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Hedis Nursing Jobs (NOW HIRING)

Pyramid Corporation

HEDIS RN or LPN

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 ...

New

Varite

HEDIS RN - Quality Auditor

Newark, NJ · On-site

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 ...

Astrana Health, Inc.

HEDIS Abstractor

Monterey Park, CA · On-site

$27 - $33/hr

HEDIS Abstractor Department: Quality - Quality Care Improvement Employment Type: Full Time Location ... Certified Professional Coder (CPC), RHIT, RHIA, LVN/LPN, RN, or other healthcare-related ...

Healthcare Support Staffing

HEDIS Nurse

Mason, OH

$28.50 - $37.50/hr

Candidate will work with the HEDIS team to collect member records and conduct reviews of these ... active RN or LPN/LVN license in the state of OH Prior experience with medical record review ...

Astrana Health

HEDIS Abstractor

Monterey Park, CA · Hybrid

$27 - $33/hr

The HEDIS Abstractor supports Quality Care Improvement initiatives by conducting comprehensive ... Certified Professional Coder (CPC), RHIT, RHIA, LVN/LPN, RN, or other healthcare-related ...

Healthcare Support Staffing

Remote HEDIS Specialist

OR · Remote

Must be bilingual, fluent in Spanish, they will be remote workers supporting Molina Puerto Rico Licensed RN/LVN/LPN HEDIS knowledge Ability to read and understand medical records Independent and able ...

Healthcare Support Staffing

HEDIS Specialist

Troy, MI

$35 - $40/hr

Qualifications Valid and unrestricted RN license in MI, Registered Health Information Technician ... Basic knowledge of HEDIS and NCQA. * Basic Microsoft Office Products experience, Adobe or Nitro PDF ...

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How much do hedis nursing jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for hedis nursing in the United States is $34.38, according to ZipRecruiter salary data. Most workers in this role earn between $29.09 and $38.46 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a HEDIS nurse?

To thrive as a HEDIS Nurse, you need a strong background in clinical nursing, data abstraction, and medical record review, usually supported by an RN license and experience in quality improvement or managed care. Familiarity with HEDIS measurement criteria, healthcare data systems, and electronic health records (EHRs) is essential, and certifications like Certified Professional in Healthcare Quality (CPHQ) are beneficial. Attention to detail, analytical thinking, and effective communication are vital soft skills for accurately capturing data and collaborating with providers. These competencies ensure accurate reporting, regulatory compliance, and improved patient outcomes in healthcare organizations.

What is a HEDIS nurse?

HEDIS nurses are registered nurses who specialize in the collection, review, and reporting of healthcare data required for the Healthcare Effectiveness Data and Information Set (HEDIS). They work with healthcare organizations to ensure accurate documentation and compliance with quality measures related to patient care. Their responsibilities often include chart reviews, data abstraction, and collaborating with clinical staff to improve care quality. HEDIS nurses play a crucial role in helping organizations meet regulatory standards and improve patient outcomes.

What is the difference between Hedis Nursing vs Case Management Nursing?

AspectHedis NursingCase Management Nursing
CertificationsRN license, HEDIS trainingRN license, case management certification
Work EnvironmentInsurance companies, healthcare plansHospitals, clinics, community health
Industry UsageQuality improvement, HEDIS auditsCare coordination, patient advocacy

Hedis Nursing focuses on quality measure assessments and HEDIS audits within insurance and healthcare plans, while Case Management Nursing emphasizes coordinating patient care across settings. Both roles require RN licensure, but Hedis Nursing centers on data and compliance, whereas Case Management involves direct patient interaction and care planning.

How do I become a Hedis nurse?

To become a HEDIS nurse, you typically need a registered nurse (RN) license, which requires completing an accredited nursing program and passing the NCLEX-RN exam. Experience in case management, quality assurance, or healthcare analytics is beneficial, and familiarity with HEDIS measures and data collection tools is often required.

What are some common challenges HEDIS nurses face during the data collection and reporting process?

HEDIS nurses often encounter challenges such as gathering complete and accurate medical records from multiple providers, navigating different electronic health record (EHR) systems, and ensuring compliance with strict reporting deadlines. Balancing high volumes of data review with quality assurance can also be demanding, especially during peak reporting periods. Effective communication and collaboration with providers, coders, and quality improvement teams are essential for overcoming these obstacles and ensuring successful HEDIS submissions.
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Hedis Nursing jobs near you
Infographic showing various Hedis Nursing job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 56% Full Time, 17% Part Time, and 23% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $71,500 per year, or $34.4 per hour.

HEDIS RN or LPN

Pyramid Corporation

Mount Laurel, NJ • On-site

$30 - $39.50/hr

Other

Posted yesterday

New

Job description

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 which will include 1 year experience with HEDIS for RNs.
  • Flexibility to travel - must have own transportation to area clinics/hospitals as needed.
  • For field nurses, experience scheduling office appointments and traveling to physician offices is preferred.
  • If candidate is an LPN, they must have 2 years of clinical and HEDIS experience. EMR/EHR experience a plus.
  • Must have basic knowledge of how to use a laptop computer and smart phone.

Provided by company: Computer equipment, encrypted zip drives and mobile phone for uploading, transferring and scanning files to our secure file transfer site. Responsibilities include:

  • Visit physicians' offices to retrieve and review specific requested documentation from medical records
  • Scan relevant components of the medical record to support reviews performed
  • Upload all scanned medical records daily
  • Maintain lines of communication with the assigned clinical lead, project coordinator and project manager
  • Successfully complete required training, testing and quality assessment
  • Communicate effectively and professionally with office managers, health systems and any other facility or care provider
  • Schedule and confirm all appointments based on your independent assignment for efficiency
  • Must be willing to travel, have a reliable means of transportation, valid driver's license and auto insurance
  • Abide by all HIPAA and Independence patient confidentiality requirements
  • Availability of at least 8 hours a day, 5 days per week.
  • Business attire required
  • This contract is project based employment and is not considered full time permanent employment

Interviewing immediately, training (paid) is required for ~2 weeks, beginning in January:

  • Jan 7th thru 11th - candidates will expect to be in Philadelphia M-F from 8:30am to 5pm
  • Jan 15th thru 18th and Jan 25th - training on measures - candidates will expect to be in Philly M-F from 8:30am to 5pm (unless otherwise specified)

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