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Telecommute Clinical Quality Specialist - Remote HEDIS RN (Registered Nurse) - $36 Per Hour

Company: TotalMed
Location: Saint Charles
Posted on: November 16, 2020

Job Description:

Telecommute Clinical Quality Specialist - Remote HEDIS RN (Registered Nurse) - $36 Per Hour--The core responsibilities of this role include but are not limited to:Market specific data collection efforts and provider outreachMedical record review for HEDIS-- and HEDIS---like measuresOver-read of medical records All candidates must be technically savvy and must be able to work without distraction. This is a high production environment, and candidates must adhere to measured productivity requirements. Responsibilities:Reviewing medical records and documents to abstract clinical data for HEDIS reporting.Integrating collected electronic and hardcopy data into reports.Documenting findings in applicable HEDIS databases and on prescribed cloud-based platforms.Meeting daily abstraction goals and maintaining a high abstraction accuracy percentage.Performing on-site facility audits for compliance with HEDIS measures.Preparing and presenting HEDIS compliance reports to health facility managers.Training and advising healthcare professionals and administrative staff on HEDIS compliance.Maintaining HIPAA standards and immediately reporting any critical findings to designated authorities.Keeping abreast of HEDIS measures.Responsible for meeting daily over read production goalPerforms other duties as assigned--Shift Start/End Time:Hours - 8am - 5pm for the candidate's specific time zone, Monday-FridayAbility to commit to entire December - May assignment with no or minimal absences--Required Qualifications:Clinical degree, including: RN, LVN, LPNCurrent, unrestricted state license in applicable fieldMinimum 1-year healthcare/health plan experienceMinimum 1-year HEDIS-- experience and/or knowledgeSolid knowledge of managed care requirements related to clinical qualityResearch and detail oriented, excellent proof-reading skillsExcellent time management and prioritization skillsDesignated workplace inside home (virtual)Reliable internet connection (virtual)Strong communication skillsStrong proficiency with Microsoft Office applications, including: Word, Excel, Adobe and PowerPointCritical thinking skillsResults-driven independent worker and self-starter--Preferred Qualifications:Experience working with HEDIS-- software (data entry, reporting)Experience in medical record review (vendor or health plan; onsite or fax/mail)Experience working in EMR systems

Keywords: TotalMed, Saint Charles , Telecommute Clinical Quality Specialist - Remote HEDIS RN (Registered Nurse) - $36 Per Hour, Healthcare , Saint Charles, Missouri

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