HEDIS Review Nurse RN and LPN(LVN)
6 hours ago
Description We're looking for a HEDIS Review Nurse , working in the Insurance industry in Chicago, Illinois, 60601, United States . An RN and LPN (LVN) is responsible for annual patient chart inspection/audit. Audits are conducted to ensure that providers (MDs) accepting insurance are in compliance with standards of patient care set forth by the insurance company. Experience with medical record review is required. ESSENTIAL FUNCTIONS: Apply structured auditing criteria to abstract medical records, follow defined procedures for saving approved medical record documentation, and accurately enter the results of chart audits into the health plan's database, Quality Spectrum Hybrid Reporter (QSHR). Perform abstract medical record documentation submitted for HEDIS measures, used annually for reporting to the National Committee for Quality Assurance (NCQA). The HEDIS measures are used to assist in measuring the quality of health care provided to health plan members. Maintain productivity level with less than a 5% error rate in record abstraction and data entry on an ongoing basis. Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies, and other applicable corporate and departmental policies. Maintain complete confidentiality of company-related business. Maintain effective communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested. #J-18808-Ljbffr
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HEDIS Review Nurse
3 weeks ago
Chicago, United States Mindlance Full timeReview Nurse SUMMARY DESCRIPTION : The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately performing comprehensive review of medical records to abstract relevant clinical data during...
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HEDIS Review Nurse
1 month ago
Chicago, United States Actalent Full timeJob Title: HEDIS Review Specialist Job Description * Will be calling out to providers and doctors' offices to retrieve medical information and ask any follow-up questions needed to get information entered. - Need to have strong clinical knowledge/experience in order to interpret medical records/charts to find the necessary information. - Will be auditing...
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HEDIS Review Nurse
1 month ago
CHICAGO, United States Actalent Full timeJob Title: HEDIS Review SpecialistJob Description - Will be calling out to providers and doctors' offices to retrieve medical information and ask any follow-up questions needed to get information entered. - Need to have strong clinical knowledge/experience in order to interpret medical records/charts to find the necessary information. - Will be auditing...
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HEDIS Quality Registered Nurse
3 weeks ago
Chicago, United States Actalent Full timeHEDIS Review Specialist Will be calling out to providers and doctors' offices to retrieve medical information and ask any follow-up questions needed to get information entered. - Need to have strong clinical knowledge/experience in order to interpret medical records/charts to find the necessary information. - Will be part of the Quality Department for the...
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HEDIS Quality Registered Nurse
3 weeks ago
CHICAGO, United States Actalent Full timeHEDIS Review SpecialistJob Description - Will be calling out to providers and doctors' offices to retrieve medical information and ask any follow-up questions needed to get information entered. - Need to have strong clinical knowledge/experience in order to interpret medical records/charts to find the necessary information. - Will be part of the Quality...
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HEDIS Coder/Abstractor
5 months ago
Chicago, 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 Illinois, United States. Review medical records and document to abstract clinical data for HEDIS reporting. Identify and extract relevant details and data within...
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Per Diem Licensed Vocational Nurse
4 days ago
Chicago, Illinois, United States Prime Healthcare Full timeAbout This RoleWe are seeking a Per Diem Licensed Vocational Nurse (LVN)/Licensed Practical Nurse (LPN) to join our team at Saint Mary of Nazareth Hospital in Chicago, IL.Job SummaryThe LVN/LPN provides direct and indirect patient care services requiring clinical competence within the scope of practice in accordance with state requirements. In collaboration...
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Licensed Vocational Nurse
5 days ago
Chicago, Illinois, United States Prime Healthcare Full timeJob SummaryWe are seeking a skilled Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN) to join our healthcare team on a per diem basis. As an LVN/LPN, you will provide direct and indirect patient care services, collaborating with the healthcare team under the supervision of a Registered Nurse (RN).About Prime HealthcarePrime Healthcare is an...
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Nurse, LPN/LVN
7 days ago
Chicago, United States Covenant Living Communities Full timeWe Are Inspired to Serve. Join us!Making a difference in the lives of others - that's what working at Covenant Living is all about. Our healthcare professionals have the opportunity each and every day to make a difference in the lives of older adults. From improving our residents' quality of life, to creating peace of mind for them and their families, our...
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LVN Nurse
3 weeks ago
Chicago, United States AccentCare Full timeOverview: Find Your Passion and Purpose as a Home Health LVN/LPN $15,000 Sign On Bonus Salary Range: $30.00 to $40.00 / per hour Find Your Passion and Purpose as a Home Health LVN/LPN Reimagine Your Career in Home Health As a medical professional, you know that what you do impacts you as much as your patients and their families, and at AccentCare, we...
