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Hedis Reviewer

Company: ZolonTech
Location: Baton Rouge
Posted on: June 15, 2019

Job Description:

The primary purpose of the job is to: Provide nursing support to the Quality Management Department during HEDIS season. The HEDIS Nurse Reviewer will work with the HEDIS team to collect member records by working with provider offices and/or hospital facilities via telephone or on-site visits. The HEDIS Nurse must possess basic clinical and healthcare knowledge, basic knowledge of NCQA HEDIS abstracting guidelines, with the ability to access medical records (electronic and paper). The Nurse must be able to accurately identify required data and information, extract and organize this data and enter into a database. Qualification: Nursing license or degree is required RN or LPN - Required Knowledge of HEDIS and NCQA - Required 3 to 5 years relevant experience Proficiency with Microsoft Office Suite (Word, Excel, Power Point). Consistent word processing speed and accuracy of 50 or more words per minute. Contract - 3 + Months

Keywords: ZolonTech, Baton Rouge , Hedis Reviewer, Other , Baton Rouge, Louisiana

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