HEDIS Review Nurse - Remote - Contract

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  "last_changed_at": "2026-05-30T06:10:05.122Z",
  "active_status": "active"
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{
  "language": "en",
  "location": {
    "raw": "Dallas, Texas, United States",
    "city": "Dallas",
    "region": "TX",
    "country": "United States",
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    "confidence": 0.8
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  "inferred_at": "2026-06-06T10:32:34.240Z",
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    "location": {
      "raw": "Dallas, Texas, United States",
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      "country": "United States",
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    "countries": [
      "United States"
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  "remote_policy": "remote",
  "salary_period": null,
  "workplace_type": "remote",
  "salary_currency": null
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    "id": "4271",
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    "atsLocation": {
      "city": "Dallas",
      "state": "Texas",
      "country": "United States",
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    "employmentStatusLabel": "Full-Time"
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  "detail_job_opening": {
    "location": {
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    "datePosted": "2025-04-10",
    "atsLocation": {
      "city": "Dallas",
      "state": "Texas",
      "country": "United States",
      "countryId": "1"
    },
    "description": "<p>This is a contract assignment that will start right away and end on April 30th 2024</p>\n<p><br></p>\n<p><span style=\"font-weight: bold;\"><span style=\"font-size: 16px;\">Review Nurse</span></span></p>\n<p><br></p>\n<p><span style=\"font-weight: bold;\"><span style=\"font-size: 16px;\">SUMMARY DESCRIPTION</span></span><span style=\"font-weight: bold;\"><span style=\"font-size: 16px;\">:</span></span></p>\n<p><span style=\"font-size: 16px;\"><br><span>The review nurse is responsible for medical record abstractions and overreads during the annual Healthcare Effectiveness Data and Information Set (HEDIS) survey. The review nurse is responsible for reviewing and accurately performing comprehensive review of medical records to abstract relevant clinical data during HEDIS. HEDIS abstractions are completed in accordance with NCQA guidelines and technical specifications. Additional responsibilities include but not limited to folder and file management, annotating medical records and saving completed documents with correct naming conventions on a shared drive as well as data entry into QSHR.</span></span></p>\n<p><span style=\"font-size: 16px;\"><br><span style=\"font-weight: bold;\"><span>ESSENTIAL FUNCTIONS</span></span><span>:</span></span></p>\n<ul>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Abstract medical records </span></li>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Apply product/plan specific abstraction criteria/requirements during medical record review process</span></li>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Maintain defined productivity volumes</span></li>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Sustain accuracy rate of 95% during abstraction and data entry throughout the HEDIS survey</span></li>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Perform quality reviews of abstracted medical records as assigned</span></li>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Ensure open and honest communication with management/designee regarding development or assistance needed throughout project</span></li>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Escalate work related challenges/issues to Senior Director or designee</span></li>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Attend scheduled daily and ad-hoc meetings with HEDIS Project Manager, and /or Quality Management Specialist/ designee to discuss project status, open issues and productivity</span></li>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Comply with HIPAA, PHI, patient confidentiality, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies</span></li>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Other duties as assigned</span></li>\n</ul>\n<p><span style=\"font-size: 16px;\"> </span></p>\n<p><span style=\"font-weight: bold;\"><span style=\"font-size: 16px;\">JOB REQUIREMENTS</span></span><span style=\"font-size: 16px;\">:</span></p>\n<ul>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Registered Nurse (RN)/ <em><span>Licensed Practical Nurse</span></em>(<em><span>LPN</span></em>) with unrestricted license</span></li>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">2 years’ HEDIS abstraction/over-reading experience</span></li>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Data entry proficiency</span></li>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Working knowledge PDF, Word and Excel</span></li>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Excellent written and communication skills </span></li>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Database management</span></li>\n</ul>\n<p><span style=\"font-size: 16px;\"> </span></p>\n<p><span style=\"font-size: 16px;\"> </span><span style=\"font-weight: bold;\"><span style=\"font-size: 16px;\">Preferred Skills</span></span><span style=\"font-size: 16px;\">:</span></p>\n<ul>\n<li><span style=\"font-size: 16px;\"> </span><span style=\"font-size: 16px;\">Experience in Pediatrics, Cardiology, Endocrinology and/or Obstetrics</span></li>\n<li><span style=\"color: #32363a; font-size: 16px;\"> </span><span style=\"font-size: 16px;\">QSHR proficiency</span><span style=\"font-size: 16px;\"><br><br></span></li>\n</ul>\n<p><span style=\"color: #32363a; font-size: 16px;\"> </span></p>\n<p><span style=\"color: red; font-size: 16px;\"> </span></p>",
    "compensation": "$42/hour",
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