Position Title – HEDIS Nurse
Facility – Centene/WellCare
Address – REMOTE
Pay — $36 an hour
Start date – ASAP
Hours – 8-5 M-F will accommodate the time zone they are in
Openings – 50
Terms – 6 month contract, will end with HEDIS season
License – LPN, LVN, or RN
Required:
- 3 seasons of HEDIS Abstraction (MUST have HEDIS experience!)
- Must have a clinical background
- Active nurse license- RN, LPN, LVN
Job 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.