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HEDIS Medical Review Nurse

Company: PRIDE Health
Location: Owings Mills
Posted on: January 15, 2019

Job Description:

PRIDE Health has an immediate need for a HEDIS Medical Review Nurse?in Owings Mills, MD! This is an amazing opportunity to work with a leading healthcare organization, while gaining industry experience and maintaining a work-life balance.?

    This role will offer full-time daytime hours during the week! Position is for a 3+ month-long contract.Medical Review Nurse review medical records in accordance with HEDIS guidelines to ensure protocols/requirements are being followed.?Medical Review Nurse will maintain HIPAA standards for confidentiality, reporting, and distribution of information.?Medical Review Nurse will document all pertinent patient information in the appropriate medical record systems for tracking.
      Must have High School Diploma or GED. Healthcare degree is strongly preferred (RN or LPN).?Must have at least 3 years of healthcare/health plan/medical review experience.?Previous HEDIS experience/knowledge/software is strongly preferred.?Must have working knowledge of managed care requirements related to clinical quality.?Must have be able to read/interpret medical records and have strong attention to detail.Interested individuals, apply today! Resumes can be sent to [Click Here to Email Your Resum?].

      Keywords: PRIDE Health, Baltimore , HEDIS Medical Review Nurse, Healthcare , Owings Mills, Maryland

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