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Hedis Nurse Jobs in Decatur, GA (NOW HIRING)

Urrly

Telehealth Nurse Practitioner

Atlanta, GA · Remote

$600 - $720/day

Telehealth Nurse Practitioner * Location/Type: Georgia Remote (No travel) * Pay: $600-$720/day ... Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs

Urrly

Telehealth Nurse Practitioner (Remote)

Atlanta, GA · Remote

$600 - $720/hr

Telehealth Nurse Practitioner * Location/Type: Georgia Remote (No travel) * Pay: $600$720/day (1099 ... Close HEDIS care gaps during visits * Review medical history, medications, and preventive needs

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All JobsHedis Nurse JobsHedis Nurse Jobs in Decatur, GA

Hedis Nurse information

See Decatur, GA salary details

$19

$33

$46

How much do hedis nurse jobs pay per hour?

As of Jul 31, 2026, the average hourly pay for hedis nurse in Decatur, GA is $33.48, according to ZipRecruiter salary data. Most workers in this role earn between $28.32 and $37.45 per hour, depending on experience, location, and employer.

What are some common challenges HEDIS Nurses face during the annual data collection cycle?

HEDIS Nurses frequently encounter challenges such as locating and reviewing medical records across multiple provider systems, ensuring the accuracy and completeness of documentation, and managing tight deadlines during reporting season. These challenges require keen attention to detail, strong organizational skills, and effective communication with healthcare providers and team members. Staying current with changing HEDIS measure specifications and quality guidelines is also essential for success in this role.

How do I become a HEDIS nurse?

To become a HEDIS nurse, you typically need a nursing license such as an RN or LPN, along with experience in case management, quality improvement, or healthcare data. Additional training in HEDIS measures and familiarity with electronic health records (EHR) systems are also beneficial.

What skills does a HEDIS nurse need?

A HEDIS nurse needs strong clinical knowledge, attention to detail, and excellent data collection and documentation skills. Familiarity with healthcare quality measures, coding, and electronic health records (EHR) systems is essential. Good communication skills and the ability to work independently are also important for success in this role.

What are the key skills and qualifications needed to thrive as a HEDIS Nurse, and why are they important?

To thrive as a HEDIS Nurse, you need a strong clinical background, knowledge of HEDIS measures, and a valid RN or LPN license. Familiarity with medical record abstraction, electronic health records (EHRs), and HEDIS software platforms is essential. Attention to detail, analytical thinking, and strong organizational skills are critical soft skills in this role. These skills ensure accurate data collection and reporting, which directly impact quality improvement and compliance in healthcare organizations.

How to make $300,000 as a nurse?

Hedis nurses can increase their earnings by gaining specialized certifications, such as case management or quality assurance, working in high-demand healthcare settings, and pursuing overtime or per diem shifts. Advancing to senior or managerial roles and developing expertise in data analysis or healthcare compliance can also boost income potential, but reaching $300,000 typically requires experience, additional certifications, and strategic career moves.

What is the difference between Hedis Nurse vs Utilization Review Nurse?

AspectHedis NurseUtilization Review Nurse
CertificationsRN license, HEDIS trainingRN license, Utilization Review certification
Work EnvironmentHealthcare facilities, insurance companiesHospitals, insurance companies, healthcare organizations
Industry UsageManaged care, quality improvementInsurance, case management

Hedis Nurses focus on HEDIS measures to improve healthcare quality and are often involved in data collection and reporting for managed care organizations. Utilization Review Nurses evaluate medical necessity and appropriateness of care, often working in insurance or hospital settings. While both roles require RN licensure and healthcare knowledge, Hedis Nurses specialize in quality metrics, whereas Utilization Review Nurses focus on care authorization and utilization management.

What is a HEDIS Nurse?

