Job Title: Registered Nurse (HEDIS)
Location: Baltimore, MD (Hybrid)
Duration:6-12+ Months Contract
PURPOSE:
The Clinical Medical Review Nurse (an RN with clinical experience) will report to the Clinical Support Supervisor – HEDIS and be part of the Quality Team. The main duties include conducting thorough HEDIS overreads in line with NCQA guidelines. Additional tasks involve helping with Medical Record Retrieval for HEDIS and Risk Adjustment, participating in internal audits for Supplemental Data, and supporting other needs within the Quality Department.
Qualifications
Experience: 3 years clinical experience, and 5 years HEDIS and Overread experience.
10 years of recent HEDIS abstractions / overreads experience in the payer/health insurance side of HEDIS or with a HEDIS vendor (ex. Cotiviti, Inovalon, Reveleer)
...Demonstrates accountability for the proper use of patients protected health information Ability to perform work independently with... ...Immunization titers and fingerprinting, as needed. Interested? Apply online or contact Emily at ****@*****.*** If this...
...the industry. TMC can offer you a fast-paced career where each day brings a new challenge. TMC Transportation is looking for Shag Drivers to join our team, at our Dedicated customer site - Continental. Shift: Sunday-Thursday: 1030pm-7am DUTIES AND RESPONSIBILITIES...
Job Details Position: RN Psych Location: Lewiston , ME 04240 Shift: Shift: Night 12 hrs Pay Rate: $63/hr. Gross Weekly: $2268 for 36 hours Contract Length: 13 Weeks Email : ****@*****.*** Phone (***) ***-****
...benefits available) Role Summary The Case Manager RN leads the coordination of a... ...s health across the care continuum. They work in partnership with the member, providers... ...caregiver for discharge from a facility to home or for transfer to another healthcare facility...
Direct Support Professional/Caregiver - Allen County (Lima, OH) - 2nd and 3rd Shift Only Champaign Residential Services Being a DSP isn't just a job, it's a career, in a high demand Healthcare field"~$1000 Sign-on Bonus/Up to $1500 Referral Bonus ~ Paid Training...