HEDIS Review Nurse

3 weeks ago


New York, United States Pride Health Full time $40 - $43
Job DescriptionJob Description

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.
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