Job Summary
A staffing firm has a current position open for a Remote HEDIS Special Nurse in Escondido.
Core Responsibilities Include:
- Performing provider/practitioner medical record reviews for HEDIS and HEDIS-like measures
- Scheduling on-site reviews with provider offices, medical groups, and other clinical facilities
- Reviewing assigned medical records in order to verify clinical data elements for HEDIS reporting
Skills and Requirements Include:
- Ability to travel to medical facilities in specified area of region to complete chart reviews
- Clinical degree including, but not limited to: RN, LVN, LPN
- Current, unrestricted state license in applicable field
- Minimum 1 year healthcare/health plan experience
- Minimum 1 year HEDIS experience and/or knowledge
- Experience working with HEDIS software (data entry, reporting)