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Document review • pomona ca

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LVN-HEDIS Clinical Review Nurse 25-00041

LVN-HEDIS Clinical Review Nurse 25-00041

Alura Workforce SolutionsRancho Cucamonga, CA, United States
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Approximately 2-Months, possibley Longer.Under the direction of the Clinical Quality Improvement (CQI) Supervisor, the HEDIS Clinical Review, LVN provides support to the CQI Supervisor, HEDIS Nurse...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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RN - Quality Assurance / Utilization Review - Business Development - Full Time 8hr

RN - Quality Assurance / Utilization Review - Business Development - Full Time 8hr

Emanate HealthCovina, CA, United States
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Current Emanate Health Employees - Please log into your Workday account to apply.Everyone at Emanate Health plays a vital role in the care we deliver. No matter what department you belong to, the wo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Flexible Online Opportunity - Discover & Review Work-from-Home Gigs

Flexible Online Opportunity - Discover & Review Work-from-Home Gigs

Finance BuzzChino, California, US
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Looking for extra income but not sure where to start? We’re hiring people to explore and review online side hustles listed by FinanceBuzz. No experience needed – just a willingness to try out differ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Paid Product Tester

Paid Product Tester

Product Review JobsMONTCLAIR, CA, United States
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Compensation : Varies per assignment.Location : Remote (USA) Company : ProductReviewJobs Thank you for your interest in becoming a Paid Product Tester. This opportunity is for completing market res...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Manufacturing Document Specialist

Manufacturing Document Specialist

Talent Sourcing Direct IncMontclair, CA, United States
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Manufacturing Document Specialist : Under the supervision of the Inventory & Document Control Manager the Document Control Specialist is responsible for a wide range of duties pertaining to the mana...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Local Contract Nurse RN - Clinical Document Improvement Specialist - $54-58 per hour

Local Contract Nurse RN - Clinical Document Improvement Specialist - $54-58 per hour

LanceSoftPomona, CA, USA
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Local Contract Nurse RN - Clinical Document Improvement Specialist - $54-58 per hour at LanceSoft summary : .LanceSoft is seeking a Local Contract Nurse RN Clinical Document Improvement Specialist fo...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Utilization Review Technician III

Utilization Review Technician III

Prime HealthcareOntario, CA, United States
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Prime Healthcare is an award-winning health system headquartered in Ontario, California.Prime Healthcare operates 51 hospitals and has more than 360 outpatient locations in 14 states providing more...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
LVN-HEDIS Clinical Review Nurse 25-00041

LVN-HEDIS Clinical Review Nurse 25-00041

Alura Workforce SolutionsRancho Cucamonga, CA, United States
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POSITION

HEDIS Review Nurse - LVN

Position Type : Temporary

Schedule : M-F, HYBRID

Assignment Lenghth : Approximately 2-Months, possibley Longer.

DESCRIPTION

Under the direction of the Clinical Quality Improvement (CQI) Supervisor, the HEDIS Clinical Review, LVN provides support to the CQI Supervisor, HEDIS Nurse RN, and other departments on HEDIS and quality improvement-related activities. This position maintains a working knowledge of the organization's current medical management systems, business processes, and workflows to support HEDIS and Quality-related activities. The HEDIS Clinical Review Nurse, LVN supports the CQI Supervisor and HEDIS Nurse RN with compliance with DHCS, CMS, and NCQA regulatory requirements related to Quality Improvement Systems.

REQUIREMENTS

Education & Experience

  • Three (3) or more years in healthcare administration in the areas of Utilization Management, Care Management, Quality Improvement or Quality Assurance, where medical record review, preferably in an HMO or managed care setting, is required
  • Minimum one (1) year clinical experience in an acute care facility, skilled nursing facility, home health or clinic setting required
  • Possession of an active, unrestricted, and unencumbered Vocational Nurse (LVN) license issued by the California Board of Vocational Nursing and Psychiatric Technicians required

INDH