A HEDIS Nurse is a registered nurse who specializes in reviewing medical records and data to ensure healthcare organizations meet the Healthcare Effectiveness Data and Information Set (HEDIS) quality measures. These nurses collect, analyze, and report data to help improve patient care and verify compliance with established healthcare standards. HEDIS Nurses work closely with physicians, healthcare providers, and insurance companies to ensure accurate documentation and quality improvement. Their role is essential in helping organizations achieve high performance ratings and maintain accreditation.

What is a typical day for a HEDIS nurse?

A HEDIS nurse's typical day involves reviewing patient records, collecting data, and ensuring compliance with healthcare quality measures. They often work with electronic health records (EHRs), communicate with healthcare providers, and analyze data to improve care quality and meet regulatory standards. The role requires attention to detail and knowledge of healthcare guidelines, often within a standard work schedule.
What are popular job titles related to Hedis Nurse jobs in Decatur, GA? For Hedis Nurse jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Hedis Nurse jobs in Decatur, GA look for? The top searched job categories for Hedis Nurse jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Hedis Nurse jobs? Cities near Decatur, GA with the most Hedis Nurse job openings:
Hedis Nurse jobs near you
Infographic showing various Hedis Nurse job openings in Decatur, GA as of July 2026, with employment types broken down into 17% Locum Tenens, 3% Internship, 56% Full Time, 3% Part Time, 2% Contract, and 19% Nights. Highlights an 81% Physical, 2% Hybrid, and 17% Remote job distribution, with an average salary of $69,630 per year, or $33.5 per hour.

HEDIS Nurse Abstractor

Healthcare Support Staffing

Atlanta, GA

$29 - $38.50/hr

Full-time

Medical, Dental, Vision

Re-posted 27 days ago

Job description

Company Description

Company is working to transform health care with trusted and caring solutions. Our health plan companies deliver quality products and services that give their members access to the care they need. With more than 73 million people served by its affiliated companies including nearly 40 million enrolled in its family of health plans, Anthem is one of the nation's leading health benefits companies.

One in nine Americans receives coverage for their medical care through Anthem's affiliated plans.
We offer a broad range of medical and specialty products.

Job Description

Ideal candidate must be flexible and willing to develop/share strategies to accomplish goals. Will work under the supervision of Anthem internal staff and designated lead in order to achieve goals and keep the project moving. Reviews require data analysis and research within client data systems.

Candidate will work with the HEDIS team to collect member records and conduct reviews of these records by contacting providers and placing the results collected into a specific data base. If necessary, the medical record review is conducted on site in provider office or hospital institution. Local travel may be required. This candidate will be required to handle a high volume of telephonic interaction with provider offices. Candidates must follow up on requested medical records with providers. Must keep excellent documentation of research and contact information. Candidate must pass a medical record abstraction test prior to starting actual record reviews.

Essential Functions:

  • This is a high production environment and candidates must adhere to measured productivity requirements, module testing and at times retesting to meet minimum requirements.
  • Sharing of department responsibilities as assigned.
  • Required to perform research on internal claims systems.
  • Must be flexible and willing to develop and share strategies to accomplish goals.
  • Work under the supervision of internal staff and designated lead in order to achieve goals and keep the project moving.
  • Reviews require data analysis and research within the Anthem data systems.
  • Candidates must have critical thinking skills as they will conduct research in a thoughtful and methodical search in order to locate specific claim information.
  • Research includes all resources provided in order to find best information. Examples of deep dive research would be based on client specific platforms (i.e. Immunization registries, local claims system membership and defaulted claim information).
Qualifications
  • Clear and active RN, LPN, or LVN license in the state of GA
  • Licensed professional graduate of an accredited school of nursing 
  • They will be tested periodically on the accuracy of their abstraction and they must score at least 99%
  • Strong research and analytical skills 
  • Experience with CPT-4, ICD-9 and ICD-10 DX coding
  • Effective written, oral, and interpersonal communication skills 
  • Open to local travel and reliable transportation 
Additional Information

Advantages of this Opportunity:

Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Monday through Friday 8am-5pm


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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. 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.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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