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Remote Hedis Review Nurse Jobs in Decatur, GA (NOW HIRING)

Clinical background (e.g. physician assistant, nurse practitioner, registered nurse); MD's are ... Review VAERS reports, how to conduct medical record abstraction, and how to enter data into the ...

... like remote patient monitoring and chronic care management in their pulmonary practices. With a ... Joining our team as a Registered Nurse, you will have the opportunity to connect with patients ...

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...

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Collaboration of Primary Care NP/PA's * * This can be 100% remote * Control your Schedule ... Case Review and support from a group of clinical peers * Excellent compensation packages * Health ...

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Remote Hedis Review Nurse information

See Decatur, GA salary details

$19

$33

$46

How much do remote hedis review nurse jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for remote hedis review nurse in Decatur, GA is $33.56, according to ZipRecruiter salary data. Most workers in this role earn between $28.41 and $37.55 per hour, depending on experience, location, and employer.

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

A Remote HEDIS Review Nurse needs a valid RN license, clinical experience, and strong knowledge of HEDIS measures and medical record review processes. Familiarity with healthcare data systems, electronic medical records (EMRs), and HEDIS abstraction software is essential, along with understanding NCQA guidelines. Attention to detail, time management, and effective written communication skills help ensure accuracy and efficiency while working independently. These skills are crucial to accurately capturing quality data, supporting compliance, and improving healthcare outcomes in a remote environment.

What is the difference between Remote Hedis Review Nurse vs Remote Utilization Review Nurse?

AspectRemote Hedis Review NurseRemote Utilization Review Nurse
CertificationsRN license, HEDIS knowledgeRN license, Utilization Review certification
Work EnvironmentInsurance companies, healthcare plansHospitals, insurance companies, healthcare organizations
Job FocusHEDIS data collection and quality improvementAssessing medical necessity and resource utilization

Remote Hedis Review Nurses primarily focus on HEDIS data collection and quality metrics, while Remote Utilization Review Nurses evaluate medical necessity and resource use. Both roles require RN licensure, but the specific certifications and daily tasks differ, reflecting their distinct focus areas within healthcare quality and utilization management.

What is a Remote HEDIS Review Nurse?

Remote HEDIS Review Nurses are registered nurses who work from home to review medical records and evaluate healthcare providers' compliance with HEDIS (Healthcare Effectiveness Data and Information Set) measures. Their primary role is to collect, analyze, and validate clinical data to ensure quality standards are met for health plans and organizations. They collaborate with healthcare teams, use specialized software to track data, and help improve patient care outcomes. This position typically requires strong attention to detail, experience in clinical settings, and familiarity with HEDIS measures.

What are some common challenges faced by Remote HEDIS Review Nurses, and how can they be managed?

Remote Hedis Review Nurses often face challenges such as navigating multiple electronic health record (EHR) systems, maintaining data accuracy, and communicating effectively with offsite team members. Time management is crucial, as deadlines for HEDIS data abstraction and reporting can be tight. To manage these challenges, it's helpful to establish a dedicated, distraction-free workspace, stay organized with digital tools, and actively participate in team meetings and trainings to stay updated on quality measures and best practices.

What is the highest paid remote Hedis Review Nurse job?

The highest paid remote HEDIS Review Nurse positions typically offer salaries ranging from $80,000 to over $100,000 annually, depending on experience, certifications, and employer. Senior or specialized nurses with extensive HEDIS knowledge and strong clinical backgrounds tend to earn the top salaries in this field.

What does a Remote HEDIS Review Nurse do?

Healthcare Effectiveness Data and Information Set (HEDIS) is a system for assessing the quality of care and clinical performance. Your duties as a remote HEDIS review nurse are to assess medical records and clinical information to perform an analysis of a facility's quality of care. In this work from home job, you collect the data remotely and contact facilities and medical records departments on the phone when necessary. HEDIS has dozens of different parameters, so you assess the data to identify information that proves that the facility met those requirements. Your responsibilities include reporting your findings to the relevant administrators.

What are popular job titles related to Remote Hedis Review Nurse jobs in Decatur, GA? For Remote Hedis Review Nurse jobs in Decatur, GA, the most frequently searched job titles are:
What job categories do people searching Remote Hedis Review Nurse jobs in Decatur, GA look for? The top searched job categories for Remote Hedis Review Nurse jobs in Decatur, GA are:
What cities near Decatur, GA are hiring for Remote Hedis Review Nurse jobs? Cities near Decatur, GA with the most Remote Hedis Review Nurse job openings:
Infographic showing various Remote Hedis Review Nurse job openings in Decatur, GA as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 17% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $69,808 per year, or $33.6 per hour.

