HEDIS LVN/LPN

Description

We are seeking Licensed Practical Nurses (LPNs) to support a healthcare quality initiative focused on HEDIS, medical record review, and quality reporting. This is a fully remote, temporary position that will primarily involve reviewing medical records and clinical documentation, identifying relevant information needed for quality measures, and supporting accurate and timely reporting.

This is a great opportunity for LPN/LVNs with experience in a medical office, clinic, hospital, health plan, medical records, care management, or healthcare quality environment. Candidates should be comfortable reviewing clinical documentation, working with electronic medical records, and communicating with healthcare providers and medical offices as needed.

Essential Job Functions:

• Data mine remotely directly from EHR systems to close quality gaps in care.

• Outreach to provider offices to request medical record data.

• Act as a SME for data collection and HEDIS® questions, asked by provider offices.

• Review and abstract medical record data into appropriate application(s).

• Follow up to offices that have failed to comply with a records request or have sent incomplete chart documentation.

• Analyze chart data, evaluate for possible data integrity and/or data deficits and document findings.

• Navigate multiple documentation systems and obtain medical record sections supportive of HEDIS®/Star measures.

• Support hybrid chart chase processes by requesting records from provider offices as needed.

• Maintain education/knowledgebase of HEDIS®/STARs standards and guidelines.

• Perform all other related duties as assigned.

Requirements

Minimum Required Education, Experience & Skills:

• Licensed Professional/Vocational Nurse

• One or more years provider outreach

• One or more years HEDIS®/STAR experience

• Two or more years of experience with data analysis/quality chart reviews. Must be able to review medical records and assess completeness.

• Excellent communication practices, both oral and written.

• Experience using Microsoft office applications, including databases, word-processing, and Excel® spreadsheets.

TalentMatch®

Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.

Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more.

All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.

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