Licensed Vocational Nurse /LVN – Utilization Review (HEDIS Abstractor)

Healthcare Support Staffing; Sacramento (CA); On-site; USD 60,000 - 76,000; Full time

Benefits offered by this job

Competitive salary

Medical, Dental, and Vision benefits

Vision

Job summary

A prominent healthcare recruiting firm in California is seeking a Licensed Vocational Nurse to manage data abstraction from medical records and coordinate clinical quality initiatives. The ideal candidate will have an active vocational nurse license and solid experience in paper charting. Responsibilities include managing HEDIS projects and improving clinical quality metrics. This position offers a competitive salary and benefits including medical, dental, and vision coverage.

Qualifications

• Must have an active license as a vocational nurse.
• Experience in data abstraction and solid paper charting required.
• Active LVN/LPN license required for clinical work.
• Willingness to travel to provider offices as needed.

Responsibilities

• Abstract data from medical records and enter it into databases.
• Coordinate and update management on clinical quality.
• Establish action plans to improve HEDIS scores.
• Manage the HEDIS project with oversight responsibilities.
• Implement processes to request and evaluate member compliance reports for each HEDIS measure.
• Manage the HEDIS project including nurse assignments and vendor oversight.
• Maintain an active Vocational Nurse license.
• Solid paper charting experience.

Skills

Data abstraction from medical records

Clinical quality management

Nurse assignment management

Member compliance reporting

Solid paper charting experience

Education

Active Vocational Nurse License

Job description

Licensed Vocational Nurse /LVN – Utilization Review (HEDIS Abstractor)

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

• This person will be abstracting data from medical records and entering into the database. They will occasionally be traveling to provider offices and work with their staff to review charts

• Coordinate, complete, and update management on clinical quality

• Establish and maintain an action plan to improve HEDIS scores

• Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities

• Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality

• Active license for a vocational nurse

• Solid paper charting experience

Hours for this Position:

• 08:00 AM to 05:00 PM (Monday to Friday / 40 hours a week)

Advantages of this Opportunity:

• Competitive salary, negotiable based on relevant experience
• Benefits offered, Medical, Dental, and Vision