Remote HEDIS Clinical Review Nurse | Quality Records

nTech Workforce; Columbia (MD); Hybrid; USD 70.000 - 100.000; Vollzeit

Zusammenfassung

nTech Workforce is seeking a Clinical Medical Review Nurse to support an annual HEDIS retrospective project. You will drive medical record retrieval, abstraction, provider outreach, and quality measure management in a collaborative, remote team environment.

Requires active RN/LPN/CNA licensure and 3+ years clinical experience with 5+ years in HEDIS/quality measures. On-site training in Meriwether, MD the week of December 14, with local travel to provider sites as needed.

Qualifikationen

• Minimum 3 years of clinical experience with at least 5 years in HEDIS/quality measures (or 10 years without a degree/RN/LPN).
• Active RN, LPN, or CNA licensure/certification (Compact state licenses accepted).
• Experience in medical record retrieval, abstraction, and direct provider outreach.
• Proficiency with Microsoft Office Suite and Teams.
• Reside within reasonable proximity to MD/DC/VA with ability to travel locally to provider sites.
• Available for mandatory on-site training at the Meriwether, MD office during the week of December 14.
• Strict availability during the project blackout period February–April.

Aufgaben

• Conduct medical record retrieval, abstraction, and quality measure overreads for HEDIS retrospective projects.
• Perform daily outreach to provider offices via phone, email, fax, and remote EMR portal access to request and secure medical records.
• Occasional local on-site visits to provider offices to retrieve paper records.
• Complete onboarding, orientation, and environment navigation virtual trainings during the first two weeks.
• Utilize EMR systems (Epic, Athena) and internal tools to review clinical documentation accurately.
• Collaborate with quality managers and team members in a remote team environment.

Kenntnisse

Provider outreach

Quality measures

Remote teamwork

Attention to detail

Communication

Ausbildung

RN/LPN/CNA licensure

Compact state licenses accepted

Tools

Epic EMR

Athena EMR

Excel

Word

PowerPoint

Microsoft Teams

Jobbeschreibung

nTech Workforce is seeking a Clinical Medical Review Nurse to support an annual HEDIS retrospective project. You will drive medical record retrieval, abstraction, provider outreach, and quality measure management in a collaborative, remote team environment.

Requires active RN/LPN/CNA licensure and 3+ years clinical experience with 5+ years in HEDIS/quality measures. On-site training in Meriwether, MD the week of December 14, with local travel to provider sites as needed.