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Licensed Practical Nurse
7 days ago
Chicago, United States AccentCare Full timeOverviewSign-On Bonus: $15,000 Sign On Bonus Salary Range: $30.00 to $40.00/per hour Shift: Monday Thru Friday Offer Based on Years of Experience Find Your Passion and Purpose as a Home Health LVN/LPN Reimagine Your Career in Home Health As a medical professional, you know that what you do impacts you as much as your patients and their families, and at...
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ADON - 2nd Shift Supervisor LPN / RN
1 month ago
Chicago, United States Brookdale Senior Living Full timeADON - 2nd Shift Supervisor LPN / RN Overview Voted by Newsweek in 2024 as one of America's Greatest Workplaces for Diversity Early Access to Paycheck with Earned Wage Access is available for Hourly Associates (outside of CA) We are looking for a leader who can embrace our mission to enrich the lives of those we serve, and who is driven by their passion...
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School LPN 1.1
4 weeks ago
Chicago, United States Amergis Full timeThe 1:1 School LPN/LVN identifies and treats health disorders among students in the school setting. The 1:1 School LPN/LVN provides instruction for the student's general wellbeing and disease prevention. The School LPN/LVN monitors the student's physical conditions in the school setting and refers the student to appropriate resources as needed. The work of...
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LPN/LVN Private Duty Nursing
2 months ago
Chicago, United States Maxim Healthcare Service Full timePrivate duty nursing (PDN) allows medically fragile patients to receive quality, skilled nursing care in the comfort of their home: a setting preferred by most patients and their families. City State Zip Modality Skills Days Shift Estimated Pay Range Chicago (Hyde Park) IL 60615 RN/LPN Adult, GTV (Open to train-ups!!!). ICU...
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LPN/LVN Private Duty Nursing
1 month ago
Chicago, United States Maxim Healthcare Services Full timePrivate duty nursing (PDN) allows medically fragile patients to receive quality, skilled nursing care in the comfort of their home: a setting preferred by most patients and their families. City State Zip Modality Skills Days Shift Estimated Pay Range Chicago (Hyde Park) IL 60615 RN/LPN Adult, GTV (Open to train-ups ). ICU experience...
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LPN/LVN Clinic
1 month ago
Chicago, United States Amergis Full timeUnder the supervision of a Registered Nurse, the LicensedPractical/Vocational Nurse works in a variety of remote or clinic settings toserve a specific population's health and/or wellness needs. These variety of sites include but are notlimited to community or employment immunization clinics, wellness clinics, jobsafety and workers compensation sites and...
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ADON - Wellness Coordinator - LPN
2 weeks ago
Chicago, United States Brookdale Senior Living Full timeADON - Wellness Coordinator - LPN Overview Voted by Newsweek in 2024 as one of America's Greatest Workplaces for Diversity Early Access to Paycheck with Earned Wage Access is available for Hourly Associates (outside of CA) Make Lives Better Including Your Own. If you want to work in an environment where you can become your best possible self, join us!...
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ADON - Wellness Coordinator LPN / RN
2 months ago
Chicago, United States Brookdale Lake Shore Drive Full timeJob DescriptionJob DescriptionOverviewVoted by Newsweek in 2024 as one of America's Greatest Workplaces for DiversityEarly Access to Paycheck with Earned Wage Access is available for Hourly Associates (outside of CA)We are looking for a leader who can embrace our mission to enrich the lives of those we serve, and who is driven by their passion to make a...
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Licensed Practical Nurse
3 weeks ago
Chicago, United States AccentCare Full timeOverview: Find Your Passion and Purpose as a Home Health LVN/LPN $15,000 Sign On Bonus Salary Range: $30.00 to $40.00 / per hour Find Your Passion and Purpose as a Home Health LVN/LPN Reimagine Your Career in Home Health As a medical professional, you know that what you do impacts you as much as your patients and their families, and at AccentCare, we...
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Licensed Practical Nurse LPN
3 weeks ago
Chicago, United States Lakefront Nursing and Rehabilitation Centera Full timeLakefront Nursing and Rehabilitation Centera - Are you a compassionate healthcare professional looking to make a meaningful difference in a community-focused environment? Lakefront Nursing and Rehabilitation Center, located in the culturally diverse Rogers Park neighborhood of Chicago, offers an excellent opportunity to be part of a team dedicated to...