Jobs: remote hedis review nurse

Job DescriptionJob DescriptionA-Line Staffing Solutions is hiring a HEDIS Reviewer Nurse for a fully remote opportunity Full-time opportunity with Fortune 500 Healthcare Company. Quality Management Nurse Job HighlightsPay: $31.08 per hour, paid weekly Full-Time, Monday to Friday 8AM to 5PMCan be located anywhere in USAContract with potential to convert...

Duties:Under the direction of the Manager of Medical Record Review Operations, the HEDIS Data Reviewer is responsible for performing medical record abstraction and overread in support of Quality reporting (annual Healthcare Effectiveness Data and Information Set (HEDIS) and State EQRO) with duties including but not limited to the following: •Coordination...

Position HEDIS Improvement Registered Nurse Description Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and company departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret...

Enter Job Description... Maintain knowledge of medical record review and EMR systems. Maintain up-to-date knowledge of HEDIS, QARR and Star specifications 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 clinical audits...

Job Description: WFH - WV "Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment. This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data...

Duration: 04 months- Possible extension depending on the business needs Job Description: · This position interprets relevant clinical criteria through review of medical records, annotates via Adobe PDF and populates a data collection tool to support compliance with HEDIS and CMS performance measures. · Ensures accurate and complete documentation of...

Job DescriptionJob DescriptionJob Summary Molina's Quality Improvement Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards. Job Duties...

Job Title: HEDIS Retrieval Coordinator Location: Newtown Square, PA - Hybrid Duration: 3+ Months and possible extension Pay rate: $20 – $21/hr. on W2 Duties: · Under the direction of the Medical Record Review Ops Manager the HEDIS Retrieval Coordinator is responsible for: · Will participate in and provide...

Borinquen Medical Centers is located in Miami, FL and is seeking to hire a full time HEDIS Nurse Specialist. The HEDIS Nurse Specialist will be a member of the Quality Department working in collaboration with the different clinical departments to close care gaps. The position will utilize information collected from the EHR, health plan portals, and direct...

Position: HEDIS Quality Reviewer/ Clinical Quality Reviewer Duration: 03+ months contract (Possible extension) Location: Manhattan, NY 10004 Shift :: 9:00am- 5:00pm (Hybrid) Job Description: The primary function of the Clinical Quality Reviewer is to assess and audit medical charts for compliance with a focus on HEDIS,...

Job Description Summary: Under the direction of the Medical Record Review Ops Manager the HEDIS Retrieval Coordinator is responsible for:Will participate in and provide guidance and support for the development and maintenance of the HEDIS Medical Record Review platform(s) to support all plans. Review Roadmap for accuracy General Information, Appendix 1, and...

Summary: Under the direction of the Medical Record Review Ops Manager the HEDIS Retrieval Coordinator is responsible for: Will participate in and provide guidance and support for the development and maintenance of the HEDIS Medical Record Review platform(s) to support all plans. Review Roadmap for accuracy General Information, Appendix , and...

HEDIS Retrieval Coordinator - HYBRID Local to PAHours are 8:30 am - 5:00 pm ESTHYBRID PositionJob Category: NonClinical - Admin/Claims/CSR/Tech. Job Title: HEDIS Retrieval Coordinator.Duties: Under the direction of the Medical Record Review Ops Manager the HEDIS Retrieval Coordinator is responsible for:Will participate in and provide guidance and support for...

HEDIS Retrieval Coordinator - HYBRID Local to PAHours are 8:30 am - 5:00 pm ESTHYBRID PositionJob Category: NonClinical - Admin/Claims/CSR/Tech. Job Title: HEDIS Retrieval Coordinator.Duties: Under the direction of the Medical Record Review Ops Manager the HEDIS Retrieval Coordinator is responsible for:Will participate in and provide guidance and support for...

Job DescriptionJob DescriptionThe Medical Coder is responsible for reviewing medical records and coding auditing the services provided.Primary Responsibilities:Reviewing medical records and documents to abstract clinical data for HEDIS reportingLeverage understanding of disease process to identify and extract relevant details and data within clinical...

Job Description General Summary This position is part of the UMMS Population Health Service Organization Value Based Care (VBC) Quality Analyst Team.  Responsible for working with management and peers on the end-to-end HEDIS measures and reporting for UMMS ambulatory provider groups for VBC and Total Cost of Care Programs (TCOC).  Under minimal...

Job DescriptionJob DescriptionEducation and/or Experience:  High School diploma. One year experience in clinical setting preferred. Familiarity with managed care, commercial and point of service, medical care preferred. HEDIS experience preferred. Computer literate with knowledge and experience with specific software such as Word, Excel,...

Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Senior Payor Transformation Analyst – HEDIS/Quality Measure in Anaheim, CA.This is a hybrid position (3 days in office/2 days remote). The Senior Payor Transformation Analyst will report to the Director of Performance Improvement and Project Facilitation and assist...

Overview: What you can expect Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related...

Job DescriptionJob DescriptionCompany DescriptionThe University of Maryland Medical System is a 14-hospital system with academic, community and specialty medical services reaching every part of Maryland and beyond. UMMS is a national and regional referral center for trauma, cancer care, Neurocare, cardiac care, women’s and children’s health and physical...