Senior Clinical Quality RN - HEDIS & Medical Records (Hybrid)
Blue Shield of CA
Blue Shield of CA is looking for a Senior Clinical Quality Reviewer - Nurse to join its Clinical Quality Team in San Diego, California. In this role, you will review medical records, support HEDIS audits, and train others on related guidelines. With a focus on accuracy and continuous learning, you will contribute to the development of strong leaders at all levels. The position requires a current CA RN license and a minimum of 5 years of relevant experience in medical record reviews. This hybrid role allows for virtual work while maintaining office presence based on need. #J-18808-Ljbffr
- ...Your Role The Clinical Quality Team is... ...and abstracting medical records to capture data and... ...Reviewer - Nurse, Senior will report to the... ...records to support HEDIS and other regulatory... ...Requires current CA RN license... ...modifier codes Hybrid Virtual Work...HEDISQualitySeniorFull timeWork at office
$90.86k - $136.29k
...Clinical Quality Reviewer – Nurse, Senior The Clinical Quality Team is responsible... ...and abstracting medical records to capture data and... ...records to support HEDIS and other... ...Requires current CA RN license Bachelor... ...modifier codes Hybrid Virtual Work This...HEDISQualitySeniorFull timePart timeWork at officeLocal areaWork from homeHome office2 days per week- ...Registered Nurse (RN) Clinic – Family Medicine This is a benefited... ...coverage as needed. The role is hybrid, with a combination of on-... ...service while providing quality care to the designated patient... ...Documentation in EMR (electronic medical record). Perform nursing tasks...QualityFull timeRemote workShift workWeekday work
- ...Scorpion Therapeutics is seeking a clinical development leader to oversee Internal Medicine assets. Candidates must possess an MD or DO... ...plans and engaging with external stakeholders, coupled with a hybrid work model allowing for flexibility. Comprehensive benefits, including...Senior
- ...Initial Therapeutics, Inc. is seeking a Senior Manager, Quality Assurance to lead and improve GxP quality systems to support clinical and manufacturing operations. This hybrid role combines leadership with hands-on QA responsibilities. The ideal candidate will have over...QualitySenior
- ...Inc. in San Diego is seeking a Study Physician to oversee medical operations for clinical trials. You will guide the clinical team and ensure... ...responsibilities including trial budget management, vendor oversight, and quality assurance of clinical data. #J-18808-LjbffrQualitySenior
$35 per hour
...A prominent consulting firm is seeking a Sr. Packaging Specialist to lead production rooms and ensure quality packaging for clinical trials. This role requires a minimum of 6 years in the industry, focusing on label control, training staff, and maintaining equipment....QualitySenior- ...Sharp HealthCare is seeking a California Clinical Laboratory Scientist (CLS) in San Diego. This role involves providing expertise to support... ...communication skills are essential. Join us in delivering quality care and ensuring optimal patient outcomes! #J-18808-Ljbffr...QualitySenior
$110k - $130k
...care, committed to enhancing quality of life and supporting patient... ...assessment the appropriate clinical services are rendered to the... ...review of electronic clinical records to ensure that standards of care... ...in the patients’ electronic medical record. Why Join Us We are...QualityWork at officeLocal area$85k - $100k
...Lorian Health in San Diego is seeking a dedicated clinical supervisor to assist in delivering quality patient care. The ideal candidate will hold a bachelor... ...00,000 along with a robust benefits package, including medical insurance and 401(K) matching. #J-18808-Ljbffr...Quality$85k - $100k
...care, committed to enhancing quality of life and supporting patient... ...of Patient Care Services and Clinical Field Staff to ensure... ...through the review of clinical records to ensure that standards of care... ...information for accuracy. Manage medical supply requisitions. Will...QualityLocal area$47 - $55 per hour
...Benefits include PTO, Holidays, Medical, Dental, Vision, Life... .... GENERAL SUMMARY: The Clinical Nurse Program Supervisor (CNPS) RN provides skilled nursing... ...Regulatory Compliance & Quality Improvement: Monitors staff... ...Assists with clinical record audits and follow-up Responsible...QualityHourly payFull timeFlexible hours$47 - $55 per hour
...Overview The Clinical Nurse Program Supervisor (CNPS) RN provides skilled nursing leadership... ...Regulatory Compliance & Quality Improvement Monitors staff... ...planning. Assists with clinical record audits and follow-up.... ...with use of electronic medical record (PCC preferred). Ability...QualityHourly payFull timeFlexible hours$82.57k - $137.6k
...50 states. Through our clinical leadership, expertise and... ...) partners to ensure quality of service and implementation... ...with agency staff, medical team, patients and... ...the patient's medical record to obtain both pertinent... ...Licensed Registered Nurse (RN) or licensed Pharmacist...QualityFlexible hours- ...Crystalys Therapeutics is looking for a Clinical Trial Manager/Sr. Clinical Trial Manager in San Diego to ensure exceptional clinical... ...clinical operations, particularly in multi-center trials. This hybrid position requires working in the San Diego office on average two...SeniorWork at office2 days per week
