HEDIS Chart Review Nurse - REMOTE+FIELD

Location: Bronx, NY
Date Posted: 11-01-2018
HEDIS Review Nurse (RN or LPN) - Managed Care
Greater New York City Area
(Field + Work-From-Home)
** This is a Full Time, Benefits Available, CONTRACT opportunity, expected to last the through May of 2019! *
** Offers a mix of Telecommute and Travel to provider offices throughout the greater NYC area. **
*** Travel covers substantial geography, but expect 1-2 days a week during the first few months,
then transitioning into full Work-From-Home for the remainder of the HEDIS Season! ***

HEDIS Nurse Job Summary:
  • The HEDIS Nurse coordinates and performs onsite data collection and data entry.
  • The sole purpose of this position is for HEDIS chart abstraction, data collection and related activities, as assigned.
  • The HEDIS Nurse is responsible for complete and accurate medical record review of charts collected from provider offices and the abstraction of critical data from medical records received via fax, mail, or electronic means for all HEDIS measures for the senior population.
HEDIS Nurse Background:
  • Valid, unrestricted state nursing license (L.P.N. or R.N.).
  • Prefer recent experience in HEDIS data abstraction from the last 3-5 years.  Will consider those new to HEDIS.
  • Ability to review and extract significant data from medical records.
  • Knowledge and experience of medical terminology, and medical record systems.
  • Knowledgeable of the Health Plan Employer Data Information Set (HEDIS), as well as standards and reporting requirements for Medicare, Medicaid, and applicable state plans.
  • Must be computer literate and knowledgeable in MS Office, E-mail and EMR systems, and multiple additional programs including word processing, and data management.
  • Strong working knowledge of EZ-CAP preferred.
  • Possess superior verbal and written communication skills, able to interface with business and medical professionals.
  • Must be willing and able to travel to area provider offices, as needed.
® “HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).”
410.983.9864 (CALL – TEXT – FAX)
Get Informed with CareNational.tv
Managed Care News and more!
Sign-Up for Job Alerts
this job portal is powered by CATS