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Registered Nurse Hedis Nurse Job

Eingestellt von Yoh

Gesuchte Skills: Support, Client

Projektbeschreibung

REGISTERED NURSE HEDIS NURSE needed for a Contract opportunity with Yoh's client located in Irving, Texas.

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.

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Ref:

SFSF: HC

Projektdetails

  • Vertragsart:

    Contract

  • Berufserfahrung:

    Keine Angabe

Geforderte Qualifikationen

Yoh