Remote LPN & QA Nurse Specialist — Quality & HEDIS

geisinger; United States; Remote; USD 52,000 - 72,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k)

Job summary

Geisinger is seeking a licensed practical nurse to support HEDIS data collection and medical record reviews from home in Pennsylvania. The role involves coordinating with health plan members and providers across multiple sites to improve quality measures and ensure compliance with NCQA standards.

The position typically requires a Monday–Friday schedule with some travel to outreach events. Ideal candidates will have 3+ years of LPN experience, strong computer skills, and familiarity with medical

Qualifications

• Requires at least 3 years of LPN work experience.
• Familiarity with medical record review and regulatory agency standards.
• Proficient computer skills and working knowledge of EHR systems.

Responsibilities

• Manage annual and proactive HEDIS for compliant/non-compliant populations.
• Conduct retrospective medical record reviews to obtain clinical quality data.
• Collaborate with health plan members and PCPs across sites to improve guideline adherence.

Skills

Medical record review

Regulatory knowledge

Computer literacy

Tools

Electronic Health Records (EHR)

Job description

Geisinger is seeking a licensed practical nurse to support HEDIS data collection and medical record reviews from home in Pennsylvania. The role involves coordinating with health plan members and providers across multiple sites to improve quality measures and ensure compliance with NCQA standards.

The position typically requires a Monday–Friday schedule with some travel to outreach events. Ideal candidates will have 3+ years of LPN experience, strong computer skills, and familiarity with medical