Registerd Nurse/Licensed Practical Nurse Hedis Specialist II Job

REGISTERED NURSE (RN)/LICENSED PRACTICAL NURSE (LPN) HEDIS SPECIALIST II needed for a CONTRACT opportunity with Yoh's client located in Oakbrook, IL

THE BIG PICTURE - TOP SKILLS YOU SHOULD POSSESS

- Hedis Review
- Chart retrieval experience
- State Licensed Vocational/Practical Nurse or Registered Nurse

WHAT YOU'LL BE DOING:

- Assists the Director/Manager in the coordination and preparation of the HEDIS medical record review
- Participates in meetings with vendors for the medical record collection process.
- Assists Director/Manager with medical record vendor oversight.
- Assists Director/Manager in training abstractor staff and participates in the medical record IRR.
- Identifies member service gaps based on data loaded in the MHI HEDIS application.
- Collects medical records and reports from provider offices based on member needed services, reports, gaps and loads data into the HEDIS application.
- Works with the corporate HEDIS team to monitor accuracy of abstracted records as required by HEDIS specifications.
- Participates in scheduled meetings with the corporate HEDIS team, vendors and HEDIS auditors.
- Assists the QI staff with physician and member interventions and incentive efforts as needed.
- Provides data collection and report development support for Quality Improvement studies and performance improvement projects.

WHAT YOU NEED TO BRING TO THE TABLE

- State Licensed Vocational/Practical Nurse or Registered Nurse
- Two or more (2+) years coding and medical record abstraction experience.
- Two or more (2+) years managed care experience.
- Basic knowledge of HEDIS and NCQA.
- Information Technician (RHIT), or Certified Medical Record Technician

IF THIS SOUNDS LIKE YOU, APPLY NOW!

RECRUITER: Kim Myers

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V. Contact us if you are an individual with a disability and require accommodation in the application process.

J2W: HC

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SFSF: HC