Clinical Nurse Specialist
1 day ago
We are seeking a highly skilled Clinical Nurse Specialist to join our team at Charter Global. The successful candidate will have a strong background in clinical nursing and experience in HEDIS overreads.
Job Summary:The Clinical Nurse Specialist will be responsible for conducting thorough HEDIS overreads in line with NCQA guidelines. This will involve accurately and efficiently over-reading medical record abstractions performed by the HEDIS abstraction staff on a daily basis.
Key Responsibilities:- Conduct HEDIS overreads in line with NCQA guidelines
- Accurately and efficiently over-read medical record abstractions
- Correct errors identified through over-read process
- Identify and report abstraction errors
- Provide measure re-education with the abstractor
- Utilize various software applications to support HEDIS operations
- Maintain productivity level as determined by the QI Department
- Maintain compliance with all HIPPA and member confidentiality requirements
- Must be a RN or LPN with HEDIS experience
- At least 5 years of experience with HEDIS, specifically HEDIS overreads
- 6 years of overall experience with nursing, including clinical back-side nursing and quality
- Bachelors degree in Nursing, Associates Degree in Nursing, or Diploma in Nursing
We offer a competitive salary and a dynamic work environment. If you are a motivated and experienced Clinical Nurse Specialist, we encourage you to apply for this exciting opportunity.
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Clinical Nurse Specialist
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Clinical Outcomes Specialist
1 week ago
Baltimore, Maryland, United States LifeBridge Health Full timeJob Title: Clinical Outcomes SpecialistAt LifeBridge Health, we are seeking a highly skilled Clinical Outcomes Specialist to join our team. As a key member of our Critical Care department, you will play a vital role in improving patient care outcomes and advancing nursing practice.Job Summary:The Clinical Outcomes Specialist will provide expert support to...
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Clinical Outcomes Specialist
1 day ago
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Clinical Nurse Specialist
2 days ago
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Clinical Outcomes Specialist
1 day ago
Baltimore, Maryland, United States LifeBridge Health Full timeClinical Outcomes SpecialistLifeBridge Health is seeking a skilled Clinical Outcomes Specialist to join our team at Sinai Hospital. As a key member of our Department of Clinical Excellence, you will play a vital role in improving quality care outcomes and elevating nursing professional practice.Key Responsibilities:Collaborate with interdisciplinary teams to...
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Clinical Outcomes Specialist
1 week ago
Baltimore, Maryland, United States LifeBridge Health Full timeClinical Outcomes SpecialistAt LifeBridge Health, we are seeking a highly skilled Clinical Outcomes Specialist to join our team. As a key member of our Department of Clinical Excellence, you will play a critical role in improving quality care outcomes within our healthcare organization.Key Responsibilities:Collaborate with nursing staff and patients to...
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Clinical Outcomes Specialist
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Clinical Outcomes Specialist
1 week ago
Baltimore, Maryland, United States LifeBridge Health Full timeClinical Outcomes SpecialistAt LifeBridge Health, we are seeking a highly skilled Clinical Outcomes Specialist to join our team. As a key member of our Department of Clinical Excellence, you will play a critical role in improving quality care outcomes within our healthcare organization.Key Responsibilities:Provide support to ICU Stepdown, PCU, OROC, IR, and...
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Clinical Outcomes Specialist
1 day ago
Baltimore, Maryland, United States LifeBridge Health Full timeClinical Outcomes SpecialistAt LifeBridge Health, we are seeking a highly skilled Clinical Outcomes Specialist to join our team. As a key member of our Department of Clinical Excellence, you will play a critical role in improving quality care outcomes within our healthcare organization.Key Responsibilities:Provide support to ICU Stepdown, PCU, OROC, IR, and...