What are the responsibilities and job description for the Quality Improvement HEDIS RN position at Healthcare Support Staffing, Inc?
Quality Improvement HEDIS RN
HealthCare Support is actively seeking a Quality Improvement HEDIS RN to fill an opening with a Managed Care Company in Rancho Cucamonga, CA.
Daily Responsibilities for Quality Improvement HEDIS RN:
Required Qualifications for Quality Improvement HEDIS RN:
Preferred Qualifications for Quality Improvement HEDIS RN:
Benefits for Quality Improvement HEDIS RN:
Pay Details: $43.87 an hour flat rate
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to dennis.lorence@healthcaresupport.com with your phone number, the position title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
#Mng #slvrn1224
HealthCare Support is actively seeking a Quality Improvement HEDIS RN to fill an opening with a Managed Care Company in Rancho Cucamonga, CA.
Daily Responsibilities for Quality Improvement HEDIS RN:
- Hybrid role, requiring 2-3 days a week onsite.
- Must be able to work M-F 8am-5pm.
- HEDIS contract – 6 months (eligible to apply for perm roles when contract is completed)
- Responsible for participating in the development, research, and implementation of HEDIS improvement activities, as directed.
- Reviews and performs quality assurance checks of supplemental data files (both manual and digital) throughout the year, ensuring 100% accuracy.
- Participates in medical record abstraction and accuracy validations (overreads) for HEDIS hybrid pursuit, maintaining subject matter expert status to assist other nurse reviewers.
Required Qualifications for Quality Improvement HEDIS RN:
- Associates degree in Nursing required
- Bachelors preferred
- RN in California
- 3 years of experience as a nurse
- 1 year of quality assurance or HEDIS experience from any setting
- Working knowledge of NCQA HEDIS technical specifications, medical terminology, and health plan processes
- Excellent understanding of performance improvement, quality assurance, and utilization management.
Preferred Qualifications for Quality Improvement HEDIS RN:
- Bachelor's in Nursing from an accredited institution preferred.
- Experience preferably in an HMO or managed care setting.
- Certified Professional in Healthcare Quality (CPHQ), Certified Professional in Healthcare Risk Management (CPHRM), or Clinical certification in area specialty)
- Bilingual in Spanish
Benefits for Quality Improvement HEDIS RN:
- Immediate enrollment in Health Insurance
- Dental Insurance
- Life Insurance
- Employee Assistance Program (EAP)
- Access to Investment Accounts
- Career and educational tools within our Ingenovis ACT (Advocacy) Program
Pay Details: $43.87 an hour flat rate
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to dennis.lorence@healthcaresupport.com with your phone number, the position title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
#Mng #slvrn1224
Salary : $44
