HEDIS RN Clinical Quality Reviewer

HumanEdge; New York (NY); Hybrid; USD 55,000 - 83,000; Full time

Job summary

HumanEdge Healthcare Staffing is seeking experienced HEDIS Registered Nurses for clinical quality review opportunities with a leading NYC health plan. This role focuses on hands-on HEDIS medical record abstraction and quality improvement activities in a dynamic team environment.

The schedule includes on-site Tuesdays to Thursdays in Manhattan and remote Mondays and Fridays, with hours 8:30 AM to 5 PM. A contract minimum of six months is offered.

Qualifications

• Active RN license.
• Minimum 1 year of HEDIS medical record review/abstraction experience.
• Experience with BCS‑E (Breast Cancer Screening) and EED (Eye Exam for Diabetes).
• Ability to commute to Manhattan Tuesday–Thursday.

Responsibilities

• Perform medical record abstraction for HEDIS quality measures.
• Review clinical documentation for accuracy and completeness.
• Identify care gaps and support quality reporting.
• Maintain abstraction accuracy and productivity standards.
• Collaborate with quality improvement and clinical teams.

Skills

Active RN license

HEDIS abstraction experience

Commute to Manhattan Tue–Thu

Job description

Manhattan, NY | 6 Openings | Hybrid | Full-Time

HumanEdge Healthcare Staffing is recruiting experienced HEDIS Registered Nurses for clinical quality review opportunities with a leading NYC health plan.

This is an excellent opportunity for nurses with hands‑on HEDIS medical record abstraction experience who enjoy clinical quality improvement and administrative nursing.

Schedule

• Tuesday–Thursday: On‑site in Manhattan, 100 Church Street.
• Monday and Friday: Remote.
• Hours: 8:30 AM–5 PM.

Responsibilities

• Perform medical record abstraction for HEDIS quality measures.
• Review clinical documentation for accuracy and completeness.
• Identify care gaps and support quality reporting.
• Maintain abstraction accuracy and productivity standards.
• Collaborate with quality improvement and clinical teams.

Non‑Negotiable Requirements

• Active RN license.
• Minimum 1 year of HEDIS medical record review/abstraction experience.
• Working experience with all three measures:
• BCS‑E – Breast Cancer Screening.
• EED – Eye Exam for Patients With Diabetes.
• Ability to commute to Manhattan Tuesday–Thursday.

Assignment:

Contract opportunity, minimum six months.

Important:

General utilization review, chart review, or infection prevention abstraction alone does not substitute for the required HEDIS experience.