- ...Qualities - Quality and Population Health Coordinator San... ...processes related to HEDIS, GPRA, UDS, HRSA, managed... ...role collaborates with clinical and operational teams... ...provide clinical assessment, medical advice, or independent... ...the Electronic Health Record (EHR). Perform data...HEDISQualityWork at officeImmediate start
$245k - $260k
...The Senior Director of Clinical Operations will provide global operational... ...budget, and to quality standards. Prepare and... ...plans. Proven track record of leading complex clinical... ...Comprehensive medical insurance with 90-100... ...bonus % Work Location: Hybrid preferred in San Diego...QualitySeniorSummer workRemote workRelocation packageMonday to Friday$120k - $158k
...Clinical Trial Manager / Sr. Clinical Trial Manager Crystalys... ...the significant unmet medical needs of patients... ...the Clinical Operations senior management team, the individual... .... Encourage continuous quality improvement by... ...stakeholders. Crystalys’s hybrid model requires this...QualitySeniorWork at office2 days per week- ...CenterWell Home Health is seeking a Clinical Manager in San Diego, California, to lead and... ...overseeing clinical operations, ensuring high-quality patient care, and guiding the clinical... .... The ideal candidate will have a state RN license, clinical management experience,...QualitySenior
- ...Description The Bilingual Clinical Operations Pharmacist... ...support to optimize clinical quality and cost‑effectiveness of drug and medical therapy for client plan... ...and QI programs to meet HEDIS and NCQA guidelines.... ...present information to senior management. Competencies...HEDISQualityWork at officeRemote workMonday to FridayNight shift
- ...Services Manager to provide operational and clinical leadership for multiple oncology clinics... ...involves ensuring the delivery of high-quality, patient-centered oncology care and... ...development processes, and collaborating with medical professionals to enhance patient...QualitySenior
- ...and Electronic Health Records (EHR) with patient's updates... ...and/or recording medical history; confirming purpose... ...is completed, clinical and administrative forms... ...guidelines. # Forwards HEDIS insurance print outs to... ...service organization. Quality Management #...HEDISQualityFull timeWork at officeImmediate start
- ...collaborates within Promise Clinical Team. The Case Management Nurse, Senior will report to the... ..., evaluation of medical services for the... ..., providing high-quality clinical reviews, performing... ...a current CA RN License. ~... ...strongly preferred Hybrid Virtual Work...QualitySeniorFull timeWork at office
- ...English and Spanish. The Bilingual Clinical Operations Pharmacist provides... ...support to optimize the clinical quality and cost-effectiveness of drug and medical therapy for client plan sponsors and... ...DUR, and QI programs to meet plan, HEDIS, and NCQA guidelines. Coordinate client...HEDISQualityWork at officeRemote workMonday to FridayFlexible hoursNight shiftWeekend work
- ...Health Centers of San Diego is seeking an Associate Clinic Director to provide administrative support and ensure quality care standards. The role entails managing... ...in ambulatory settings. A commitment to serving medically underserved populations is essential for success...QualitySeniorFull time
- ...looking for a Manager/Sr. Manager, Program Management to support clinical-stage programs, focusing on randomized controlled trials and... ...management skills, collaborating closely with various teams to ensure quality and timely execution of clinical trials. Ideal candidates will...QualitySenior
- ## Clinical Operations PharmacistApplyremote type: Remotelocations:... ...satisfaction, service, cost, and quality in the healthcare industry.... ...-effectiveness of drug and medical therapy, as applicable, for client... ...QI programs to meet plan, HEDIS, and NCQA guidelines;*...HEDISQualityWork at officeRemote workMonday to FridayNight shiftWeekend work
$156.12k - $194.12k
...Dosimetrist / Sr. Dosimetrist - Hybrid Filing Deadline: Fri 6/12/202... ...machine calibrations, and quality assurance of the radiation oncology... ...Graduation from a Medical Dosimetry JRCERT-accredited program... ...environment. Experience with clinical trials. Experience with SBRT...QualitySeniorHourly payRemote work- ...operations and customer service while providing quality care to the designated pediatric patient... ...~1 Year LVN experience in related clinical area. ~ Experience as pediatric LVN... ...custodial versus noncustodial parental medical decision making.Vaccinations for patients...QualitySeniorHourly payImmediate startShift workWeekend work
$1,374 per week
...Registered Nurse (RN) | Medical-Surgical Location: Nacogdoches, TX... ...healthcare team to deliver high-quality, compassionate care to... ...vital signs, lab results, and clinical progress, making necessary adjustments... ...and outcomes in the medical record. Ensure compliance with...QualityFull timeContract workShift work
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