HEDIS Nurse Responsibilities:
- Reviewing medical records and documents to abstract clinical data for HEDIS reporting.
- Integrating collected electronic and hardcopy data into reports.
- Documenting findings in applicable HEDIS databases and on prescribed cloud-based platforms.
- Meeting daily abstraction goals and maintaining a high abstraction accuracy percentage.
- Performing on-site facility audits for compliance with HEDIS measures.
- Preparing and presenting HEDIS compliance reports to health facility managers.
- Training and advising healthcare professionals and administrative staff on HEDIS compliance.
- Maintaining HIPAA standards and immediately reporting any critical findings to designated authorities.
- Keeping abreast of HEDIS measures.
Job Type: Contract
Pay: $38.22 - $42.63 per hour
Expected hours: No less than 40 per week
Benefits:
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
Experience:
- HEDIS: 3 years (Required)
- Patient Care Advocate: 3 years (Required)
- Managed care: 3 years (Preferred)
- Case management: 3 years (Required)
License/Certification:
- RN License of New Jersey (Required)
Location:
Work Location: Remote