HEDIS Overreader Registered Nurse

Post Date

Sep 30, 2024

Location

Philadelphia,
Pennsylvania

ZIP/Postal Code

19103
US
Dec 17, 2024 Insight Global

Job Type

Contract

Category

Nurse

Req #

HPA-736873

Pay Rate

$28 - $35 (hourly estimate)

Job Description

A client of Insight Globals is looking for HEDIS (Healthcare Effectiveness Data and Information Set Nursing) RNs or LPNs for a remote contract position in PA or NJ. This is a fully remote position and requires previous HEDIS review experience. This person will be responsible for Quality Check of FDC/HEDIS nurses. This person will use healthcare data and software to evaluate medical forms or patient records to compare items like patient care to a patient's health plans to make sure it meets a patient's care needs. The HEDIS nurse focuses solely on using HEDIS measuring criteria to review health plans in accordance with healthcare facility practices and patient experiences.

3 Territories Available:
PA NORTH - Montgomery & Bucks Counties and a small amount of Lehigh County.
PA SOUTH - Delaware and Chester Counties and Northern Delaware state.
NJ Central - Mostly Monmouth, Ocean, and Mercer Counties.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.

To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ .

Required Skills & Experience

Previous HEDIS review experience
Active RN License or Active LPN License
2-3 years of clinical experience
3+ years chart auditing/abstraction experience
Strong computer skills and reliable internet access
Ability to occasionally travel to local providers

Nice to Have Skills & Experience

Previous HEDIS review experience
Active RN License or Active LPN License
2-3 years of clinical experience
3+ years chart auditing/abstraction experience
Strong computer skills and reliable internet access
Ability to occasionally travel to local providers

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.