Remote position -- applicants residing in or able to relocate to the following states are eligible ... Knowledge of HIPAA, MACRA/MIPS, HEDIS, and other relevant healthcare regulations Analytical ...
Remote position -- applicants residing in or able to relocate to the following states are eligible ... Knowledge of HIPAA, MACRA/MIPS, HEDIS, and other relevant healthcare regulations Analytical ...
Remote position -- applicants residing in or able to relocate to the following states are eligible ... Knowledge of HIPAA, MACRA/MIPS, HEDIS, and other relevant healthcare regulations Analytical ...
Remote position -- applicants residing in or able to relocate to the following states are eligible ... Knowledge of HIPAA, MACRA/MIPS, HEDIS, and other relevant healthcare regulations Analytical ...
Inpatient Care Management Nurse - Remote
Atlanta, GA · Remote
$60K - $107K/yr
Perform initial and concurrent review of inpatient cases applying evidenced-based criteria ... Compact RN license * 2 years of acute inpatient case management experience/utilization review
Inpatient Care Management Nurse - Remote
Atlanta, GA · Remote
$60K - $107K/yr
Perform initial and concurrent review of inpatient cases applying evidenced-based criteria ... Compact RN license * 2 years of acute inpatient case management experience/utilization review
Inpatient Care Management Nurse RN - Remote
Atlanta, GA · Remote
$60K - $107K/yr
What makes your nursing career greater with UnitedHealth Group? You can improve the health of ... Perform initial and concurrent review of inpatient cases applying evidenced-based criteria ...
Inpatient Care Management Nurse RN - Remote
Atlanta, GA · Remote
$60K - $107K/yr
What makes your nursing career greater with UnitedHealth Group? You can improve the health of ... Perform initial and concurrent review of inpatient cases applying evidenced-based criteria ...
You will complete medication reviews, establish priorities of client care, and link clients to ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Quick apply
You will complete medication reviews, establish priorities of client care, and link clients to ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse - Washington Based
Alpharetta, GA · Remote
$79K - $104K/yr
You will complete medication reviews, establish priorities of client care, and link clients to ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse - Washington Based
Alpharetta, GA · Remote
$79K - $104K/yr
You will complete medication reviews, establish priorities of client care, and link clients to ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Psychiatric Registered Nurse - Washington Based
Alpharetta, GA · Remote
$79K - $104K/yr
You will complete medication reviews, establish priorities of client care, and link clients to ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Quick apply
Psychiatric Registered Nurse - Washington Based
Alpharetta, GA · Remote
$79K - $104K/yr
You will complete medication reviews, establish priorities of client care, and link clients to ... Flexible daytime/evening schedule with remote/community work * Productivity Incentives * New hire ...
Nurse Case Manager - Greater Atlanta area
Atlanta, GA · On-site +1
This opportunity allows for remote work so can be flexible on location. Minimal travel within the ... Health Risk Assessment review to encourage lifestyle modification and improve overall wellness.
Nurse Case Manager - Greater Atlanta area
Atlanta, GA · On-site +1
This opportunity allows for remote work so can be flexible on location. Minimal travel within the ... Health Risk Assessment review to encourage lifestyle modification and improve overall wellness.
Licensed Clinical Social Worker, Remote
Atlanta, GA · On-site +1
Salvo care includes a team for each patient of registered dietitians, nurses, and therapist/social ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Licensed Clinical Social Worker, Remote
Atlanta, GA · On-site +1
Salvo care includes a team for each patient of registered dietitians, nurses, and therapist/social ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Salvo care includes a team for each patient of registered dietitians, nurses, and therapist/social ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Quick apply
Salvo care includes a team for each patient of registered dietitians, nurses, and therapist/social ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Salvo care includes a team for each patient of registered dietitians, nurses, and therapist/social ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Salvo care includes a team for each patient of registered dietitians, nurses, and therapist/social ... reviewing applications, analyzing resumes, or assessing responses and identifying potential ...
Clinical Learning Specialist (RN)
Atlanta, GA · On-site +1
This position is primarily remote and requires frequent travel to our Atlanta-based training ... audits and documentation reviews related to training and competency programs. * Identify ...
