Newark, NJ · On-site
$40 - $42/hr
The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, HEDIS measures, and quality-related complaints and referrals. * This role also supports data analysis and ...
Newark, NJ · On-site
$40 - $42/hr
The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, HEDIS measures, and quality-related complaints and referrals. * This role also supports data analysis and ...
Fort Lauderdale, FL · On-site
$29 - $38.25/hr
Are you an experienced RN OR LPN with HEDIS or QA Review experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a ...
Fort Lauderdale, FL · On-site
$29 - $38.25/hr
Are you an experienced RN OR LPN with HEDIS or QA Review experience looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a ...
Atlanta, GA · On-site
$29 - $38.50/hr
Candidate will work with the HEDIS team to collect member records and conduct reviews of these ... Qualifications * Clear and active RN, LPN, or LVN license in the state of GA * Licensed ...
Atlanta, GA · On-site
$29 - $38.50/hr
Candidate will work with the HEDIS team to collect member records and conduct reviews of these ... Qualifications * Clear and active RN, LPN, or LVN license in the state of GA * Licensed ...
Cincinnati, OH · On-site
$29 - $38.50/hr
Performs provider/practitioner medical record reviews, abstraction and data entry for HEDIS and ... , LPN Current, unrestricted state license in applicable field Experience working with HEDIS ...
Cincinnati, OH · On-site
$29 - $38.50/hr
Performs provider/practitioner medical record reviews, abstraction and data entry for HEDIS and ... , LPN Current, unrestricted state license in applicable field Experience working with HEDIS ...
Mount Laurel, NJ · On-site
$30 - $39.50/hr
Hedis Nurse (Regional Assignments) Requirements: * Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...
Mount Laurel, NJ · On-site
$30 - $39.50/hr
Hedis Nurse (Regional Assignments) Requirements: * Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...
Mount Laurel, NJ · On-site
$30 - $39.50/hr
Hedis Nurse (Regional Assignments) Requirements: * Must be a registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...
Mount Laurel, NJ · On-site
$30 - $39.50/hr
Hedis Nurse (Regional Assignments) Requirements: * Must be a registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...
Miami Gardens, FL · On-site
$25 - $28/hr
Extensive chart reviewing Qualifications Candidates should have recent Case Management and HEDIS experience with extensive chart review experience 2 years experience as a LPN or a RN Valid/clear ...
Miami Gardens, FL · On-site
$25 - $28/hr
Extensive chart reviewing Qualifications Candidates should have recent Case Management and HEDIS experience with extensive chart review experience 2 years experience as a LPN or a RN Valid/clear ...
Philadelphia, PA · On-site
Hedis Nurse (Regional Assignments) Requirements: * Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...
Philadelphia, PA · On-site
Hedis Nurse (Regional Assignments) Requirements: * Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...
TX · Remote
$34 - $35/hr
HEDIS Quality Audit/HEDIS Quality Nurse Coordinator Location: 100% Remote (USA) Work Schedule: Monday - Friday, 8:00 AM - 5:00 PM (local time) Job Overview: We are seeking experienced Healthcare ...
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TX · Remote
$34 - $35/hr
HEDIS Quality Audit/HEDIS Quality Nurse Coordinator Location: 100% Remote (USA) Work Schedule: Monday - Friday, 8:00 AM - 5:00 PM (local time) Job Overview: We are seeking experienced Healthcare ...
Jersey City, NJ · On-site
Hedis Nurse (Regional Assignments) Requirements: * Must be a registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...
Jersey City, NJ · On-site
Hedis Nurse (Regional Assignments) Requirements: * Must be a registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...
Jersey City, NJ · On-site
Hedis Nurse (Regional Assignments) Requirements: * Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...
Jersey City, NJ · On-site
Hedis Nurse (Regional Assignments) Requirements: * Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...
Philadelphia, PA · On-site
Hedis Nurse (Regional Assignments) Requirements: * Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...
Philadelphia, PA · On-site
Hedis Nurse (Regional Assignments) Requirements: * Must be registered nurse or LPN. Bachelor's degree preferred. * 3-5 years' clinical experience. * 3-5 years' chart auditing/abstraction experience ...
Chattanooga, TN · On-site
Registered Nurse HEDIS Title: Registered Nurse HEDIS Location: Chattanooga, TN 37402 Duration: 7+ Months (Possible Extension) Responsibilities: * The contract nurse is responsible for retrieval ...
Chattanooga, TN · On-site
Registered Nurse HEDIS Title: Registered Nurse HEDIS Location: Chattanooga, TN 37402 Duration: 7+ Months (Possible Extension) Responsibilities: * The contract nurse is responsible for retrieval ...
Newark, NJ · On-site
Registered Nurse /HEDIS A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built ...
Newark, NJ · On-site
Registered Nurse /HEDIS A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built ...
