RN / LVN HEDIS Nurse
Onsite RN and LVN HEDIS Nurse
HealthCare Support is actively seeking multiple Onsite Registered Nurse and LVN HEDIS professional to fill a new hire class for the upcoming HEDIS Season with our prestigious healthcare client in Rancho Cucamonga, CA.
Daily Responsibilities for RN and LVN HEDIS Nurse:
- Under the direction of the Supervisor, Clinical Quality Improvement, the HEDIS Improvement Nurse provides support to the Supervisor, Clinical Quality Improvement and IEHP departments on HEDIS improvement related issues, serving as a resource for internal and external customers. Is able to interpret clinical data for QI-related studies for medical management.
- This position maintains a working knowledge of the current medical management system (MedHOK), business processes and workflows. Maintains summarized information for Quality Systems related to modified and new regulatory requirements for medical management from DHCS, DMHC and CMS.
- Hybrid, in office 2-3 days a week, WFH the remaining days
- January – May (HEDIS Season)
Required Qualifications for RN and LVN HEDIS Nurse:
- Associates degree in Nursing required
- Bachelors preferred
- RN in California
- 3+ years of experience as a nurse
- 1 year of quality assurance or HEDIS experience from any setting
- Working knowledge of NCQA HEDIS technical specifications, medical terminology, and health plan processes
Preferred Qualifications for RN LVN HEDIS
- Health plan HEDIS Overread and Abstraction Experience
Benefits for RN and LVN HEDIS Nurse:
- Immediate enrollment in Health Insurance
- Dental Insurance
- Life Insurance
- Employee Assistance Program (EAP)
- Access to Investment Accounts
- Career and educational tools within our Ingenovis ACT (Advocacy) Program
Pay Details: $30.72 to $43.87 an hour
Interested in being considered?
If you are interested in applying to this position, please click Apply Now for immediate consideration.
For additional consideration, please email a copy of your resume to hirememanagedcare@healthcaresupport.com with your phone number, the position title and location, and our recruiters will reach out.
Healthcare Support Staffing, LLC. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.