• Coding Quality Auditor, HEDIS *Remote…

    Providence (CA)
    …auditing within electronic health records. + 1 year - Experience in the medical field as a Medical Assistant, Certified Nurse Assistant, or Licensed Practical ... empower them._** **Providence Health Plan is calling a Coding Quality Auditor, HEDIS who will:** + Be responsible for conducting clinical quality audits/overreads… more
    Providence (11/21/25)
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  • RN Case Manager - Value Based Service Org - Full…

    University of Southern California (Alhambra, CA)
    …the status and processing of requests received from ambulatory care management nurse . 8. Assesses ongoing discharge planning needs and documents is computer system ... working relationship with care team members, including pharmacy, behavioral health, field team, office staff, and facility staff. 11. Completes Medicare One… more
    University of Southern California (11/19/25)
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  • Health Plan Patient Navigator

    Trinity Health (Fresno, CA)
    …requirements of Medicare STARS, Healthcare Effectiveness Data and Information Set ( HEDIS ), and Hierarchical Condition Categories (HCC) with provider staff to ... 1. Bachelor's degree in Nursing, Health Education, or related field is required. High school diploma or equivalent and...or equivalent and current licensure as a Licensed Vocational Nurse (LVN) in the State of California and three… more
    Trinity Health (10/21/25)
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