Dallas, TX · Remote
$42/hr
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 ...
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Dallas, TX · Remote
$42/hr
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 ...
$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 ...
$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 ...
Coral Gables, FL · On-site
$22 - $36/hr
HEDIS review experience with managed care/HMO Qualifications * Candidates must have 2-3 years of experience as a field chart reviewer. * Current RN/LPN license in the state of Florida. * Must have ...
Coral Gables, FL · On-site
$22 - $36/hr
HEDIS review experience with managed care/HMO Qualifications * Candidates must have 2-3 years of experience as a field chart reviewer. * Current RN/LPN license in the state of Florida. * Must have ...
Coral Gables, FL · On-site
$22 - $36/hr
HEDIS review experience with managed care/HMO Qualifications * Candidates must have 2-3 years of experience as a field chart reviewer. * Current RN/LPN license in the state of Florida. * Must have ...
Coral Gables, FL · On-site
$22 - $36/hr
HEDIS review experience with managed care/HMO Qualifications * Candidates must have 2-3 years of experience as a field chart reviewer. * Current RN/LPN license in the state of Florida. * Must have ...
TX · Remote
$34 - $35/hr
HEDIS Quality Audit/HEDIS Quality Nurse Coordinator Location: 100% Remote (USA) Work Schedule ... The ideal candidates will review medical records, interpret clinical data, and ensure accurate ...
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TX · Remote
$34 - $35/hr
HEDIS Quality Audit/HEDIS Quality Nurse Coordinator Location: 100% Remote (USA) Work Schedule ... The ideal candidates will review medical records, interpret clinical data, and ensure accurate ...
MI · Remote
$44 - $45/hr
Position: HEDIS Reviewer - Work From Home (Michigan Only) Location: Remote - Must reside in ... Review medical charts, copy supporting documentation, and enter all abstracts into designated ...
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MI · Remote
$44 - $45/hr
Position: HEDIS Reviewer - Work From Home (Michigan Only) Location: Remote - Must reside in ... Review medical charts, copy supporting documentation, and enter all abstracts into designated ...
$29.25 - $38.75/hr
HEDIS RN/LPN Location: Latham, NY Start Date: 11/30/2015 Daily Responsibilities: * Performs ... Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting
$29.25 - $38.75/hr
HEDIS RN/LPN Location: Latham, NY Start Date: 11/30/2015 Daily Responsibilities: * Performs ... Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting
Baton Rouge, LA · On-site
$29 - $38.50/hr
Title: HEDIS RN/LPN Location: Baton Rouge, LA Daily Responsibilities: * Performs provider ... Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting
Baton Rouge, LA · On-site
$29 - $38.50/hr
Title: HEDIS RN/LPN Location: Baton Rouge, LA Daily Responsibilities: * Performs provider ... Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting
Shelton, CT · On-site
$30.25 - $40/hr
HEDIS RN/LPN Location: Shelton, CT Daily Responsibilities: * Performs provider/practitioner medical ... Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting
Shelton, CT · On-site
$30.25 - $40/hr
HEDIS RN/LPN Location: Shelton, CT Daily Responsibilities: * Performs provider/practitioner medical ... Reviews assigned medical records in order to abstract clinical data elements for HEDIS reporting
Jacksonville, FL · On-site
$28 - $37/hr
HEDIS preferred Medical Review Nurses: Quality review / disease management experience AAAHC, Joint Commission, or Magnet experience is helpful Proficient in Microsoft Word and Excel Excellent ...
Jacksonville, FL · On-site
$28 - $37/hr
HEDIS preferred Medical Review Nurses: Quality review / disease management experience AAAHC, Joint Commission, or Magnet experience is helpful Proficient in Microsoft Word and Excel Excellent ...
Austin, TX · Remote
$42/hr
HEDIS reviews are completed in accordance with NCQA guidelines and technical specifications. JOB REQUIREMENTS: * Degree, Diploma or Certificate from a school of nursing with clinical experience.
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Austin, TX · Remote
$42/hr
HEDIS reviews are completed in accordance with NCQA guidelines and technical specifications. JOB REQUIREMENTS: * Degree, Diploma or Certificate from a school of nursing with clinical experience.
$29.75 - $39.50/hr
Qualifications State of Wisconsin licensed RN Previous experience with HEDIS Medical Record Review & Abstraction experience highly preferred Previous experience with medical records/familiarity with ...