Clinical Learning Specialist (RN)
Atlanta, GA · On-site +1
This position is primarily remote and requires frequent travel to our Atlanta-based training ... audits and documentation reviews related to training and competency programs. * Identify ...
VAERS Clinician
Atlanta, GA · On-site +1
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 ...
VAERS Clinician
Atlanta, GA · On-site +1
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 ...
Client Policy Manager I - US Remote
Atlanta, GA · Remote
$75K - $105K/yr
Review and identify changes needed to client policies in order to maintain up-to-date and accurate ... Active professional license as a Registered Nurse (BSN preferred) or bachelor's degree in health ...
Client Policy Manager I - US Remote
Atlanta, GA · Remote
$75K - $105K/yr
Review and identify changes needed to client policies in order to maintain up-to-date and accurate ... Active professional license as a Registered Nurse (BSN preferred) or bachelor's degree in health ...
Chronic Registered Nurses
Atlanta, GA · Remote
... 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 ...
Chronic Registered Nurses
Atlanta, GA · Remote
... 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 ...
Registered Nurse, Care Manager
Atlanta, GA · On-site +1
... 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 ...
Registered Nurse, Care Manager
Atlanta, GA · On-site +1
... 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 ...
... 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 ...
Quick apply
... 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 ...
Be Seen First
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 ...
Quick apply
Be Seen First
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 ...
... nurse practitioner (PMHNP) working in the Augusta, GA market. About the Role We are looking for a ... Review charts and cases in accordance with Georgia's supervision requirements * Be available for ...
Quick apply
... nurse practitioner (PMHNP) working in the Augusta, GA market. About the Role We are looking for a ... Review charts and cases in accordance with Georgia's supervision requirements * Be available for ...
... nurse practitioners, registered nurses, and social workers * Prepare, review and analyze ... This position is remote but may require 25% of travel within their given market * Basic Life ...
... nurse practitioners, registered nurses, and social workers * Prepare, review and analyze ... This position is remote but may require 25% of travel within their given market * Basic Life ...
Remote Hedis Review Nurse information
See Decatur, GA salary details
$19.71 - $22.17
2% of jobs
$22.17 - $24.62
3% of jobs
$24.62 - $27.08
3% of jobs
$28.46 is the 25th percentile. Wages below this are outliers.
$27.08 - $29.53
29% of jobs
$29.53 - $31.98
6% of jobs
The median wage is $33.02 / hr.
$31.98 - $34.44
14% of jobs
$34.44 - $36.89
13% of jobs
$37.40 is the 75th percentile. Wages above this are outliers.
$36.89 - $39.34
19% of jobs
$39.34 - $41.80
5% of jobs
$41.80 - $44.25
3% of jobs
$44.25 - $46.70
1% of jobs
$19
$33
$46
How much do remote hedis review nurse jobs pay per hour?
What are the key skills and qualifications needed to thrive as a Remote HEDIS Review Nurse?
What is the difference between Remote Hedis Review Nurse vs Remote Utilization Review Nurse?
| Aspect | Remote Hedis Review Nurse | Remote Utilization Review Nurse |
|---|---|---|
| Certifications | RN license, HEDIS knowledge | 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 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?
What are some common challenges faced by Remote HEDIS Review Nurses, and how can they be managed?
What is the highest paid remote Hedis Review Nurse job?
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.

Director of Digital Applications (Population Health, Research, Epic Ambulatory)
Atlanta, GA • Remote
Full-time
Re-posted 10 days ago
Emory Healthcare rating
7.7
Based on 217 frontline employees who took The Breakroom Quiz
158th of 887 rated healthcare providers
Job description
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
DescriptionThe 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.
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_TIMEWhat Emory Healthcare employees say
Pay
Benefits
Hours and flexibility
Workplace
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About Emory Health
Sourced by ZipRecruiter
Industry
Hospitals
Company size
10,000+ Employees
Headquarters location
NE Atlanta, GA, US
Year founded
1905