RN​/LVN HEDIS Nurse

Onsite RN and LVN HEDIS Nurse

Health Care 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.

• 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)

• 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

• Health plan HEDIS Overread and Abstraction Experience

• 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