Chicago, IL · On-site
State Licensed Vocational Nurse or Registered Health Information Technician (RHIT), or Certified ... Basic knowledge of HEDIS and NCQA. Required Licensure/Certification : * Licensed LVN/LPN, ...
Chicago, IL · On-site
State Licensed Vocational Nurse or Registered Health Information Technician (RHIT), or Certified ... Basic knowledge of HEDIS and NCQA. Required Licensure/Certification : * Licensed LVN/LPN, ...
HEDIS Reviewers / Abstractors Job Types: Seasonal / Part-time * This is a remote position available ... Licensed Nurse: LPN, LVN, RN with an active license * The applicant must possess a Windows-based ...
HEDIS Reviewers / Abstractors Job Types: Seasonal / Part-time * This is a remote position available ... Licensed Nurse: LPN, LVN, RN with an active license * The applicant must possess a Windows-based ...
El Paso, TX · On-site
State Licensed Vocational Nurse or Registered Health Information Technician (RHIT), or Certified ... Basic knowledge of HEDIS and NCQA. Required Licensure/Certification : * Licensed LVN/LPN, ...
El Paso, TX · On-site
State Licensed Vocational Nurse or Registered Health Information Technician (RHIT), or Certified ... Basic knowledge of HEDIS and NCQA. Required Licensure/Certification : * Licensed LVN/LPN, ...
Trenton, NJ · On-site
$30.25 - $40/hr
RN HEDIS /LPN A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its ...
Trenton, NJ · On-site
$30.25 - $40/hr
RN HEDIS /LPN A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its ...
Springfield, IL · On-site
HEDIS experience, facilitation experience, provider outreach experience, ability to multi-task ... License Required: LPN or RN for state of IL . Duties: Sending out fax requests for medical records.
Springfield, IL · On-site
HEDIS experience, facilitation experience, provider outreach experience, ability to multi-task ... License Required: LPN or RN for state of IL . Duties: Sending out fax requests for medical records.
Trenton, NJ · On-site
$30.25 - $40/hr
HEDIS RN/LPN Contract Company Description A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty ...
Trenton, NJ · On-site
$30.25 - $40/hr
HEDIS RN/LPN Contract Company Description A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty ...
$20.19 - $22.71
2% of jobs
$22.71 - $25.22
3% of jobs
$25.22 - $27.73
3% of jobs
$29.15 is the 25th percentile. Wages below this are outliers.
$27.73 - $30.24
29% of jobs
$30.24 - $32.76
6% of jobs
The median wage is $33.82 / hr.
$32.76 - $35.27
14% of jobs
$35.27 - $37.78
13% of jobs
$38.31 is the 75th percentile. Wages above this are outliers.
$37.78 - $40.30
19% of jobs
$40.30 - $42.81
5% of jobs
$42.81 - $45.32
3% of jobs
$45.32 - $47.84
1% of jobs
$20
$34
$47
| Aspect | Hedis Nurse | Utilization Review Nurse |
|---|---|---|
| Certifications | RN license, HEDIS training | RN license, Utilization Review certification |
| Work Environment | Healthcare facilities, insurance companies | Hospitals, insurance companies, healthcare organizations |
| Industry Usage | Managed care, quality improvement | Insurance, 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.
Cities with the most Hedis Nurse job openings:
The most popular types of Hedis Nurse jobs are:
States with the most job openings for Hedis Nurse jobs include:
The top searched job categories for Hedis Nurse jobs are:
For Hedis Nurse jobs, the most frequently searched job titles are:
Newark, NJ • On-site
$40 - $42/hr
Other
Re-posted 9 days ago
$40-$42 per hour
Newark, NJ
Contract
Duration: 6+ months contract with potential extends or Convert
Job Description:
The HEDIS Nurse Auditor is responsible for conducting quality audits related to state audits, HEDIS measures, and quality-related complaints and referrals.
This role also supports data analysis and report preparation across various timeframes.
Responsibilities:
Conduct on-site reviews at provider offices to assess record quality and compliance with documentation standards.
Prepare reports summarizing findings and provide education and feedback to providers.
Support data services to identify trends and facilitate quality improvement initiatives.
Assist with clinical studies, quality projects, and audits.
Lead and coordinate Corrective Action Plans (CAPs) and follow-up reaudits.
Represent the organization for state audits and maintain documentation for compliance reporting.
Experience:
3–5 years of related experience, preferably in the healthcare industry.
Active New Jersey Registered Nurse (RN) License required.
Skills:
Knowledge of managed care principles and medical terminology.
Familiarity with HEDIS guidelines and URAC accreditation standards preferred.
Proficient in using personal computers and standard software applications.
Understanding of health management and patient education practices is a plus.
Education:
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com) .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
It services
1,001 - 5,000 Employees
Jersey City, NJ, US
2000
