Licensed Vocational Nurse /LVN – Utilization Review (HEDIS Abstractor)

• This person will be abstracting data from medical records and entering into the database. They will occasionally be traveling to provider offices and work with their staff to review charts

• Coordinate, complete, and update management on clinical quality

• Establish and maintain an action plan to improve HEDIS scores

• Implement process to request and evaluate member compliance reports for each HEDIS measure, including evaluating improvement opportunities

• Manage the HEDIS project to include assignment of nurses, adherence to plan timeline, and vendor oversight for timeliness and quality

• Active license for a vocational nurse

• Recent HEDIS background

• Solid paper charting experience

• Extensive utilization review / concurrent review experience

• Computer Savvy/ Excel knowledge

Hours for this Position:

• 08:00 AM to 05:00 PM (Monday to Friday / 40 hours a week)

Advantages of this Opportunity:

• Competitive salary, negotiable based on relevant experience

• Benefits offered, Medical, Dental, and Vision

• Fun and positive work environment

• Right to Hire Opportunity

• Can start right away!!