Director of Digital Applications (Population Health, Research, Epic Ambulatory)

Emory Healthcare

Atlanta, GA • Remote

Full-time

Re-posted 10 days ago


Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 217 frontline employees who took The Breakroom Quiz

158th of 887 rated healthcare providers


Job description

Overview

Be inspired.  Be rewarded. Belong. At Emory Healthcare. 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide: 

  • Comprehensive health benefits that start day 1 
  • Student Loan Repayment Assistance & Reimbursement Programs 
  • Family-focused benefits  
  • Wellness incentives 
  • Ongoing mentorship, development, and leadership programs  
  • And more  

Applicants residing in or able to relocate to the following states are eligible for hire: Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hampshire, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Wisconsin

Description

The Director of Digital Applications (Population Health, Research, and Epic Ambulatory) will lead the development, implementation, and ongoing support of application solutions within Emory Healthcare. This role focuses on improving patient care and operational efficiency through the effective use of technology. The ideal candidate will have significant experience with Epic Systems, strong leadership skills, and a background in driving digital transformation initiatives within healthcare. They will work closely with cross-functional teams, business units, and IT stakeholders to identify areas for improvement and implement innovative solutions. The Director will be responsible for ensuring that the organization's application solutions are effectively integrated, maintained, and aligned with operational goals.  Managing the application service delivery, overseeing day-to-day operations, and ensuring alignment with departmental and organizational objectives.

Remote position -- applicants residing in or able to relocate to the following states are eligible for hire: Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hampshire, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, and Wisconsin

Please see preferred qualifications section for success profile, seeking Director level experience w/ an emphasis on Population Health initiatives.

RESPONSIBILITIES:

  • Lead the development and execution of digital application strategies in alignment with departmental goals to improve patient outcomes and operational performance.
  • Oversee the day-to-day implementation, integration, and support of digital applications, ensuring they meet functional and operational requirements.
  • Manage and mentor a team of IT professionals, providing leadership and professional development opportunities to foster a culture of continuous improvement and high performance.
  • Coordinate and oversee digital application projects, ensuring they are delivered on time, within scope, and within budget, while meeting all project objectives.
  • Build and maintain effective relationships with internal stakeholders, including operational leaders, clinical staff, and IT teams, to ensure that application solutions align with business and clinical needs.
  • Develop and implement metrics to assess the performance and effectiveness of digital applications and recommend improvements based on data-driven insights.
  • Ensure all digital applications comply with relevant healthcare regulations such as HIPAA, and contribute to creating a compliant, secure IT environment.
  • Manage vendor relationships, including the selection, negotiation, and ongoing performance management of third-party providers related to digital applications.
  • Monitor and manage budgets related to the team, digital applications, and third-party contracts.

PREFERRED QUALIFICATIONS/SUCCESS PROFILE:

Epic Certifications: Ambulatory, Healthy Planet, and ideally Cogito/Clarity.

Population Health Knowledge: Familiarity with care management, registries, quality measures, risk stratification, and payer reporting.

Project & Portfolio Management: Proficiency in Agile/Lean methodologies and tools.

Regulatory Compliance: Knowledge of HIPAA, MACRA/MIPS, HEDIS, and other relevant healthcare regulations

Analytical & Reporting Skills: Expertise in using Epic reporting tools, dashboards, and KPIs to track performance.

Strategic Leadership - Ability to align Epic Ambulatory, Population Health, and Research initiatives with organizational goals, focusing on clinical outcomes, patient engagement, and operational efficiency.

Epic Expertise - Deep understanding of Epic Ambulatory, Healthy Planet, Research, and related modules, including build, optimization, and roadmap planning.

Stakeholder Engagement - Proven success working with physicians, nursing leaders, population health teams, and executives to gather requirements and drive adoption.

Operational Excellence - Track record of delivering projects on time, within scope, and with measurable improvements to patient care and provider workflows.

Change Management - Skilled at guiding teams and end-users through complex implementations, upgrades, and optimization efforts.

Team Development - Building and mentoring high-performing IT teams, ensuring ongoing Epic certification and professional growth.

Cross-Functional Collaboration - Ability to lead across IT, clinical, and operational domains to ensure seamless integration and interoperability.

MINIMUM QUALIFICATIONS:

  • Bachelors degree in Computer Science, Information Technology, Business Administration, Healthcare Administration, or a related field; Masters degree preferred.
  • A minimum of 7 years of experience in relevant IT experience, with at least 3 years in a leadership role in a healthcare setting.
  • Proven experience with Epic Systems and other healthcare technology platforms.
  • Solid understanding of healthcare regulations, including HIPAA and other standards.
  • Strong leadership skills, with the ability to motivate teams, set clear goals, and drive successful project outcomes.
  • Strong problem-solving and analytical skills, with the ability to interpret data and translate it into actionable improvements.
  • Excellent interpersonal and communication skills, capable of working effectively with both technical teams and operational leaders.
Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

Employment Type: FULL_TIME

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