HEDIS Review Nurse
3 weeks ago
Job Role: HEDIS Retriever
Location: New York, NY 10004
Shift: Day
Pay Rate: $40/hr. - $43/hr.
Duration: 3+ months with possible extension
Certifications & Licenses: (Medical Assistant, Nursing Assistant, Health Educator, LPN, RN, LMSW or LCSW) , BLS - AHA
Required: 2 years HEDIS review experience, Clinical background preferred (Medical Assistant, Nursing Assistant, Health Educator, LPN, RN, LMSW or LCSW.
Skills:
- Experience with medical record review working on HEDIS/QARR in a managed care, health plan or provider office setting.
- Proficient in Microsoft Office applications including Word, Excel, PowerPoint and Access.
- Integrity and Trust & Customer Focus, Functional/Technical Skills
Duties:
•Maintain up-to-date knowledge of HEDIS, QARR and Star specifications
•Proficiency in MS Office applications, scanning and accurate data entry into Metro Plus systems
•Distribute requests for records and schedules appointments with provider offices to ensure timely completion of duties to meet internal and regulatory standards and requirements.
•Perform abstraction via EMR, in-house paper medical records, on-site provider visits to collect documentation of measure compliance.
Company DescriptionPride Health is a leading minority-owned healthcare recruitment & staffing firm that offers highly customized business process solutions at cost-effective prices.Headquartered in New York City as a top minority supplier, PRIDE Health offers a broad geographic reach with offices throughout the U.S., India, and Brazil. Leveraging more than 20 years of experience, PRIDE has enhanced its core competency of IT staffing services by creating client-centric, cost-effective IT, and business process solutions. PRIDE serves Client-Partners in the healthcare, IT, financial services, retail and insurance industries offering both Direct Hire and Temporary Staff of Healthcare Professionals, Vendor Management Systems, IT Hardware Procurement Services, and Business Processing Outsourcing.
Temporary, Contract, Per Diem & Direct Hire staffing solutions are only part of what we can offer our clients.Company DescriptionPride Health is a leading minority-owned healthcare recruitment & staffing firm that offers highly customized business process solutions at cost-effective prices.\r
Headquartered in New York City as a top minority supplier, PRIDE Health offers a broad geographic reach with offices throughout the U.S., India, and Brazil. Leveraging more than 20 years of experience, PRIDE has enhanced its core competency of IT staffing services by creating client-centric, cost-effective IT, and business process solutions. PRIDE serves Client-Partners in the healthcare, IT, financial services, retail and insurance industries offering both Direct Hire and Temporary Staff of Healthcare Professionals, Vendor Management Systems, IT Hardware Procurement Services, and Business Processing Outsourcing.\r
\r
Temporary, Contract, Per Diem & Direct Hire staffing solutions are only part of what we can offer our clients.
-
HEDIS Reviewer
3 weeks ago
New York, United States Pride Health Full timeJob Title: HEDIS RetrieverDepartment: Quality ManagementLocation: New York, NY – 10004 (Hybrid, 3 days per week onsite)Duration: 3 MonthsPurpose of Position:The HEDIS Retriever - Seasonal plays a crucial role in the annual Medical Record Review project, focusing on onsite abstraction of services from medical charts to comply with HEDIS/QARR and Medicare...
-
HEDIS Review Nurse Specialist
7 days ago
New York, New York, United States Pride Health Full timeJob Title: HEDIS Review Nurse SpecialistJob Summary:Pride Health is seeking a highly skilled HEDIS Review Nurse Specialist to join our team. As a HEDIS Review Nurse Specialist, you will be responsible for maintaining up-to-date knowledge of HEDIS, QARR, and Star specifications, as well as proficiency in MS Office applications, scanning, and accurate data...
-
HEDIS Compliance Review Specialist
2 hours ago
New York, New York, United States Top Public Hospital System Insurance Co. Full timeJob Title: HEDIS Compliance Review SpecialistJob Summary:Top Public Hospital System Insurance Co. is seeking a highly skilled HEDIS Compliance Review Specialist to join our team. As a HEDIS Compliance Review Specialist, you will be responsible for conducting onsite abstraction of services from medical charts in compliance with HEDIS/QARR, Medicare Advantage...
-
Clinical Data Analyst
2 weeks ago
New York, New York, United States Pride Health Full timeAbout the RolePride Health is seeking a highly skilled Medical Records Specialist to join our team as a HEDIS Quality Reviewer. In this role, you will be responsible for maintaining knowledge of medical record review and EMR systems, as well as up-to-date knowledge of HEDIS, QARR, and Star specifications.Key ResponsibilitiesMaintain knowledge of medical...
-
HEDIS Reviewer
4 weeks ago
New York, United States Pride Health Full time $48 - $50Job DescriptionJob DescriptionWe are seeking a HEDIS Review Nurse to join our team! You will work alongside other medical professionals to provide exceptional care to patients.Responsibilities:Examine patients to determine cause of illness or injuryAssist physicians to provide ongoing patient careEnsure patients maintain physical, mental, and dietary...
-
HEDIS Retriever
4 weeks ago
New York, United States Pride Health Full timeActively hiring "HEDIS Retriever” for hospital based in New York, NY pay rate is $43-$45/hr.Title: HEDIS RetrieverLocation: New York, NY (Hybrid)Pay: $43-$45/hr.Schedule Notes: : 9-5 Hybrid ScheduleDuration: 2-6+ months with high possibility of extension. Job Details•Experience with medical record review working on HEDIS/QARR in a managed care, health...
