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Registered Nurse Hedis Nurse Job
Eingestellt von Yoh
Gesuchte Skills: Support, Client
Projektbeschreibung
THE BIG PICTURE - TOP SKILLS YOU SHOULD POSSESS:
- Registered Nurse Licensure in State of California (Active and in Good Standing)
- Three (3) years of Strong Hedis experience
- Strong Chart Review Experience
WHAT YOU'LL BE DOING:
- Assists the Manager in the coordination and preparation of the HEDIS medical record review
- Ongoing review of records submitted by providers and the annual HEDIS medical record review
- Participates in meetings with vendors for the medical record collection process
- Provides data collection and report development support for Quality Improvement studies and performance improvement projects
WHAT YOU NEED TO BRING TO THE TABLE:
- Registered Nurse Licensure in State of Texas (Active and in Good Standing)
- Associates Degree in Nursing
- Three to five (3 - 5) years of Strong Hedis experience
- Strong Chart Review Abstraction experience
- Basic understanding of Health Plan billing practices and information systems
- Proficient in NCQA Guidelines
- Proficient in computer skills and proficiency in MS Word and Outlook required
- Must be able to exercise independent discretion and judgment (utilizing approved criteria) in the performance of the case management functions
- Willingness to travel locally (reimbursed for mileage)
- Can work from Edinburg, San Antonio, or Houston office
OPPORTUNITY IS CALLING, APPLY NOW!
RECRUITER: Christine Torres
Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V. Click here to contact us if you are an individual with a disability and require accommodation in the application process.
J2W: HC
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Ref:
SFSF: HC
Projektdetails
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Einsatzort:
Irving, Vereinigte Staaten
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Projektbeginn:
asap
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Projektdauer:
Keine Angabe
- Vertragsart:
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Berufserfahrung:
Keine Angabe
Geforderte Qualifikationen
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Kategorie:
IT Entwicklung, Sonstiges