HEDIS Nurse | Records Reviewer & QA/QI Analyst

Healthcare Support Staffing; Long Beach (CA); On-site; USD 70,000 - 95,000; Full time

Job summary

A leading healthcare staffing firm is seeking an experienced Registered Nurse to join their team in Long Beach, California. The position involves reviewing and investigating quality of care issues, conducting member outreach, and preparing case summaries for the medical director. Candidates must possess an active CA RN license and at least 3 years of clinical experience. Exceptional communication and professional writing skills are essential for success in this role, providing a chance to advance your nursing career within a prestigious company.

Qualifications

• 3+ years clinical experience required.
• Active California RN license needed.
• Experience with NCQA, HEDIS, or QA/QI preferred.

Responsibilities

• Review and investigate quality of care issues.
• Conduct member outreach via phone calls.
• Prepare case summaries and present findings to medical director.

Skills

MS applications knowledge (spreadsheets)

Clinical experience

Professional writing ability

Verbal communication skills

Comfortable with Member Outreach

Education

Active CA RN license

Job description

A leading healthcare staffing firm is seeking an experienced Registered Nurse to join their team in Long Beach, California. The position involves reviewing and investigating quality of care issues, conducting member outreach, and preparing case summaries for the medical director. Candidates must possess an active CA RN license and at least 3 years of clinical experience. Exceptional communication and professional writing skills are essential for success in this role, providing a chance to advance your nursing career within a prestigious company.