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Remote Hedis Nurse Jobs in Springfield, MA (NOW HIRING)

Blessed Hands Inc

LPN

Windsor, CT · Remote

$32.50 - $34.50/hr

Careers Advancement Job Summary We are seeking a License Practical Nurse to join our team. In this ... Compassionate and empathetic This is a remote position.

Blessed Hands Inc

LPN

Windsor, CT · Remote

$32.50 - $34.50/hr

Careers Advancement Job Summary We are seeking a License Practical Nurse to join our team. In this role, you will travel to various locations that are experiencing nursing shortages and fill in the ...

Blessed Hands Inc

LPN

Windsor, CT · Remote

$32.50 - $34.50/hr

Careers Advancement Job Summary We are seeking a License Practical Nurse to join our team. In this role, you will travel to various locations that are experiencing nursing shortages and fill in the ...

All JobsHedis Nurse JobsRemote Hedis Nurse JobsRemote Hedis Nurse Jobs in Springfield, MA

Remote Hedis Nurse information

See Springfield, MA salary details

$20

$34

$47

How much do remote hedis nurse jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for remote hedis nurse in Springfield, MA is $34.25, according to ZipRecruiter salary data. Most workers in this role earn between $28.99 and $38.32 per hour, depending on experience, location, and employer.

What is a Remote HEDIS nurse?

A Remote HEDIS Nurse is a healthcare professional who reviews and evaluates medical records to ensure compliance with the Healthcare Effectiveness Data and Information Set (HEDIS) measures. They assess patient data, identify gaps in care, and work with healthcare providers to improve quality ratings. This role is typically seasonal and involves working from home using secure electronic health record (EHR) systems. Strong knowledge of HEDIS guidelines, medical coding, and data abstraction is essential. It helps healthcare organizations meet quality benchmarks and improve patient outcomes.

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

To thrive as a Remote Hedis Nurse, you need strong clinical assessment skills, a valid RN license, and experience with medical record review and quality initiatives. Familiarity with HEDIS reporting, electronic health records (EHR), and data abstraction tools is typically required. Exceptional attention to detail, independent work ethic, and effective written communication help nurses excel remotely. These abilities ensure accurate data collection and compliance with quality measures in a virtual healthcare environment.

What are the common challenges faced by Remote HEDIS nurses and how can they be managed?

Remote Hedis Nurses often face challenges such as ensuring data accuracy when reviewing diverse medical records and managing time effectively without direct in-person supervision. Staying organized, maintaining detailed records, and regularly communicating with team members or supervisors can help overcome these hurdles. It's important to be proactive in seeking clarification on documentation and to utilize available training resources for technical systems. By establishing a structured workflow and staying up-to-date on HEDIS guidelines, remote nurses can successfully meet performance expectations and contribute to high-quality healthcare reporting.

What are popular job titles related to Remote Hedis Nurse jobs in Springfield, MA?

For Remote Hedis Nurse jobs in Springfield, MA, the most frequently searched job titles are:

What job categories do people searching Remote Hedis Nurse jobs in Springfield, MA look for?

The top searched job categories for Remote Hedis Nurse jobs in Springfield, MA are:

What cities near Springfield, MA are hiring for Remote Hedis Nurse jobs?

Cities near Springfield, MA with the most Remote Hedis Nurse job openings:

Remote Hedis Nurse jobs near you
Infographic showing various Remote Hedis Nurse job openings in Springfield, MA as of August 2026, with employment types broken down into 2% As Needed, 60% Full Time, 16% Part Time, and 22% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $71,250 per year, or $34.3 per hour.

Nurse Practitioner (Per Diem)

Hartford, CT • On-site, Remote

ComplexCare Solutions
Health Care and Social Assistance • 201 - 500 employees
Learn more about ComplexCare Solutionsexternal

