Quality Clinical Management Senior Analyst(Overread) - Integrated Resources, Inc
Hooksett, NH 03106
About the Job
1/2 day of onboarding shift start time- 10am CST
Shift Start and End Times- 8am-5-pm
Shift Start and End Times- 8am-5-pm
| Job Title | Job Description | Required Skills | Education/Experience |
| Quality Assurance Nurse Reviewer (Overread Team) | The Healthcare Effectiveness Data and information Set (HEDIS) Quality Assurance Nurse Overreader works under the direction of the HEDIS Quality Assurance Team Lead and other Client personnel to perform quality assurance reviews on medical records. The HEDIS Quality Assurance Nurse Reviewer will validate abstracted medical record data and enter findings electronically into a specified data base to support HEDIS Reporting and Quality Improvement. The candidate may be required to perform other duties toward HEDIS collection as assigned including HEDIS medical record review and outreach for collection of medical records. This is a fast-paced environment and candidates must adhere to measured productivity and accuracy requirements. The candidate is required to attain a score of 100% on specific measure testing prior to conducting live medical record reviews and overreads. Candidate must also be able to achieve and maintain a quality reliability score of 95% or higher to remain eligible for employment for the duration of the project. |
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RN or LPN/LVN license. 3-5 years recent HEDIS medical record review experience preferred Quality improvement or medical record review experience preferred Computer experience (i.e., Excel, Word, Outlook) required |
Source : Integrated Resources, Inc