$29.75 - $39.50/hr
Qualifications State of Wisconsin licensed RN Previous experience with HEDIS Medical Record Review & Abstraction experience highly preferred Previous experience with medical records/familiarity with ...
Manhattan, NY · On-site
$33.25 - $44/hr
Hedis Nurse Integrated Resources, Inc., is led by a seasoned team with combined decades in the ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...
Manhattan, NY · On-site
$33.25 - $44/hr
Hedis Nurse Integrated Resources, Inc., is led by a seasoned team with combined decades in the ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...
Cleveland, OH · On-site
$29.25 - $38.75/hr
About the job HEDIS Nurse Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across ...
Cleveland, OH · On-site
$29.25 - $38.75/hr
About the job HEDIS Nurse Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across ...
$33 - $43.75/hr
A Special Project Nurse/Medical Professional will be responsible for completing auditing and/or ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...
$33 - $43.75/hr
A Special Project Nurse/Medical Professional will be responsible for completing auditing and/or ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...
Cincinnati, OH · On-site
$29 - $38.50/hr
About the job HEDIS Nurse Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across ...
Cincinnati, OH · On-site
$29 - $38.50/hr
About the job HEDIS Nurse Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across ...
Pittsburgh, PA · Remote
$29.25 - $38.75/hr
HEDIS Chart Retrieval Nurse Position Overview The HEDIS Chart Retrieval Nurse supports the health ... You will coordinate record retrieval, review incoming records for completeness, upload ...
New
Pittsburgh, PA · Remote
$29.25 - $38.75/hr
HEDIS Chart Retrieval Nurse Position Overview The HEDIS Chart Retrieval Nurse supports the health ... You will coordinate record retrieval, review incoming records for completeness, upload ...
New
$28 - $37/hr
HEDIS preferred Medical Review Nurses: Quality review / disease management experience AAAHC, Joint Commission, or Magnet experience is helpful Proficient in Microsoft Word and Excel Excellent ...
$28 - $37/hr
HEDIS preferred Medical Review Nurses: Quality review / disease management experience AAAHC, Joint Commission, or Magnet experience is helpful Proficient in Microsoft Word and Excel Excellent ...
Manhattan, NY · On-site
$33.25 - $44/hr
HEDIS RN LPN Following are the position details: HEDIS 2015 Record Collection- Temps to assist with ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...
Manhattan, NY · On-site
$33.25 - $44/hr
HEDIS RN LPN Following are the position details: HEDIS 2015 Record Collection- Temps to assist with ... Responsibilities includes medical records reviews, data collection, chart abstractions, reporting ...
Columbus, OH · On-site
$28.25 - $37.25/hr
About the job HEDIS Nurse Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across ...
Columbus, OH · On-site
$28.25 - $37.25/hr
About the job HEDIS Nurse Company Overview: Confident Staff Solutions is a leading staffing agency in the healthcare industry, specializing in providing top talent to healthcare organizations across ...
$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
As a HEDIS review nurse, you check medical records for completeness and accuracy according to the Healthcare Effectiveness Data and Information Set (HEDIS) performance measures. Your responsibilities are to measure and to evaluate the performance of medical facilities and the quality of care that patients receive according to HEDIS. Your job duties are to create HEDIS reports, including incorrect or missing documentation, and to submit them to insurance health plans, accreditation commissions, and other organizations. Data analysis, attention to detail, and communication skills are essential for these jobs. Qualifications for a career as a HEDIS review nurse include nursing credentials and training in HEDIS measures.
| Aspect | Hedis Review Nurse | Utilization Review Nurse |
|---|---|---|
| Certifications | RN license, HEDIS training | RN license, Utilization Review certification |
| Work Environment | Insurance companies, healthcare plans | Hospitals, insurance companies, healthcare organizations |
| Job Focus | HEDIS data collection and quality improvement | Assessing medical necessity and approving care |
Hedis Review Nurses primarily focus on evaluating healthcare quality data using HEDIS measures, while Utilization Review Nurses assess medical necessity for patient care. Both roles require RN licensure and related certifications, often working within insurance or healthcare organizations. The main difference lies in their specific responsibilities: Hedis Review Nurses concentrate on quality metrics, whereas Utilization Review Nurses focus on care authorization and utilization management.
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$42/hr
Full-time
Posted 23 days ago
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:
JOB REQUIREMENTS:
Preferred Skills:
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