Philadelphia, PA, 19133, USA
1 day ago
HEDIS Overreader Registered Nurse
Job Description A client of Insight Globals is looking for HEDIS (Healthcare Effectiveness Data and Information Set Nursing) RNs or LPNs for a remote contract position in PA or NJ. This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for Quality Check of FDC/HEDIS nurses. This person will use healthcare data and software to evaluate medical forms or patient records to compare items like patient care to a patient's health plans to make sure it meets a patient's care needs. The HEDIS nurse focuses solely on using HEDIS measuring criteria to review health plans in accordance with healthcare facility practices and patient experiences. 3 Territories Available: PA NORTH - Montgomery & Bucks Counties and a small amount of Lehigh County. PA SOUTH - Delaware and Chester Counties and Northern Delaware state. NJ Central - Mostly Monmouth, Ocean, and Mercer Counties. 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 action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, 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 recruiting process, please send a request to HR@insightglobal.com .     To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills and Requirements Previous HEDIS review experience  Active RN License or Active LPN License  2-3 years of clinical experience  3+ years chart auditing/abstraction experience  Strong computer skills and reliable internet access  Ability to occasionally travel to local providers Previous HEDIS review experience  Active RN License or Active LPN License  2-3 years of clinical experience  3+ years chart auditing/abstraction experience  Strong computer skills and reliable internet access  Ability to occasionally travel to local providers null 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 employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion,sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to HR@insightglobal.com.
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