Remote HEDIS Nurse Position

Job Overview

We are actively seeking dedicated HEDIS RNs or LPNs for a fully remote contract opportunity based in Pennsylvania or New Jersey. This pivotal role requires you to leverage your HEDIS review expertise to ensure the highest quality of care delivered by FDC/HEDIS nurses. Your primary responsibility will be to scrutinize healthcare data and utilize specialized software to evaluate medical forms and patient records, ensuring that care aligns with health plans and effectively meets patient needs.

Key Responsibilities

• Assess healthcare data for HEDIS compliance.
• Employ software to review medical forms and patient records.
• Ensure that the care provided aligns with patients’ health plans.
• Apply HEDIS measurement criteria to evaluate health plans.
• Contribute to enhancing patient experiences through quality assurance practices.
  
  

Required Skills

• Demonstrated experience with HEDIS reviews.
• Proficient computer skills and reliable internet connectivity.
• Ability to analyze medical forms and patient records effectively.
• Strong evaluative skills in healthcare data.
• Willingness to occasionally travel to local providers.
  
  

Qualifications

• Active RN or LPN license.
• 2-3 years of clinical experience.
• 3+ years of chart auditing or abstraction experience.
  
  

Career Growth Opportunities

This position provides a unique avenue for professional advancement in the healthcare domain, allowing you to refine your skills in quality assurance and compliance while participating in significant healthcare quality initiatives.

Company Culture And Values

Our organization values flexibility and the delivery of exceptional healthcare. We recognize the importance of remote work and appreciate the critical contributions of dedicated professionals in elevating patient care.

Networking And Professional Opportunities

Joining our team opens doors to valuable networking and professional development opportunities, enabling you to collaborate with industry experts and enhance your skills within a supportive environment.

Employment Type: Contractor