$2.4K - $10K/mo

Other

Retirement

Re-posted 13 days ago

Job description

Overview
Nurse Practitioner Per Diem
This position covers all zip codes in: Hartford County, CT
ComplexCare Solutions (CCS) specializes in helping those in need by delivering high-value home and virtual assessments for health plans nationwide. We pride ourselves on our member engagement aimed towards evaluating current health status, gaps in care, potential health risks and care management opportunities with a focus on driving better clinical outcomes.
CCS, on behalf of SME Medical Delaware, P.A., is calling on Advanced Practice Providers that are passionate about helping their local communities. We care dearly about those whom we serve, and we need your help to make a difference in the lives of our members. Providers have the opportunity to spend a full hour with these members, which allows them to capture a comprehensive picture of that individual's personal needs and what is required to keep them in the home and out of the hospital.
Compensation:
  • Pay Range: $2,400.00 - $10,000.00 per month (Potential income) Earnings will vary based on completed assessments, state of residence, and business needs as there is no guarantee of visits or minimum income
  • In-home visit rate: $120 - $140 depending on state of residence
  • If available, our telehealth rate is $85 per completed assessment

Benefit:
This position is eligible to participate in a company 401K plan providing the opportunity to save for retirement through employee contributions. New hires will be automatically enrolled in the company 401(k) plan at a 3% contribution rate with the option to opt out.
Responsibilities
  • Knowledge of CMS Regulations and NCQA HEDIS Guidelines
  • Knowledge of Evidence-based Clinical Practice Standards: American Diabetes Association (ADA), American College of Cardiology (ACC), American Heart Association (AHA), Familiarity with ICD-10 and CPT-4 coding practices
  • Complete comprehensive, accurate and thorough review of the assigned member population, including timely completion and submission of all required encounter documentation (paper or electronic)
  • Ensure that all pertinent and active medical conditions are documented in the medical record in a manner compliant with CMS/DHHS, Company policy, and client requirements
  • Support the physician/patient relationship and ensure timely and adequate communication, documentation of assessment findings, recommendations, need for additional services, emergency services required if necessary and need for follow up and timelines for follow up to primary care provider (PCP) and health plan as required
  • Make general recommendations to members intended to improve members' knowledge of their chronic condition(s), such as information concerning recommended testing
  • Address and close identified gaps in care (disease-specific or preventive)
  • Recognize emergent or urgent situations requiring escalation and take appropriate action as specified in company policies, and as determined by reasonable professional judgment and ethical professional practice standards; and
  • Perform, document and communicate results of Point of Care (POC) Testing
  • Maintain compliance with Company policies, procedures and mission statement
  • Adhere to all confidentiality and HIPAA requirements as outlined within the Company's Operating Policies and Procedures in all ways and at all times with respect to any aspect of the data handled or services rendered in the undertaking of the position
  • Fulfill those responsibilities and/or duties that may be reasonably provided for the purpose of achieving operational and financial success of the Company
  • Uphold responsibilities relative to the separation of duties for applicable processes and procedures within your job function
  • On a monthly basis, be available for a minimum of 25 slots of availability per month (approximately 37 hours)
  • We reserve the right to change this job description from time to time as business needs dictate and will provide notice of such
  • Other duties as assigned

Qualifications
  • Active un-encumbered license to practice nursing
  • ANCC or AANP board certification as a Nurse Practitioner or Clinical Nurse Specialist in Family, Adult, Gerontology or Emergency Medicine.
  • Maintains current CPR certification
  • Compliance, prior to hire, with recommended Healthcare Personnel Requirements for vaccinations and preventive testing:
    • Hepatitis B
    • Influenza
    • MMR: Measles, Mumps and Rubella
    • Pertussis, Tetanus and diphtheria and acellular pertussis (Tdap)
    • Varicella
    • Tuberculosis
  • Home Health exp a plus
  • Must be able to effectively communicate with elderly and chronically ill patients and families
  • Understanding of Medicare, Medicaid and Health Plan benefit structures beneficial
  • Ability to multitask
  • Excellent customer service skills
  • Bi-lingual or multi-lingual a plus
  • Ability to practice autonomously in a remote clinical environment, including independently conducting patient assessments, formulating evidence-based treatment plans, managing complex chronic conditions, and making sound clinical decisions without direct on-site supervision
  • Proficient with computer platforms, electronic health records (EHRs), secure messaging systems, and cloud-based documentation tools

This company utilizes E-Verify.
ComplexCare Solutions (CCS) is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. By embracing diversity, equity and inclusion we enhance our work environment and drive business success. ComplexCare Solutions (CCS) strives to reflect the diversity of the communities where we operate and of our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth.

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