HEDIS Review Nurse

CareNational; Woonsocket (RI); Remote; USD 60,000 - 80,000; Part time

Job summary

A healthcare organization is seeking an experienced HEDIS® Review Nurse for a remote contract position lasting 6 months. Candidates should have over 5 years of experience in HEDIS review and must demonstrate strong communication, problem-solving, and analytical skills. Responsibilities include reviewing medical records and ensuring compliance with HEDIS standards. Benefits include health insurance and weekly pay.

Benefits

Health, Dental & Vision Insurance

Weekly Pay

Referral Bonus

401(k) matching

Qualifications

• 5+ years of HEDIS experience in reviewing medical records
• Ability to read and interpret medical records
• Computer savvy in Microsoft Office tools
• Excellent communication skills

Responsibilities

• Review medical records for HEDIS compliance
• Attend all required training and conference calls
• Maintain confidentiality of PHI and HIPAA regulations

Skills

HEDIS experience

Medical terminology

Verbal and written communication

Analytical skills

Problem-solving skills

Organizational skills

Education

RN/LVN with an associate or bachelor degree

Tools

Microsoft Word

Microsoft Excel

Adobe Reader

Job description

Overview

Remote CareNational is looking for an experienced HEDIS® Review Nurse in Anywhere in US. This is a contract position and ideal candidates will have at least 5 years of recent experience as a HEDIS® Review Nurse.

Pay Details

• Pay Range: $31.79 / Hour

Work Setting

• Remote

Position Details

• Contract Length: 6 months
• Location: Anywhere in US
• Schedule: Monday through Friday, 8 hours per day, between 8:00 am and 5:00 pm local time

Requirements

• 5 or more seasons of HEDIS experience in reviewing medical records
• RN/LVN with an associate or bachelor degree is preferred but not required. Successful HEDIS review experience may be substituted for licensure.
• Prior experience in performing chart audits is preferred.
• Candidate must commit to attend all required training and conference calls for the project.
• Candidate must return all equipment supplied at the end of the project in good working condition
• Medical knowledge/terminology is required.
• Ability to read and interpret medical records.
• Professional demeanor and good work ethic.
• Computer savvy: Microsoft Word, Excel, email, and Adobe Reader. Know how to save files to a folder.
• Excellent verbal and written communication skills – clear, concise and appropriate.
• Conscientious problem solver, willing to learn, and take personal pride in work performance/accuracy.
• Exceptional attention to detail and strong analytical, investigation, and problem-solving skills
• Proven organizational and time management skills, including the ability to meet required deadlines
• Maintain confidentiality of PHI, HIPAA Privacy and Security Rules

Benefits

• Health, Dental & Vision Insurance
• Weekly Pay
• Referral Bonus
• 401(k) matching

If healthcare is your passion, apply today and a recruiter will reach out to you promptly.