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Hedis Rn Jobs (NOW HIRING)

Integrated Resources INC

RN HEDIS /LPN

Trenton, NJ · On-site

$30.25 - $40/hr

... RN/LPN HEDIS Duration: 4 Months Location: Trenton NJ Immediate interview Experience in HEDIS chart audits or medical records reviews LPN or Coder with HEDIS experience required. Position Comments ...

tenavistaffing

HEDIS Chart Retrieval Nurse

Pittsburgh, PA · Remote

$29.25 - $38.75/hr

HEDIS Chart Retrieval Nurse Position Overview The HEDIS Chart Retrieval Nurse supports the health ... Active Registered Nurse (RN) or Licensed Practical Nurse (LPN/LVN) license. * (compacted license ...

Integrated Resources

HEDIS NURSE

Manhattan, NY · On-site

$33.25 - $44/hr

... RN/LPN 5+ years clinical experience, or other relevant experience 2+ years of quality improvement experience, or other relevant experience MUST HAVE PRIOR HEDIS EXPERIENCE (at least 1-2 season) and ...

The CKHobbie Group

Seeking a detail-oriented and highly analytical Registered Nurse (RN) to join our team in a HEDIS Abstraction role, supporting critical healthcare quality initiatives across Pennsylvania. While the ...

Integrated Resources INC

HEDIS LPN RN

New York, NY · On-site

$33 - $43.75/hr

... RN/LPN 5+ years clinical experience, or other relevant experience 2+ years of quality improvement experience, or other relevant experience MUST HAVE PRIOR HEDIS EXPERIENCE (at least 1 season) and be ...

Integrated Resources INC

HEDIS Nurse

Durham, NC · On-site

$29.25 - $38.75/hr

Required Hedis Experience. Knowledge with NCQA ... Qualifications Prefer RN but would consider LPN. Additional Information Kind Regards, Kavita Kumari ...

Integrated Resources INC

HEDIS NURSE

New York, NY · On-site

$33 - $43.75/hr

... RN/LPN 5+ years clinical experience, or other relevant experience 2+ years of quality improvement experience, or other relevant experience MUST HAVE PRIOR HEDIS EXPERIENCE (at least 1-2 season) and ...

Healthcare Support Staffing

HEDIS Specialist

Troy, MI · On-site

$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 ...

Integrated Resources INC

HEDIS AUDITOR RN/ LPN

Newark, NJ · Hybrid

$31.75 - $41.75/hr

Prior HEDIS experience required. Must have an active RN or LPN license. The new contract nurses will be onsite 100% migrating to working from home 4 days a week. How long that takes is dependent on ...

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How much do hedis rn jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for hedis rn 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 is a HEDIS RN?

HEDIS RNs, or Healthcare Effectiveness Data and Information Set Registered Nurses, are specialized nurses who review medical records to ensure healthcare organizations are meeting quality measures set by HEDIS. They collect, analyze, and report data related to patient care and outcomes, helping healthcare providers improve performance and comply with industry standards. HEDIS RNs play a critical role in quality assurance, working with both clinical teams and data analysts to ensure accurate reporting and better patient care.

What are some common challenges HEDIS RNs face during the annual reporting cycle?

HEDIS RNs often encounter challenges such as tight deadlines, managing large volumes of medical records, and ensuring data accuracy during the annual reporting cycle. Coordinating with various healthcare providers to obtain complete documentation can be time-consuming and sometimes requires persistent follow-up. Additionally, adapting to frequent updates in HEDIS measures and reporting requirements demands ongoing learning and flexibility. Despite these challenges, HEDIS RNs play a crucial role in improving healthcare quality by ensuring accurate and timely reporting.

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

To thrive as a HEDIS RN, you need a solid background in nursing, strong clinical review skills, and familiarity with healthcare quality measures, typically supported by an RN license. Experience with HEDIS software, electronic health records (EHRs), and data abstraction tools is highly valuable. Attention to detail, analytical thinking, and effective communication enable you to accurately review patient records and collaborate with providers. These skills are crucial for ensuring accurate data collection, supporting quality improvement initiatives, and maintaining compliance with healthcare standards.

What is the difference between Hedis Rn vs Hedis Lpn?

AspectHedis RnHedis Lpn
CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentHospitals, clinics, insurance companiesLong-term care facilities, clinics, home health
Industry UsageHealthcare, insurance, quality assurance

Hedis Rn and Hedis Lpn both work in healthcare quality and compliance, focusing on HEDIS measures. RNs typically have more advanced training and perform more complex assessments, while LPNs handle routine data collection and support tasks. Both roles are essential in ensuring accurate HEDIS reporting, but RNs often have broader responsibilities and higher credential requirements.

How do I become a Hedis RN?

To become a Hedis RN, you typically need to hold a valid registered nurse (RN) license, which requires completing an accredited nursing program and passing the NCLEX-RN exam. Additional training or certification in Hedis-specific protocols and data collection may be required, along with experience in case management or healthcare quality improvement.

What is the career path of a Hedis RN?

A HEDIS RN typically starts as a registered nurse responsible for chart reviews, data collection, and quality improvement initiatives related to healthcare performance metrics. With experience, they can advance to roles such as clinical supervisor, quality assurance manager, or healthcare analyst, often requiring additional certifications or specialized training in healthcare quality and compliance. Career progression may also include leadership positions or specialization in case management or healthcare analytics.
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Hedis RN jobs near you
Infographic showing various Hedis Rn job openings in the United States as of September 2026, with employment types broken down into 4% As Needed, 51% Full Time, 13% Part Time, and 32% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $71,500 per year, or $34.4 per hour.

HEDIS Review Nurse - Remote - Contract

Dallas, TX • Remote

HireOps Staffing, LLC
51 - 200 employees
Learn more about HireOps Staffing, LLCexternal

$42/hr

Full-time

Re-posted 10 days ago

Job description

This is a contract assignment that will start right away and end on April 30th 2024


Review Nurse


SUMMARY DESCRIPTION:


The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately performing comprehensive review of medical records to abstract relevant clinical data during HEDIS. HEDIS abstractions are completed in accordance with NCQA guidelines and technical specifications. Additional responsibilities include but not limited to folder and file management, annotating medical records and saving completed documents with correct naming conventions on a shared drive as well as data entry into QSHR.


ESSENTIAL FUNCTIONS:

  • Abstract medical records
  • Apply product/plan specific abstraction criteria/requirements during medical record review process
  • Maintain defined productivity volumes
  • Sustain accuracy rate of 95% during abstraction and data entry throughout the HEDIS survey
  • Perform quality reviews of abstracted medical records as assigned
  • Ensure open and honest communication with management/designee regarding development or assistance needed throughout project
  • Escalate work related challenges/issues to Senior Director or designee
  • Attend scheduled daily and ad-hoc meetings with HEDIS Project Manager, and /or Quality Management Specialist/ designee to discuss project status, open issues and productivity
  • Comply with HIPAA, PHI, patient confidentiality, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies
  • Other duties as assigned

JOB REQUIREMENTS:

  • Registered Nurse (RN)/ Licensed Practical Nurse(LPN) with unrestricted license
  • 2 years’ HEDIS abstraction/over-reading experience
  • Data entry proficiency
  • Working knowledge PDF, Word and Excel
  • Excellent written and communication skills
  • Database management

 Preferred Skills:

  • Experience in Pediatrics, Cardiology, Endocrinology and/or Obstetrics
  • QSHR proficiency