HEDIS审查护士 - 远程 - 合同
HEDIS Review Nurse - Remote - Contract
这是一份立即开始并于2024年4月30日结束的合同职位
审核护士
职位描述：
审核护士负责在年度医疗效果数据和信息集（HEDIS）调查期间进行医疗记录摘要和复核。审核护士负责审核并准确完成医疗记录的全面审查，以提取HEDIS相关的临床数据。HEDIS摘要需按照NCQA指南和技术规范完成。其他职责包括但不限于文件夹和文件管理、标注医疗记录，并将完成的文档按正确的命名规范保存到共享驱动器，以及将数据录入QSHR。
主要职责：
- 摘录医疗记录
- 在医疗记录审核过程中应用产品/计划特定的摘要标准/要求
- 保持规定的生产量
- 在整个HEDIS调查期间，确保摘要和数据录入的准确率达到95%
- 按照分配的任务对摘录的医疗记录进行质量审核
- 与管理层/指定人员就项目过程中需要的发展或帮助进行开放和诚实的沟通
- 将与工作相关的问题/挑战上报给高级总监或指定人员
- 参加与HEDIS项目经理和/或质量管理专家/指定人员安排的每日及临时会议，讨论项目状态、未解决问题和生产率
- 遵守HIPAA、PHI、患者保密性、多元化原则、公司诚信、合规计划政策及其他适用的公司和部门政策
- 其他指派的任务
职位要求：
- 注册护士（RN）/执业护士（LPN），持有无限制执照
- 2年HEDIS摘要/复核经验
- 数据录入熟练
- 熟悉PDF、Word和Excel
- 出色的书面和沟通能力
- 数据库管理
优先技能：
- 儿科、心脏病学、内分泌学和/或产科经验
- 熟练使用QSHR
薪资：42美元/小时
最初发布于Himalayas
查看英文原文
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
Salary: $42/hourOriginally posted on Himalayas