-
HEDIS Retriever
4 weeks ago
New York, United States Pride Health Full timeActively hiring "HEDIS Retriever” for hospital based in New York, NY pay rate is $43-$45/hr.Title: HEDIS RetrieverLocation: New York, NY (Hybrid)Pay: $43-$45/hr.Schedule Notes: : 9-5 Hybrid ScheduleDuration: 2-6+ months with high possibility of extension. Job Details•Experience with medical record review working on HEDIS/QARR in a managed care, health...
-
HEDIS Retriever
4 weeks ago
New York, United States Momentum Resource Solutions Full time $30 - $32Job DescriptionJob DescriptionHEDIS RetrieverThe primary function of the HEDIS Retriever - Seasonal is to conduct onsite abstraction of services from medical charts in compliance with HEDIS/QARR, Medicare Advantage Star measure specifications. This position will be an integral part of the annual Medical Record Review project required to report HEDIS and QARR...
-
HEDIS Retriever
3 weeks ago
New York, United States Pride Health Full time $40 - $43Job DescriptionJob DescriptionPride Health is hiring for a HEDIS Retriever to support our client’s medical facility based in New York, NY 10004. This is a 3+-month Contract role with a possibility of extension and conversion into a full time, opportunity and a great way to start working with a top-tier healthcare organization!Job Role: HEDIS...
-
HEDIS Coder/Abstractor
2 weeks ago
New York, United States PSG Global Solutions Careers Full timeApply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a HEDIS Coder/Abstractor, working in Insurance industry in New York. Review medical records and document to abstract clinical data for HEDIS reporting. Identify and extract relevant details and data within clinical...
-
HEDIS Coder/Abstractor
2 months ago
New York, United States PSG Global Solutions Careers Full timeApply now and our proprietary system will quickly have you in front of a live recruiter. The Opportunity Description We're looking for a HEDIS Coder/Abstractor, working in Insurance industry in New York. Review medical records and document to abstract clinical data for HEDIS reporting. Identify and extract relevant details and data within clinical...
-
HEDIS Medical Coder/Abstractor
2 weeks ago
New York, New York, United States PSG Global Solutions Careers Full timeJoin our team and experience a rewarding career in the healthcare sector. Position Overview Role Summary We are seeking a HEDIS Medical Coder/Abstractor to contribute to our efforts in the Insurance field. Conduct thorough reviews of medical records to extract clinical data for HEDIS reporting purposes.Identify and document pertinent details from clinical...
-
HEDIS Coder/Abstractor Specialist
6 days ago
New York, New York, United States PSG Global Solutions Careers Full timeAbout the RoleWe are seeking a highly skilled HEDIS Coder/Abstractor Specialist to join our team at PSG Global Solutions Careers. As a key member of our team, you will play a critical role in ensuring the accuracy and quality of our medical coding and data abstraction services.Key ResponsibilitiesReview medical records and document to abstract clinical data...
-
HEDIS Operations Clerk- Seasonal
3 weeks ago
New York, United States Momentum Resource Solutions Full time $20 - $21Job DescriptionJob DescriptionHEDIS Operations Clerk- Seasonal-REMOTEThe primary function of the QM Operations Clerk - Seasonal is to function as administrative and technical support of the annual Medical Record Review project required to report HEDIS/QARR measures to the NYS Department of Health and Centers for Medicare & Medicaid Services (CMS). The role...
-
Utilization Review Nurse
1 week ago
New York, New York, United States VNS Health Full timeAbout the JobVNS Health is seeking a skilled Nurse Care Coordinator to lead interdepartmental quality improvement activities, ensuring optimal patient care and compliance with regulatory requirements.Key ResponsibilitiesConduct Clinical Assessments: Perform medication reconciliations, post-discharge transitions of care assessment, and follow-up post...
-
New Braunfels, TX, United States Optum Full timeFor those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. This position is responsible for the coordination of HEDIS and STARs data. This role is responsible for education to the...
-
Healthcare Quality Assurance Specialist
2 weeks ago
New York, New York, United States Pride Health Full timeAbout the RolePride Health is seeking a highly skilled Medical Records Specialist to join our team as a HEDIS Quality Reviewer. In this role, you will be responsible for maintaining knowledge of medical record review and EMR systems, as well as up-to-date knowledge of HEDIS, QARR, and Star specifications.Key ResponsibilitiesMaintain knowledge of medical...
-
Medical Records Specialist
2 weeks ago
New York, United States Pride Health Full timeWe're looking for HEDIS Quality Reviewer for our client with a leading hospital in New York, NY. Please find below details of the position.Position: HEDIS Quality Reviewer - Hybrid PositionLocation: New York, NYDuration: 2 months contract with extension possibilities.Shift: 9-5 HybridPay - $40/hrJob Duties:• Maintain knowledge of medical record review and...
-
Clinical Data Abstractor
3 weeks ago
New York, United States ProKatchers LLC Full timeJob Title : HEDIS RetrieverLocation : 50 Water Street, FL 7, Manhatton, NY 10004Duration : 02-03+ Months contract Job Description : Scope of Role & Responsibilities: Maintain knowledge of medical record review and EMR systems.Maintain up-to-date knowledge of HEDIS, QARR and Star specificationsProficiency in MS Office applications, scanning and accurate data...
-
Healthcare Utilization Review Specialist
1 week ago
New York, New York, United States VNS Health Full timeAbout the JobVNS Health is seeking a skilled healthcare professional to lead interdepartmental quality improvement activities, focusing on clinical review, risk management, and patient satisfaction.Key ResponsibilitiesConduct thorough clinical assessments, including medication reconciliations, post-discharge transitions of care, and follow-up...