HEDIS Quality Nurse - Health Plan Management

Nahsedfw; Irving (TX); On-site; USD 75,000 - 110,000; Full time

Job summary

Christus Health in Irving, TX seeks a Quality Nurse HEDIS - Health Plan Medical Management to join the HEDIS program under the HEDIS Manager. The role emphasizes education for providers and staff and coordinating readiness assessments for CAHPS alongside other HEDIS initiatives.

Typical schedule is 8:00 AM–5:00 PM, Monday through Friday, with responsibilities that include collaborating with internal departments, managing care gaps, data gathering, and training for internal and external customers.

Qualifications

• 4+ years of HEDIS experience required.
• RN or LVN license required.
• Bachelor's or associate degree in nursing required.

Responsibilities

• Collaborate with internal departments to create and implement quality programs.
• Manage care gaps in collaboration with other teams and provider offices.
• Over-read abstracted HEDIS measures and coordinate HEDIS data gathering.
• Track and trend barriers to better outcomes, including access, follow-up and documentation.
• Develop and deliver HEDIS training for internal and external customers.
• Create patient and provider collateral for HEDIS and CAHPS programs.

Skills

HEDIS experience

Clinical experience

CAHPS experience

EMR experience

Education

RN license

Bachelor's or Associate degree in nursing

Tools

EMR systems

Job description

Christus Health in Irving, TX seeks a Quality Nurse HEDIS - Health Plan Medical Management to join the HEDIS program under the HEDIS Manager. The role emphasizes education for providers and staff and coordinating readiness assessments for CAHPS alongside other HEDIS initiatives.

Typical schedule is 8:00 AM–5:00 PM, Monday through Friday, with responsibilities that include collaborating with internal departments, managing care gaps, data gathering, and training for internal and external customers.