Remote HEDIS Over-Reader Nurse (RN/LPN)

HireOps Staffing, LLC; Remote; USD 60,000 - 100,000; Full time

Job summary

An innovative staffing firm is seeking a skilled RN or LPN to join a dynamic team for a contract assignment focused on HEDIS reviews. This role involves conducting thorough medical record reviews, ensuring compliance with NCQA guidelines, and utilizing various software applications to support operations. The ideal candidate will possess strong communication skills, a nursing background, and proficiency in data entry. This is an exciting opportunity to contribute to essential healthcare projects while working remotely in Texas. Join a team dedicated to improving healthcare quality and making a meaningful impact in the field.

Qualifications

• RN or LPN with clinical experience required.
• Must be licensed in the State of Texas.

Responsibilities

• Over-read medical record abstractions accurately and efficiently.
• Identify and report abstraction errors and provide re-education.

Skills

Clear and concise written communication

Clear and concise verbal communication

Knowledge of medical terminology

Data entry and/or typing

Auditing experience

Education

Degree, Diploma, or Certificate from a school of nursing

Tools

Microsoft Word

Microsoft Excel

Lotus Notes

HEDIS Software Application

Job description

An innovative staffing firm is seeking a skilled RN or LPN to join a dynamic team for a contract assignment focused on HEDIS reviews. This role involves conducting thorough medical record reviews, ensuring compliance with NCQA guidelines, and utilizing various software applications to support operations. The ideal candidate will possess strong communication skills, a nursing background, and proficiency in data entry. This is an exciting opportunity to contribute to essential healthcare projects while working remotely in Texas. Join a team dedicated to improving healthcare quality and making a meaningful impact in the field.