Grand Rapids, Michigan, United States of America
18 hours ago
Consultative Partner HEDIS Nurse

100% remote. Corewell Health equipment will be provided. This is a part time position. Weekly requirement will fall between 20 – 40 hours.

Job Summary

The HEDIS Record Reviewer performs accurate and efficient medical record review and abstraction for HEDIS reporting to support client critical quality initiatives. Medical record review and abstraction is performed remotely and involves electronic medical records, requires capturing and securing documentation, and involves using an electronic reporting system.

Essential FunctionsConduct medical record, chart and EMR, reviews necessary to capture of clinical quality data.Gain and apply a clear understanding of HEDIS, or other, measure criteria and specifications in order to accurately collect required data.Gain proficiency with data collection software in order to accurately enter data.Gain an understanding of the measurement process and use plan resources available to efficiently conduct chart reviews.Communicate clearly with ambulatory office staff, act in a professional manner, and follow strict confidentiality of member information.

Qualifications

Required

(RN) - State of Michigan Upon Hire

Preferred

2 years of previous experience with HEDIS Medical Record Review & Abstraction experience highly preferredPrevious experience with medical records/familiarity with medical records (both paper and electronic)Proficiency with PC-based systems and the ability to learn new information systems and software programs quickly.Ability to interact effectively with healthcare providers.

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health cares for you

Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.

On-demand pay program powered by Payactiv

Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

Optional identity theft protection, home and auto insurance, pet insurance

Traditional and Roth retirement options with service contribution and match savings

Primary Location

SITE - Priority Health - 1231 E Beltline - Grand Rapids

Department Name

PH - HEDIS

Employment Type

Part time

Shift

Day (United States of America)

Weekly Scheduled Hours

30

Hours of Work

Variable

Days Worked

Monday to Friday

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

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