OES) reports to Cal Voices’ CalAIM... ...eligibility verifications; monitors and reviews clients’ eligibility, insurance, and... ...solving Regularly maintain resilience and utilize effective coping techniques in response...Hourly payWork experience placementWork at officeLocal areaImmediate startMonday to FridayShift workNight shift3 days per week- ...Job Overview ERM is hiring a Safety Specialist regionally in Northern, CA (Sacramento to Bakersfield... ...roles and responsibilities related to reviewing drawings; identifying known hazards; and... ...of the client company‑wide initiatives. Utilize safety trend analysis (Field safety...Full timeFor contractorsFixed term contractFor subcontractorCasual workRemote workShift work
$15 - $18.32 per hour
...Datavant is the data collaboration platform trusted for healthcare. Guided by our mission... ...computer proficiency. Comfortable utilizing phones, fax machine, printers, and other... ...exempted from these requirements will be reviewed by Datavant Human Resources and determined...Hourly payFull timeWork experience placementWork at officeRemote workMonday to Friday$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...Work experience placementH1bImmediate startFlexible hours$98.7k - $183.3k
...mitigation strategies. Develop and review completed site-specific safety plans with... ...procedures; Maintain Digital systems and tools utilized to manage the EL Services HSE programs... ...standards Advanced skills in data base management systems, MS Office...Temporary workLocal areaRemote workMonday to Friday$16.44 - $22.65 per hour
...Datavant is the data collaboration platform trusted for healthcare. Guided by our mission... ...computer proficiency. ~ Comfortable utilizing phones, fax machine, printers, and other... ...exempted from these requirements will be reviewed by Datavant Human Resources and determined...Hourly payWork experience placementWork at officeRemote work$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...$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...$8.63k - $11.56k
...Classification: INFORMATION TECHNOLOGY SPECIALIST II Salary: $8,625.00 - $11,557.00 A New... ...complete the necessary project documentation utilizing industry standards and methodologies;... ...approvals. Conduct quality assurance reviews to ensure requirements are met and the future...Permanent employmentFull timeFor contractorsWork at officeRemote work$37.5 - $44.71 per hour
...Summary: The Simulation Technology Specialist sets up, operates, and manipulates... ...virtual clinical medical scenarios. Data & Reporting Maintains utilization and operational data related to... ...operations, it is imperative that a review of all applicants' criminal history...Hourly payFull timeShift work$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 payFull timeLocal area$92.9k - $209.5k
...to shape the future of Health Data Intelligence Population... ...clinical quality, risk adjustment, utilization, care coordination, contract... ...workflow observations, design reviews, pilot programs, and... ...and payment programs, such as HEDIS, Stars, CMS quality programs,...HEDISContract workTemporary workFlexible hours- ...Job Title Job Description and Duties Reviews the CHP 735, Incident Response Reimbursement Statements, for mathematical calculations... ...information on the CHP 735, and computing the correct charges. Utilizing FI$Cal, audits, computes and prepares invoices for movie detail...Work at office
$132k - $198k
...OpportunityStantec is seeking an Emergency Management Specialist - Project Manager, Critical... ...with state agencies and regional utilities. Regular in‑ person engagement with clients... ...responsible for developing and reviewing high‑ quality, client‑ ready deliverables...Full timeContract workTemporary workPart timeCasual workWork at officeLocal areaImmediate startWorldwideFlexible hours- ...Manager - Licensed Vocational Nurse (LVN) facilitates patient continuity of care... ...gaps in care, and reduce unnecessary ER utilization and hospital readmissions. Key... ...programs and Quality Metrics Ability to review clinical data to address care opportunities and healthcare...Work at office
- ...independently monitoring and reporting on enrollment performance data and discrepancies; serving as an informational resource for... ...when working with customers, internal departments and/or brokers; utilizing comprehensive foundational knowledge of KP health plans and...Local area
- ...requirements.Position Overview: We are seeking a Strategic Sourcing Specialist to join our team at Teledyne Microwave Solutions in Rancho... ...What happens nextOnce you apply, our Talent Acquisition team will review your background. Selected candidates will be contacted by email...Minimum wageFull timeWork experience placementWork at officeLocal area
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