Nurse (Consultant/ORYX/HEDIS)

Found in: beBee S US - 1 week ago

Fort Belvoir, United States Department Of Defense Full time
Summary

About the Position: This position is located within the Department of Quality Management at the Alexander T. Augusta Military Medical Center (ATAMMC), Fort Belvoir, VA.

This is a Direct Hire Solicitation



Duties
  • Act as a Nurse Consultant with responsibility for the administrative and scientific conduct of the Department of Defense ORYX/HEDIS Clinical Outcomes Program.
  • Conduct clinical screening, data compilation documentation and management of the ORYX/HEDIS database of all eligible patient cases.
  • Initiate, develop, and implement procedures to examine, assess, monitor and evaluate the quality of patient care based on the National Quality Management Program (NQMP) standards and Health Plan Employer Data and Information Set (HEDIS) Criteria.
  • Identify and recommend revisions in policies, procedures, and protocols to improve beneficiary access to care as well as the cost-effectiveness of the care provided.
  • Act as the Clinical Outcomes Nurse Reviewer while collaborating with the Clinical Directorates to identify opportunities for clinical quality improvement and other needs.
  • Responsible for reviewing weekly site accrual reports.
  • Serve as an educational resource on the Clinical Outcomes (ORYX/HEDIS) Program for clients by developing education material and delivering presentations.
  • Provide staff and patient education.

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