Registered Nurse

Hedis Nurse (Regional Assignments)

Requirements:

• Must be registered nurse or LPN. Bachelor's degree preferred.
• 3-5 years' clinical experience.
• 3-5 years' chart auditing/abstraction experience which will include 1 year experience with HEDIS for RNs.
• Flexibility to travel - must have own transportation to area clinics/hospitals as needed.
• For field nurses, experience scheduling office appointments and traveling to physician offices is preferred.
• If candidate is an LPN, they must have 2 years of clinical and HEDIS experience. EMR/EHR experience a plus.
• Must have basic knowledge of how to use a laptop computer and smart phone.

Responsibilities include:

• Visit physicians' offices to retrieve and review specific requested documentation from medical records.
• Scan relevant components of the medical record to support reviews performed.
• Upload all scanned medical records daily.
• Maintain lines of communication with the assigned clinical lead, project coordinator and project manager.
• Successfully complete required training, testing and quality assessment.
• Communicate effectively and professionally with office managers, health systems and any other facility or care provider.
• Schedule and confirm all appointments based on your independent assignment for efficiency.
• Must be willing to travel, have a reliable means of transportation, valid driver's license and auto insurance.
• Abide by all HIPAA and Independence patient confidentiality requirements.
• Availability of at least 8 hours a day, 5 days per week.
• Business attire required.
• This contract is project based employment and is not considered full time permanent employment.

Interviewing immediately, training (paid) is required for ~2 weeks, beginning in January:

• Jan 7th thru 11th - candidates will expect to be in Philadelphia M-F from 8:30am to 5pm.
• Jan 15th thru 18th and Jan 25th - training on measures - candidates will expect to be in Philly M-F from 8:30am to 5pm (unless otherwise specified).