HEDIS Registered reputed company or LPNs?/Field Nurses - Hybrid
Position: HEDIS Registered reputed company or LPNs (Field Nurses - Hybrid) A reputed company of reputed company Globals is looking for HEDIS RNs or LPNs for a partially remote contract position in PA and NJ. PARTIALLY remote position as it may require onsite reviews at provider offices based on needs of the area. Schedule is flexible. Remote aspects include contacting/scheduling provider onsite reviews, requesting records from providers reputed company fax, abstraction & entry of medical records assigned by a Clinical reputed company reputed company reputed company. Miles will be reimbursed for any travel. Computer equipment, encrypted reputed company drives and mobile phones are provided for uploading, transferring and scanning files to our secure file transfer site. 2 weeks of virtual training will be provided and required. RESPONSIBILITIES will include (but not limited to): Contacting/scheduling provider offices & traveling to onsite medical record reviews (mileage, tolls, parking reimbursed) Communicate effectively and professionally with office managers, health systems and any other facility or care providers reputed company/Upload/Download medical records from onsite reviews daily Medical record abstraction into database from onsite visit, assigned remote charts Highlighting member demographics & HEDIS evidence using reputed company Acrobat Reader Reviewing Overreads for any corrections and addressing reputed company daily Abide by reputed company reputed company of Conduct, HIPAA, and patient confidentiality requirements Attend & successfully complete remote training for first two weeks of project. Training includes attending HEDIS measure training reputed company MS TEAMS, testing for proficiency, computer-based company training. Training is reputed company. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative reputed company employer that believes everyone reputed company. reputed company candidates will receive consideration for employment regardless of their race, reputed company, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and reputed company, marital status, national reputed company, reputed company, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or reputed company process, please send a request to . To learn more about how we collect, reputed company, and process your private information, please review reputed company's Workforce reputed company Policy: . Required Skills & Experience reputed company RN License or reputed company LPN License 2-3 years of clinical experience (Utilization management or utilization review) Strong computer skills Ability to occasionally travel to local providers reputed company to Have Skills & Experience Previous HEDIS review experience or experience with Utilization Review, reputed company, Medical Record auditing Bachelors Degree Benefit packages for this role will start on the 31st day of employment and include medical, dental, and reputed company insurance, as reputed company as HSA, FSA, and DCFSA account reputed company, and 401k retirement account reputed company with employer matching. Employees in this role are also entitled to reputed company reputed company leave and/or other reputed company time off as provided by applicable law. Apply Job!