• Quality HEDIS Nurse

    Job Locations US-VA-Alexandria | US-VA-Winchester
    Job ID
    2018-5327
  • About Us

    Don’t just find a job, find your WHY at a purpose-driven organization; discover a career at Virginia Premier.  By blending quality benefits, affiliating with the world-renowned VCU Health System and offering career-advancing development programs, we allow our employees to focus on the meaningful work of improving and saving the lives of more than 200,000 people throughout the state of Virginia.
     
    At Virginia Premier, we are building an industry leading health care organization through dedicated teams that have heart, provide top-notch quality member services and embrace our mission of inspiring healthy living within the communities we serve. Our vision is to connect people to innovation, quality and affordable health care for all phases of life.
     
    If this sounds like you, read on!

    Overview

    The HEDIS Nurse role will be responsible for the coordination, on-site and EMR data collection, and data entry and/or uploading of HEDIS data abstracted from medical records.  The sole purpose of this position is for HEDIS data collection and related activities, as assigned. Travel is required.

     

    Responsibilities

    POSITION DUTIES AND RESPONSIBILITIES

    Primary responsibilities include:

    • Planning, organizing and coordinating HEDIS data abstraction activities to include, but not limited to:
      • Attend on-site medical record reviews as required
      • Conducting medical record reviews
      • Uploading medical records and entering data into software
    • Working with the HEDIS Senior Manager and HEDIS Team Lead to identify and share best practices and opportunities for quality improvement
    • Other HEDIS activities, as assigned

    Qualifications

    MINIMUM EDUCATION REQUIREMENTS

    • License/Certification:  Current and Valid Registered Nurse or Licensed Practical Nurse with a license to practice nursing in the Commonwealth of Virginia

     SPECIAL KNOWLEDGE AND/OR SKILLS 

    • HEDIS experience
    • Medical record abstraction experience
    • Ability to communicate effectively verbally and in writing
    • Computer literate
    • Ability to use Microsoft Excel proficiently (must pass test)

    WORK BACKGROUND/EXPERIENCE

    •  HEDIS experience, preferably in a managed care environment

    PHYSICAL REQUIREMENTS

    • Physical health sufficient to meet the ergonomic standards and demands of the position.

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